▸ Procedure · preventive · CPT 45331

Sigmoidoscopy with biopsy

What US hospitals charge for sigmoidoscopy with biopsy — negotiated rates by payer + state-by-state pricing.

Hospitals
1,114
Rate rows
46,012
Neg. median
$893.28
Neg. min
$7.46
Neg. max
$43,617
Cash median
$1,216.5

Across 1,114 US hospitals publishing MRFs, the negotiated rate for Sigmoidoscopy with biopsy ranges from $7.46 to $43,617, with a median of $893.28. Half of all rates fall between $198.08 and $1,579.07. Cash-pay patients typically pay $1,216.5; hospital list (gross) prices median $2,490.

By payer

Top 30 payers by hospital coverage for this code.

PayerHospitalsRatesMedian rate
UnitedHealthcare7413491$912.67
Aetna6502921$956.13
Blue Cross Blue Shield6024264$794.2
Humana5731203$873.25
Cigna5371823$1,358.22
Multiplan279624$2,245.3
First Health276586$2,086.7
Medicare2371287$464.17
WellCare231414$343.31
Molina218476$845.19
Ambetter197315$1,378.06
Medicaid1731429$130.65
Anthem BCBS137616$1,178.52
amerihealth caritas107195$99.4
upmc health plan80264$886.42
TRICARE76176$868.24
geisinger70183$101.87
Medicare Advantage68304$503.55
CareSource6775$845.28
private health care systems64129$2,432.93
medcost62270$1,402.99
Oscar Health6275$1,425.58
upmc work partners6161$385.01
amerihealth59213$92.32
pa health & wellness59124$852.28
amerigroup5179$801.91
medica50555$802.56
Kaiser Permanente4874$1,042.03
quik trip4884$1,757.11
healthsmart46100$1,618.5

By state

States with ≥2 reporting hospitals.

StateHospitalsMedian rate
AK2—
AL21$960
AZ9$945.71
CA34$1,190.68
CO5$874
DE2$2,796.16
FL5$938.04
GA6$956.05
HI6$930.71
IA23$802.56
IL39$950.1
IN19$199.01
KS11$915.16
KY5$83.8
LA5$860.03
MA9$1,128.3
ME2$1,812.11
MI27$915.16
MN19$921
MO10$828.52
MS11$583
NC26$855.31
ND2$636.74
NE2$769.14
NJ12$1,017.92
NM5$2,854
NV7$1,072
NY11$394.63
OH26$1,315.44
OK9$1,488.65
PA56$1,156.03
PR3$847
SC14$79.98
SD2$2,346.09
TN13$873.14
TX68$1,003.03
VA9$1,777.05
VT5$866.12
WA2$1,079.9
WI35$1,530
WV15$1,114.51

Top 20 by lowest negotiated rate

Lowest median negotiated rate among hospitals publishing for this code.

HospitalCitySTNegotiated median
Whitesburg ARH Hospital——$63.94
SANTA CRUZ VALLEY REGIONAL HOSPITALGREEN VALLEYAZ$63.94
Tug Valley Arh Regional Medical CenterSOUTH WILLIAMSONKY$63.94
Whitesburg Arh HospitalWHITESBURGKY$63.94
Highlands ARH Regional Medical Center——$63.94
Highlands Arh Regional Medical CenterPRESTONSBURGKY$63.94
Metro Nashville General HospitalNASHVILLETN$65.23
McLaren Caro Region——$67.19
Kenmore Mercy Hospital——$68.77
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC$68.77
Mount St. Mary's Hospital——$68.77
Union County HospitalANNAIL$70.02
NOVANT HEALTH BALLANTYNE MEDICAL CTRCHARLOTTENC$70.5
Novant Health Mint Hill Medical CenterCHARLOTTENC$70.5
Novant Health Mint Hill Medical Center——$70.5
Novant Health Matthews Medical CenterMATTHEWSNC$70.5
Novant Health Huntersville Medical CenterHUNTERSVILLENC$70.5
Novant Health Charlotte Orthopedic Hospital——$70.5
Novant Health Huntersville Medical Center——$70.5
Novant Health Matthews Medical Center——$70.5