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New Jersey rates for HCPCS 45380

Colonoscopy, flexible; with biopsy, single or multiple

Facilitymedian $2,951 · 10th–90th $794$7,4130%10%10th90th$2,951Professionalmedian $407 · 10th–90th $186$9550%10%10th90th$407$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
$851.14 / $3,019.95 / $7,585.78
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$575.44 / $1,000.00 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $426.58 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$154.88 / $223.87 / $457.09
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$87.10 / $128.82 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $208.93 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$22.91 / $22.91 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $2,089.30 / $21,379.62
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $524.81
AmeriHealth
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$77.62 / $77.62 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $2,754.23 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $446.68 / $933.25
Cigna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $512.86 / $954.99
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,801.89 / $6,025.60
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $426.58 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $5,011.87 / $8,317.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $371.54 / $776.25