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Illinois rates for HCPCS 45385

Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique

Facilitymedian $2,630 · 10th–90th $457$7,5860%5%10%10th90th$2,630Professionalmedian $468 · 10th–90th $240$1,0000%10%10th90th$468$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
$457.09 / $2,630.27 / $7,762.47
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$5,888.44 / $5,888.44 / $5,888.44
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$602.56 / $602.56 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $457.09 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$85.11 / $141.25 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $257.04 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,737.80 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $501.19 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $1,698.24 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $478.63 / $912.01
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $707.95 / $2,238.72
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $316.23 / $602.56
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $660.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $2,187.76 / $4,365.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $489.78 / $891.25