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Colon Examination Through A Surgical Opening

Wisconsin rates for HCPCS 45355

Examination of the inside of the colon with a scope introduced through an opening made in the bowel wall during an abdominal operation, rather than passed up from the rectum. It is used when the colon cannot be examined the usual way or when a particular segment must be inspected during surgery.

Rates data updated July 2026.

How much does Colon Examination Through A Surgical Opening cost?

$501

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $589 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$389$339 to $955
FacilityA hospital or hospital-owned outpatient department$589$562 to $933

How much rates vary

Facilitymedian $589 · 10th to 90th $501 to $2,399Professionalmedian $389 · 10th to 90th $339 to $955
$500$1K$2Kfacility $589professional $389

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$588.84
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$389.05
Typical High
$575.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,398.83
Typical High
$2,398.83
Quartz
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$954.99
Typical High
$954.99

Where Wisconsin sits

The same service costs 144.5 times more in California than in South Carolina. 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.

Wisconsin· 28th of 39

$501

CA $4,365SC $30.20

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.