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Deep Small Bowel Scope With Tissue Sample

Utah rates for HCPCS 44377

A long flexible scope is passed through the mouth and worked far down into the small intestine, well beyond the stomach and the first bends of the bowel that a standard upper examination reaches. Small pieces of tissue are taken from areas that look abnormal and sent for examination under a microscope. It is used to find the cause of bleeding, unexplained anemia, diarrhea or pain arising deep in the small bowel.

Rates data updated July 2026.

Facilitymedian $3,715 · 10th–90th $437$4,8980%10%20%10th90th$3,715Professionalmedian $427 · 10th–90th $257$7240%10%20%10th90th$427$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$3,715.35
Typical High
$4,897.79
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,715.35
Typical High
$5,623.41
Select Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$426.58
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,890.45
Typical High
$5,128.61