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New York rates for HCPCS 45331

Sigmoidoscopy, flexible; with biopsy, single or multiple

Facilitymedian $3,090 · 10th–90th $195$7,0790%10%10th90th$3,090Professionalmedian $191 · 10th–90th $69$5750%5%10%10th90th$191$10.0$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
$120.23 / $2,951.21 / $7,244.36
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$1,905.46 / $3,467.37 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $158.49 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $64.57 / $524.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $251.19 / $478.63
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $1,258.93 / $4,073.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $1,230.27 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $269.15 / $741.31
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $112.20 / $257.04
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $346.74 / $630.96
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $371.54 / $602.56
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,819.70 / $3,019.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $93.33 / $363.08
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $398.11 / $724.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,884.03 / $5,248.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $147.91 / $758.58
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $104.71 / $446.68
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $354.81 / $602.56