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Colonoscopy With Biopsy

Washington, DC rates for HCPCS 45380

A procedure in which a flexible scope with a camera is passed through the rectum to examine the entire colon, with one or more tissue samples taken during the exam for laboratory testing. It allows the physician to directly view the lining of the colon and sample any areas that look abnormal, such as inflamed tissue or a suspicious growth. Patients are typically sedated for comfort during the exam.

Rates data updated July 2026.

How much does Colonoscopy With Biopsy cost?

$417

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $417 for this service. Most negotiated rates run $229 to $525.

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 $2,138 · 10th to 90th $525 to $7,762Professionalmedian $372 · 10th to 90th $200 to $562
$200$500$1K$2K$5K$10K$20Kfacility $2,138professional $372

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,137.96
Typical High
$4,570.88
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$114.82
Median
$263.03
Typical High
$691.83
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$45.71
Median
$104.71
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$371.54
Typical High
$537.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$104.71
Median
$186.21
Typical High
$263.03
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$41.69
Median
$74.13
Typical High
$104.71
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$436.52
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$549.54
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$5,248.07
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$407.38
Typical High
$891.25

Where Washington, DC sits

The same service costs 1.7 times more in Wisconsin than in Montana. 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.

Washington, DC· 47th of 51

$417

WI $661MT $389

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.