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New York rates for HCPCS 45385

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

Facilitymedian $3,090 · 10th–90th $490–$7,9430%5%10%10th90th$3,090Professionalmedian $479 · 10th–90th $240–$1,1220%10%20%10th90th$479$1.0$10.0$100.0$1.0K$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 / $2,884.03 / $8,128.31
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$891.25 / $1,819.70 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $467.74 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$104.71 / $114.82 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $218.78 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
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
$371.54 / $436.52 / $1,047.13
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $1,698.24 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $1,479.11 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $575.44 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$288.40 / $309.03 / $588.84
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $354.81 / $851.14
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $575.44 / $1,000.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $891.25 / $1,258.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,584.89 / $3,090.30
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $446.68 / $794.33
Highmark BCBS
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$117.49 / $190.55 / $223.87
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $575.44 / $1,000.00
MVP Health Care
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$257.04 / $316.23 / $588.84
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
$194.98 / $562.34 / $1,698.24
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $363.08 / $1,905.46
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $831.76 / $1,202.26