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New Jersey rates for HCPCS 45331

Sigmoidoscopy, flexible; with biopsy, single or multiple

Facilitymedian $3,388 · 10th–90th $417–$7,7620%5%10%10th90th$3,388Professionalmedian $158 · 10th–90th $68–$4790%5%10th90th$158$50.0$200.0$1.0K$5.0K$20.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $3,467.37 / $8,128.31
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $151.36 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $107.15 / $524.81
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $75.86 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $204.17 / $549.54
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $331.13 / $630.96
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,090.30 / $4,677.35
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $257.04 / $436.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,467.37 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $147.91 / $457.09