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Colonoscopy, Diagnostic

Vermont rates for HCPCS 45378

A flexible, camera-tipped tube is guided through the rectum and around the full length of the colon up to where it connects with the small intestine, letting the doctor examine the lining for polyps, inflammation, or other abnormalities. This is the base diagnostic exam; if a polyp is removed or a biopsy taken during the same visit, that is billed as a different, related procedure instead. It's typically done under sedation and is the standard screening and diagnostic colonoscopy.

Rates data updated July 2026.

How much does Colonoscopy, Diagnostic cost?

$427

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $427 for this service. Most negotiated rates run $234 to $646.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,399 · 10th to 90th $10 to $2,951Professionalmedian $427 · 10th to 90th $204 to $1,096
$10$50$200$1Kfacility $2,399professional $427

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$426.58
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$44.67
Median
$83.18
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,511.89
Typical High
$3,090.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$371.54
Typical High
$616.60
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$562.34
Typical High
$851.14
MVP Health Care
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$173.78
Median
$213.80
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$407.38
Typical High
$758.58
United
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$50.12
Median
$125.89
Typical High
$346.74

Where Vermont sits

The same service costs 2.3 times more in South Dakota than in Nevada. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 8th of 51

$427

SD $741NV $316

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.