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Colonoscopy With Biopsy

Illinois 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?

$3,282

Typical total for the visit. In Illinois, July 2026.

Insurers have agreed to pay about $3,282 for this procedure. That total is two separate charges: $398 to the doctor who performs it, and $2,884 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$398$245 to $631
Facility feeThe hospital or surgery center$2,884$977 to $5,495

How much rates vary

Facilitymedian $2,884 · 10th to 90th $437 to $8,318Professionalmedian $398 · 10th to 90th $200 to $1,000
$100$200$500$1K$2K$5K$10Kfacility $2,884professional $398

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
$436.52
Median
$3,090.30
Typical High
$8,317.64
Aetna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$100.00
Median
$218.78
Typical High
$363.08
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$40.74
Median
$87.10
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$398.11
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$97.72
Median
$199.53
Typical High
$363.08
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.90
Median
$79.43
Typical High
$151.36
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$588.84
Ambetter
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$43.65
Median
$56.23
Typical High
$173.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,737.80
Typical High
$4,677.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$398.11
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,698.24
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$426.58
Typical High
$812.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$645.65
Typical High
$1,737.80
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$251.19
Typical High
$562.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,041.74
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$436.52
Typical High
$851.14

Where Illinois sits

The same service costs 5.3 times more in New Jersey than in Maryland. 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.

Physician feeFacility fee

Illinois· 17th of 51

$3,282

$398 physician + $2,884 facility

NJ $5,296MD $1,002

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.