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Colonoscopy With Removal of a Section of Colon Lining

Illinois rates for HCPCS 45390

This is a full colonoscopy in which a flexible scope is passed through the entire colon and a technique is used to lift and remove a larger, flat area of the colon's inner lining, typically to take out a polyp or abnormal patch of tissue that is too broad to simply snip off. The removed tissue is sent to a lab for evaluation.

Rates data updated July 2026.

How much does Colonoscopy With Removal of a Section of Colon Lining cost?

$2,497

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

Insurers have agreed to pay about $2,497 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $2,089 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$407$347 to $537
Facility feeThe hospital or surgery center$2,089$1,096 to $5,129

How much rates vary

Facilitymedian $2,089 · 10th to 90th $603 to $8,511Professionalmedian $407 · 10th to 90th $316 to $692
$200$500$1K$2K$5K$10Kfacility $2,089professional $407

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
$512.86
Median
$1,905.46
Typical High
$9,332.54
Aetna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$10,715.19
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$165.96
Median
$251.19
Typical High
$316.23
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$66.07
Median
$100.00
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$416.87
Typical High
$645.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$363.08
Typical High
$389.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,981.07
Typical High
$5,623.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$2,511.89
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$758.58
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$870.96
Typical High
$2,951.21
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
$389.05
Median
$416.87
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,344.23
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$524.81
Typical High
$891.25

Where Illinois sits

The same service costs 9.2 times more in Indiana than in Delaware. 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· 35th of 51

$2,497

$407 physician + $2,089 facility

IN $6,555DE $711

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.