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Pennsylvania rates for HCPCS 45382

Colonoscopy, flexible; with control of bleeding, any method

Facilitymedian $2,399 · 10th–90th $468–$7,2440%5%10th90th$2,399Professionalmedian $617 · 10th–90th $257–$1,2880%10%20%10th90th$617$5.0$20.0$100.0$500.0$2.0K$10.0K$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 / $2,398.83 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $616.60 / $1,230.27
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $407.38
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,691.53 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $954.99 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $933.25 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $512.86 / $1,096.48
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $933.25 / $1,513.56
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $977.24 / $1,122.02
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $724.44 / $1,174.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,511.89 / $5,248.07
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $338.84 / $512.86
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $1,584.89 / $6,309.57
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $645.65 / $1,380.38
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,513.56 / $8,709.64
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,174.90 / $1,548.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $416.87 / $794.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $407.38 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $2,398.83 / $4,265.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $562.34 / $1,023.29