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Biopsy Of The Anal And Rectal Wall

Oregon rates for HCPCS 45100

Takes a sample of the full thickness of the wall of the rectum just above the anus, working through the anal opening rather than through the abdomen. It is most often done in a baby or young child to look for the missing nerve cells that cause a form of severe constipation present from birth. The laboratory examination of the sample is charged separately.

Rates data updated July 2026.

Facilitymedian $575 · 10th–90th $316$4,8980%20%10th90th$575Professionalmedian $631 · 10th–90th $479$7590%20%40%10th90th$631$5.0$50.0$500.0$5.0K$50.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$5,754.40
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,398.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$758.58
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$407.38
Typical High
$691.83
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$575.44
Typical High
$602.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$707.95
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$9,120.11
Typical High
$11,220.18
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$5,495.41
Typical High
$8,317.64