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Lower Bowel Scope With Injection Into the Wall

Washington rates for HCPCS 45335

A flexible camera is passed through the anus into the lower portion of the large bowel, and a substance is injected into the wall just beneath the lining. This may be done to raise a flat growth clear of the deeper layers before it is removed, to tattoo a spot so it can be found again later, or to control bleeding. Only the lower part of the bowel is examined, not the entire colon.

Rates data updated July 2026.

How much does Lower Bowel Scope With Injection Into the Wall cost?

$562

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $562 for this service. Most negotiated rates run $186 to $2,188.

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.

How much rates vary

Facilitymedian $562 · 10th to 90th $123 to $5,012
$100$200$500$1K$2K$5K$10Kfacility $562

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
$151.36
Median
$2,290.87
Typical High
$7,943.28
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,818.38
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$501.19
Typical High
$1,148.15
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$338.84
Typical High
$912.01
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$588.84
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$407.38
Typical High
$707.95
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,754.23
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$2,754.23
Typical High
$5,248.07

Where Washington sits

The same service costs 16.6 times more in New Jersey than in North Dakota. 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.

Washington· 34th of 50

$562

NJ $4,467ND $269

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.