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Pennsylvania rates for HCPCS 45398

Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids)

Facilitymedian $3,090 · 10th–90th $759–$8,3180%5%10%10th90th$3,090Professionalmedian $575 · 10th–90th $229–$1,3490%10%20%10th90th$575$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
$794.33 / $3,630.78 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $524.81 / $1,348.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,466.84 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $794.33 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $933.25 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $549.54 / $1,318.26
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,318.26 / $1,862.09
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $977.24 / $1,122.02
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $891.25 / $1,445.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,290.87 / $4,365.16
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $269.15 / $1,047.13
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,398.83 / $7,244.36
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $660.69 / $1,445.44
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,380.38 / $1,905.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $346.74 / $794.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $346.74 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,398.83 / $4,265.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $630.96 / $1,202.26