In Southern Tier, NY, provider-side Medicare amounts for colonoscopy with biopsy (billing code 45380) had a $110 median, with the middle half at $103-$135, across 13 providers and 787 qualifying 2024 billed services.
What this comparison includes
Service coverage
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 |
13 | 787 | $110 | $103-$135 | 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 |
15 | 1,336 | $234 | $232-$235 | p75/p25 ratio 1.01; 1.25 required |
| Diagnostic colonoscopy exam 45378 |
0 | 0 | — | — | 0 included providers; 10 required; 0 services; 500 required; not enough amounts to calculate the spread |
| Screening colonoscopy G0105 and G0121 |
3 | 207 | $169 | $165-$170 | 3 included providers; 10 required; 207 services; 500 required; p75/p25 ratio 1.03; 1.25 required |
Procedure
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.
Included providers
Median provider-side Medicare amount: $110
Middle half of included provider amounts: $103 to $135 (p75/p25 ratio 1.30).
Full observed provider range: $59 to $149; 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.
| Provider | Average Medicare-approved amount | 2024 Services |
|---|---|---|
|
Binghamton, NY
|
$58.73 | 54 |
|
Binghamton, NY
|
$63.93 | 43 |
|
Ithaca, NY
|
$83.24 | 111 |
|
Ithaca, NY
|
$103.34 | 49 |
|
Ithaca, NY
|
$104.59 | 137 |
|
Binghamton, NY
|
$105.15 | 66 |
|
Binghamton, NY
|
$110.30 | 70 |
|
Binghamton, NY
|
$115.45 | 30 |
|
Corning, NY
|
$116.57 | 33 |
|
Binghamton, NY
|
$134.82 | 50 |
|
Binghamton, NY
|
$135.42 | 41 |
|
Corning, NY
|
$135.96 | 51 |
|
Binghamton, NY
|
$148.99 | 52 |
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.
Notes
Medicare amount information comes from the CMS Medicare Physician & Other Practitioners - by Provider and Service release published in 2026, covering services delivered in 2024. Figures reflect Medicare-approved amounts, not a personal bill estimate, hospital cash price, or private insurance rate.
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.