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Colonoscopy With Removal of a Section of Colon Lining

Virginia 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?

$1,366

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

Insurers have agreed to pay about $1,366 for this procedure. That total is two separate charges: $389 to the doctor who performs it, and $977 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$389$347 to $490
Facility feeThe hospital or surgery center$977$447 to $3,802

How much rates vary

Facilitymedian $977 · 10th to 90th $372 to $6,761Professionalmedian $389 · 10th to 90th $316 to $692
$500$1K$2K$5K$10Kfacility $977professional $389

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
$478.63
Median
$3,235.94
Typical High
$7,079.46
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$186.21
Median
$190.55
Typical High
$288.40
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$75.86
Median
$75.86
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$380.19
Typical High
$660.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$416.87
Typical High
$645.65
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$331.13
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,288.25
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$407.38
Typical High
$691.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$338.84
Typical High
$549.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Medcost
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$676.08
Medcost
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Sentara
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$436.52
Typical High
$2,570.40
Sentara
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$436.52
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,884.03
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$691.83

Where Virginia 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

Virginia· 44th of 51

$1,366

$389 physician + $977 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.