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Scope Exam of an Intestinal Pouch With Biopsy

Pennsylvania rates for HCPCS 44386

A thin flexible scope is passed into a pouch built from small intestine, which acts as a reservoir for people whose colon has been removed, and small tissue samples are taken from its lining. The doctor looks for inflammation, ulcers or narrowing that could explain urgency, bleeding or a rise in output. The samples let the laboratory confirm what is causing the trouble.

Rates data updated July 2026.

How much does Scope Exam of an Intestinal Pouch With Biopsy cost?

$2,138

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2,138 for this service. Most negotiated rates run $1,047 to $3,981.

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 11 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,138 · 10th to 90th $347 to $7,244
$100$200$500$1K$2K$5K$10Kfacility $2,138

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$2,344.23
Typical High
$7,244.36
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,737.80
Typical High
$10,471.29
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,691.53
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$707.95
Typical High
$1,380.38
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$912.01
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,862.09
Typical High
$2,630.27
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,659.59
Typical High
$10,000.00
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$2,137.96
Typical High
$6,606.93
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,071.52
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,905.46
Typical High
$3,890.45

Where Pennsylvania sits

The same service costs 16.2 times more in New Jersey 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.

Pennsylvania· 14th of 51

$2,138

NJ $4,898ND $302

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.