go back

Rigid Lower Colon Exam

West Virginia 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?

$100

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $123 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 4 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$100$48.98 to $138
FacilityA hospital or hospital-owned outpatient department$123$52.48 to $457

How much rates vary

Facilitymedian $123 · 10th to 90th $47 to $3,090Professionalmedian $100 · 10th to 90th $45 to $240
$50$100$200$500$1K$2Kfacility $123professional $100

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
$46.77
Median
$123.03
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$104.71
Typical High
$239.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$63.10
CareSource
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$79.43
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$125.89
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$691.83
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$79.43
Typical High
$158.49

Where West Virginia 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.

West Virginia· 47th of 51

$100

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.