Diagnostic colonoscopy includes procedures that examine the large bowel with a flexible scope and may also involve taking a biopsy, injecting medication, or removing or destroying polyps or other growths found during the exam. The billing codes for these covered services are listed below.
Typical cost: $181
This reflects the cost of the procedure itself. Your total cost may be higher depending on insurance, facility fees, anesthesia, or additional services.
Prices are similar across providers in this area.
Prices range from $135 to $245, but most providers cluster around $165 to $200.
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. The billing codes for this procedure are listed below.
Typical cost: $172
This reflects the cost of the procedure itself. Your total cost may be higher depending on insurance, facility fees, anesthesia, or additional services.
Prices are similar across providers in this area.
Prices range from $160 to $180, but most providers cluster around $170 to $175.
This comparison uses the most common care setting. Other settings are excluded.
Only clinicians with enough procedure volume are included. The page shows only procedure sections with enough providers, enough services, and meaningful price variation.
A blue star marks providers whose procedure volume is in the top 25% of included providers on this page.
Prices reflect Medicare-approved amounts and may differ from what you personally pay.
Thresholds: at least 10 providers, at least 500 services, and a p75/p25 ratio of at least 1.25.
Screening colonoscopy includes:
G0105 - Colorectal cancer screening; colonoscopy on individual at high risk
G0121 - Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
Diagnostic colonoscopy includes:
45378 - Diagnostic exam of large bowel using a flexible endoscope
45380 - Biopsy of large bowel using a flexible endoscope
45381 - Injection beneath lining of large bowel using a flexible endoscope
45384 - Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery
45385 - Removal of polyps or growths of large bowel using an endoscope with mechanical snare
45388 - Destruction of polyp or growth of large bowel using a flexible endoscope