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Scope Exam of an Intestinal Pouch With Biopsy

Rhode Island 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 October 2026.

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

$1,476

Typical total for the visit. In Rhode Island, October 2026.

Insurers have agreed to pay about $1,476 for this procedure. That total is two separate charges: $245 to the doctor who performs it, and $1,230 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$245$141 to $447
Facility feeThe hospital or surgery center$1,230$708 to $2,455

How much rates vary

Facilitymedian $1,230 · 10th to 90th $617 to $4,898Professionalmedian $245 · 10th to 90th $112 to $537
$100$200$500$1K$2K$5Kfacility $1,230professional $245

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
$1,513.56
Median
$1,548.82
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$309.03
Typical High
$446.68
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$81.28
Median
$81.28
Typical High
$223.87
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$32.36
Median
$32.36
Typical High
$89.13
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$120.23
Median
$120.23
Typical High
$338.84
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$23.99
Median
$23.99
Typical High
$67.61
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.22
Median
$16.22
Typical High
$44.67
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$281.84
Typical High
$407.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$707.95
Typical High
$954.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$263.03
Typical High
$537.03
United
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$1,445.44
Typical High
$5,011.87
United
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$199.53
Typical High
$389.05

Where Rhode Island sits

The same service costs 5.1 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

Rhode Island· 17th of 51

$1,476

$245 physician + $1,230 facility

CT $3,107ND $611

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.