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California rates for HCPCS 45380

Colonoscopy, flexible; with biopsy, single or multiple

Facilitymedian $3,890 · 10th–90th $575$11,4820%10%10th90th$3,890Professionalmedian $457 · 10th–90th $200$1,2020%10%10th90th$457$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$691.83 / $4,168.69 / $11,748.98
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$13,489.63 / $13,489.63 / $13,489.63
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $467.74 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$162.18 / $223.87 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$63.10 / $158.49 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $208.93 / $954.99
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$44.67 / $44.67 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$177.83 / $177.83 / $204.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,466.84 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $467.74 / $776.25
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $3,981.07 / $8,912.51
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $524.81 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $891.25 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $446.68 / $831.76
Cigna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $331.13 / $812.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $457.09 / $891.25
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $28,840.32
Lucent Health
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $2,951.21
Lucent Health
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $3,162.28 / $3,630.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $602.56
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $467.74 / $812.83
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $457.09 / $912.01
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,819.70
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $1,412.54
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $512.86 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,981.07 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $380.19 / $758.58