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Rigid Lower Colon Exam

North Carolina rates for HCPCS 45300

A rigid, straight scope is used to examine the rectum and the lowest part of the colon just above it, without a biopsy or other intervention. A sample of cells or fluid may be collected by lightly brushing or washing the area if needed.

Rates data updated July 2026.

How much does Rigid Lower Colon Exam cost?

$132

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $135 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 8 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$132$67.61 to $209
FacilityA hospital or hospital-owned outpatient department$135$70.79 to $631

How much rates vary

Facilitymedian $135 · 10th to 90th $47 to $1,660Professionalmedian $132 · 10th to 90th $49 to $309
$50$200$1K$5Kfacility $135professional $132

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
$47.86
Median
$446.68
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$120.23
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$117.49
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$154.88
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$173.78
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$112.20
Typical High
$263.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$100.00
Typical High
$204.17
Medcost
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$316.23
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$1,148.15
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$89.13
Typical High
$177.83
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,288.25
Typical High
$1,288.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,096.48

Where North Carolina sits

The same service costs 1.7 times more in Minnesota than in Ohio. 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.

North Carolina· 6th of 51

$132

MN $162OH $95.50

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.