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Colonoscopy With Removal of a Section of Colon Lining

North Carolina 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?

$1,791

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $1,791 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $1,202 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$589$427 to $794
Facility feeThe hospital or surgery center$1,202$389 to $4,365

How much rates vary

Facilitymedian $1,202 · 10th to 90th $324 to $6,761Professionalmedian $589 · 10th to 90th $331 to $977
$500$1K$2K$5Kfacility $1,202professional $589

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
$323.59
Median
$3,311.31
Typical High
$7,244.36
Aetna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$162.18
Median
$269.15
Typical High
$645.65
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$64.57
Median
$107.15
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$416.87
Typical High
$758.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$338.84
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$776.25
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,445.44
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$933.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$389.05
Typical High
$645.65
Medcost
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$831.76
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$2,041.74
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$380.19
Typical High
$691.83
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$8,128.31
Typical High
$8,128.31
Wellcare
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Wellcare
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,691.53

Where North Carolina 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

North Carolina· 40th of 51

$1,791

$589 physician + $1,202 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.