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Scope Exam of Surgically Created Intestinal Pouch

Michigan 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?

$921

Typical total for the visit. In Michigan, October 2026.

Insurers have agreed to pay about $921 for this procedure. That total is two separate charges: $162 to the doctor who performs it, and $759 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$162$93.33 to $269
Facility feeThe hospital or surgery center$759$575 to $1,096

How much rates vary

Facilitymedian $759 · 10th to 90th $427 to $1,698Professionalmedian $162 · 10th to 90th $74 to $347
$20$100$500$2Kfacility $759professional $162

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
Facility
Modifier
None
Typical Low
$91.20
Median
$263.03
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$199.53
Typical High
$263.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$45.71
Median
$97.72
Typical High
$131.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.20
Median
$39.81
Typical High
$52.48
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$69.18
Median
$147.91
Typical High
$194.98
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.80
Median
$29.51
Typical High
$38.90
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.12
Median
$19.95
Typical High
$26.30
Ambetter
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$776.25
Typical High
$1,348.96
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$104.71
Typical High
$104.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$181.97
Typical High
$380.19
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$524.81
Typical High
$2,884.03
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$269.15
Typical High
$346.74
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$46.77
Median
$56.23
Typical High
$134.90
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.62
Median
$22.39
Typical High
$53.70
Health Alliance Plan
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$69.18
Median
$85.11
Typical High
$199.53
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.80
Median
$16.98
Typical High
$39.81
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.33
Median
$11.22
Typical High
$26.92
Priority Health
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Priority Health
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$173.78
Typical High
$331.13
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$602.56
Typical High
$2,951.21
United
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$177.83
Typical High
$363.08

Where Michigan sits

The same service costs 7.5 times more in Connecticut than in North Dakota. 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.

Physician feeFacility fee

Michigan· 38th of 51

$921

$162 physician + $759 facility

CT $3,042ND $408

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.