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New York rates for HCPCS 45380

Colonoscopy, flexible; with biopsy, single or multiple

Facilitymedian $3,236 · 10th–90th $490$7,4130%10%10th90th$3,236Professionalmedian $437 · 10th–90th $195$1,0230%10%20%10th90th$437$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$467.74 / $3,019.95 / $7,413.10
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$812.83 / $2,290.87 / $10,964.78
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
$162.18 / $223.87 / $616.60
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$87.10 / $138.04 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $181.97 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$50.12 / $50.12 / $57.54
Ambetter
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,365.16 / $7,413.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $426.58 / $954.99
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $1,513.56 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $1,479.11 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $524.81 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$275.42 / $295.12 / $562.34
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $281.84 / $676.08
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $524.81 / $954.99
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $912.01 / $1,202.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,995.26 / $3,548.13
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $407.38 / $758.58
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$151.36 / $173.78 / $186.21
Highmark BCBS
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$151.36 / $151.36 / $346.74
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $549.54 / $954.99
MVP Health Care
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$251.19 / $302.00 / $562.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,467.37 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $436.52 / $1,380.38
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $288.40 / $1,584.89
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $794.33 / $1,148.15