go back

Colonoscopy With Removal of a Section of Colon Lining

New Jersey 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?

$6,296

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $6,296 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $5,888 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$316 to $525
Facility feeThe hospital or surgery center$5,888$4,467 to $7,943

How much rates vary

Facilitymedian $5,888 · 10th to 90th $2,512 to $10,233Professionalmedian $407 · 10th to 90th $295 to $933
$200$500$1K$2K$5K$10Kfacility $5,888professional $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
$2,754.23
Median
$6,025.60
Typical High
$10,232.93
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$181.97
Median
$234.42
Typical High
$281.84
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$72.44
Median
$95.50
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$416.87
Typical High
$1,548.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$281.84
Typical High
$281.84
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$758.58
Typical High
$4,466.84
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$436.52
Typical High
$831.76
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$707.95
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$9,772.37
Typical High
$14,454.40
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,897.79
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$380.19
Typical High
$812.83

Where New Jersey 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

New Jersey· 2nd of 51

$6,296

$407 physician + $5,888 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.