A colonoscopy is a procedure that lets a doctor look inside the large intestine to check for colon problems, including signs of colorectal cancer. It may be done as a routine preventive exam or to investigate symptoms and can also allow the doctor to remove growths or take small tissue samples during the visit.
How to read these comparisons
Each local page keeps included billing services in separate procedure sections. Clinician-provider amounts are always kept separate from ASC facility amounts, which appear only for direct organization records CMS classifies as Ambulatory Surgical Center. The figures should not be treated as one all-in price.
Publication rules: a passing component-mode review, at least 30 services per provider, 10 included providers, 500 local services, and a p75/p25 provider-amount ratio of at least 1.25. Modifier-sensitive services remain suppressed when the source cannot separate professional, technical, and global billing modes.
Procedure Type
Billing code: G0105 and G0121
Screening colonoscopy includes preventive colonoscopy procedures used to check for colorectal cancer in people with or without higher risk factors, even if they do not have symptoms.
Procedure Type
Billing code: 45378
This section compares the base diagnostic colonoscopy exam without combining it with biopsy, injection, removal, or ablation services. The billing code is listed below.
Procedure Type
Billing code: 45380
This section compares colonoscopy that includes a biopsy. It is kept separate from the base exam and other treatment techniques because the Medicare-approved amount represents a different billed service. The billing code is listed below.
Procedure Type
Billing code: 45381
This section compares colonoscopy that includes a directed injection. It is kept separate from biopsy and polyp-removal services because the Medicare-approved amount represents a different billed service. The billing code is listed below.
Procedure Type
Billing code: 45384
This section compares colonoscopy that includes lesion or polyp removal using a hot-biopsy technique. It is kept separate from other removal methods because the Medicare-approved amount represents a different billed service. The billing code is listed below.
Procedure Type
Billing code: 45385
This section compares colonoscopy that includes lesion or polyp removal using a snare. It is kept separate from other removal methods because the Medicare-approved amount represents a different billed service. The billing code is listed below.
Procedure Type
Billing code: 45388
This section compares colonoscopy that includes ablation of a lesion. It is kept separate from the base exam, biopsy, and removal services because the Medicare-approved amount represents a different billed service. The billing code is listed below.
Area
Middle half of included provider amounts: $101-$130
Area
Middle half of included provider amounts: $91-$133
Area
Includes Binghamton, Ithaca, Elmira, and Corning
Middle half of included provider amounts: $103-$135
Before you schedule
The displayed Medicare amount covers one billed service, not every bill that may accompany colonoscopy. Use these guides to identify separate components and request an estimate for your own coverage.