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Stoma Bowel Scope With Ultrasound-Guided Sampling

Illinois rates for HCPCS 44407

A flexible scope is passed into the bowel through a stoma, an opening made in the abdominal wall, and an ultrasound probe at its tip looks through the bowel wall at the tissue and lymph nodes just beyond it. Guided by that live ultrasound picture, a fine needle is passed through the scope to draw tissue or fluid samples from within the wall or from structures on the far side of it. The samples are sent to a laboratory to show what the abnormality is and how far it extends.

Rates data updated July 2026.

How much does Stoma Bowel Scope With Ultrasound-Guided Sampling cost?

$363

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $1,549 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$339$275 to $447
FacilityA hospital or hospital-owned outpatient department$1,549$933 to $3,236

How much rates vary

Facilitymedian $1,549 · 10th to 90th $525 to $5,623Professionalmedian $339 · 10th to 90th $257 to $676
$200$500$1K$2K$5K$10Kfacility $1,549professional $339

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
$436.52
Median
$1,380.38
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$524.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,737.80
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$338.84
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$371.54
Typical High
$630.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$776.25
Typical High
$1,621.81
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$338.84
Typical High
$371.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,041.74
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$602.56

Where Illinois sits

The same service costs 3.5 times more in California than in Delaware. 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.

Illinois· 24th of 51

$363

CA $1,072DE $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.