Medicare provider amounts for colonoscopy with biopsy (45380) in Buffalo, NY
In Buffalo, NY, provider-side Medicare amounts for colonoscopy with biopsy (billing code 45380) had a $110 median, with the middle half at $91-$133, across 20 providers and 950 qualifying 2024 billed services.
Data review by MedCostCompare data team on 2026-08-01 · No medical expert review claimed · Methodology version 2026-07-refresh-v1 · Correction note: Refreshed from the 2023 service year / 2025 release to the 2024 service year / 2026 release. · Methodology · Editorial policy
What this comparison includes
Exact service, setting, providers, and thresholds
Billed service: 45380; separately billed components are not combined.
Included care setting: Facility. Records from other settings are excluded from this table.
Included provider types: Colorectal Surgery (Proctology) and Gastroenterology.
Component-mode review: passed for the billed service shown; modifier-sensitive unresolved services are suppressed.
Provider-volume rule: at least 30 qualifying 2024 services per provider record.
Publication gates: at least 10 providers, 500 local services, and a p75/p25 amount ratio of at least 1.25.
Service coverage
Why each billed service is or is not compared
Local aggregates below use the same provider-volume and specialty filters as the comparison. A provider ranking appears only when component-mode review and all three numeric publication gates pass.
Billed service
Providers
Services
Median
Middle half
Publication result
Colonoscopy with biopsy 45380
20
950
$110
$91-$133
Provider comparison shown
Colonoscopy with ablation 45388
0
0
—
—
0 included providers; 10 required; 0 services; 500 required; not enough amounts to calculate the spread
Colonoscopy with hot-biopsy removal 45384
0
0
—
—
0 included providers; 10 required; 0 services; 500 required; not enough amounts to calculate the spread
Colonoscopy with injection 45381
0
0
—
—
0 included providers; 10 required; 0 services; 500 required; not enough amounts to calculate the spread
Colonoscopy with snare removal 45385
25
1,465
$232
$225-$236
p75/p25 ratio 1.05; 1.25 required
Diagnostic colonoscopy exam 45378
2
97
$188
$177-$199
2 included providers; 10 required; 97 services; 500 required; p75/p25 ratio 1.13; 1.25 required
Screening colonoscopy G0105 and G0121
7
339
$160
$157-$165
7 included providers; 10 required; 339 services; 500 required; p75/p25 ratio 1.05; 1.25 required
Procedure
Colonoscopy with biopsy
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.
Ambulatory surgery center (ASC) facility amounts
We label an organization-NPI record as a facility amount only when the CMS provider type is Ambulatory Surgical Center. CMS generally treats facility-setting records in this dataset as professional fees; ASCs are the documented exception where an ASC facility fee is also represented. These figures are not recommendations or complete estimates. Badges describe relative amount and Medicare volume only within the 6 ASC records listed here.
ASC facility amounts can look much higher than the provider amounts below because they represent a different part of the service. Depending on the procedure, a bill may also include separate professional, anesthesia, imaging, pathology, laboratory, or other charges.
This list only includes ASCs we can tie to both a local service signal and a CMS ASC organization record for this billed service. Other local facilities or practices remain outside this table unless the source supports the same exact classification and amount basis.
Ambulatory surgery center
Medicare ASC facility amount
Why it stands out
Sterling Surgical Center, Llc
Ambulatory surgery center
$382.48
Lowest among 6 listed ASC facility records
Medicare volume: 91 services
Center For Ambulatory Surgery Llc
Ambulatory surgery center
$468.35
Medicare volume: 172 services
Endoscopy Center Of Western New York Llc
Ambulatory surgery center
$469.03
Medicare volume: 199 services
Buffalo Surgery Center Llc
Ambulatory surgery center
$470.51
Highest Medicare volume among 6 listed ASC records
Medicare volume: 241 services
Endoscopy Center Of Niagara, Llc
Ambulatory surgery center
$501.82
Medicare volume: 133 services
Premier Ambulatory Surgery Center
Ambulatory surgery center
$540.87
Medicare volume: 36 services
Included providers
Median provider-side Medicare amount: $110
Middle half of included provider amounts: $91 to $133 (p75/p25 ratio 1.46).
Full observed provider range: $60 to $157; endpoints can reflect outliers.
The median is the middle included provider-level average Medicare-approved amount. It is not a personal savings estimate or a complete procedure bill.
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.
This comparison uses the facility setting, the dominant setting among local clinician records for the included codes. Other settings are excluded from the provider table.
Only provider records with enough procedure volume are included. ASC facility amounts appear separately only for direct organization records whose CMS provider type is Ambulatory Surgical Center.
Figures 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 exam includes:
45378 - Diagnostic exam of large bowel using a flexible endoscope
Colonoscopy with biopsy includes:
45380 - Biopsy of large bowel using a flexible endoscope
Colonoscopy with injection includes:
45381 - Injection beneath lining of large bowel using a flexible endoscope
Colonoscopy with hot-biopsy removal includes:
45384 - Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery
Colonoscopy with snare removal includes:
45385 - Removal of polyps or growths of large bowel using an endoscope with mechanical snare
Colonoscopy with ablation includes:
45388 - Destruction of polyp or growth of large bowel using a flexible endoscope