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Scope Exam of Surgically Created Intestinal Pouch

Maryland rates for HCPCS 44385

A diagnostic exam using a flexible scope to inspect an intestinal pouch created by earlier surgery, such as a Kock-type pouch. Collection of a specimen, when performed, is included, and the listed price applies when the exam is performed on its own.

Rates data updated October 2026.

How much does Scope Exam of Surgically Created Intestinal Pouch cost?

$117

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $77.62 to $234.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $589 · 10th to 90th $339 to $1,380Professionalmedian $107 · 10th to 90th $71 to $269
$100$200$500$1Kfacility $589professional $107

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$204.17
Typical High
$269.15
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$40.74
Median
$85.11
Typical High
$131.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.22
Median
$34.67
Typical High
$53.70
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$61.66
Median
$128.82
Typical High
$199.53
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.30
Median
$25.70
Typical High
$39.81
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.13
Median
$17.38
Typical High
$26.92
CareFirst
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$77.62
Typical High
$100.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$524.81
Typical High
$933.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$194.98
Typical High
$288.40
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$281.84
Typical High
$389.05
United
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$645.65
Typical High
$1,380.38
United
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$177.83
Typical High
$316.23
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$331.13

Where Maryland sits

The same service costs 3.5 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maryland· 50th of 51

$117

AK $389DC $110

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.