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Rectal Scope Exam With Bleeding Control

Pennsylvania rates for HCPCS 45317

Examination of the rectum and the lowest part of the colon using a short rigid scope, during which active bleeding is stopped, for example by cautery, a clip, or an injection. It is used when someone is bleeding from the lower bowel.

Rates data updated July 2026.

How much does Rectal Scope Exam With Bleeding Control cost?

$195

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $195 for this service. Most negotiated rates run $115 to $240.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $195 · 10th to 90th $105 to $309
$100$200$500$1Kprofessional $195

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
Professional
Modifier
Global
Typical Low
$104.71
Median
$194.98
Typical High
$281.84
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$194.98
Typical High
$363.08
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$478.63
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$234.42
Typical High
$389.05
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$213.80
Typical High
$660.69
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$158.49
Typical High
$588.84
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$323.59

Where Pennsylvania sits

The same service costs 2.1 times more in Minnesota than in West Virginia. 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.

Pennsylvania· 36th of 51

$195

MN $339WV $158

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.