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Colonoscopy With Removal of a Section of Colon Lining

Washington 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?

$1,423

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

Insurers have agreed to pay about $1,423 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $955 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 11 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$468$389 to $661
Facility feeThe hospital or surgery center$955$617 to $6,607

How much rates vary

Facilitymedian $955 · 10th to 90th $447 to $9,550Professionalmedian $468 · 10th to 90th $316 to $955
$50$200$1K$5K$20Kfacility $955professional $468

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
$446.68
Median
$5,623.41
Typical High
$14,791.08
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$223.87
Median
$407.38
Typical High
$436.52
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$89.13
Median
$162.18
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$933.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$8,709.64
Typical High
$15,488.17
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$870.96
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$524.81
Typical High
$1,000.00
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$724.44
Typical High
$3,311.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$630.96
Typical High
$1,778.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$131.83
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$630.96
Typical High
$660.69
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$446.68
Typical High
$1,995.26
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$933.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$8,317.64
Typical High
$15,135.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$630.96
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$7,943.28
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$912.01
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$309.03
Typical High
$588.84

Where Washington 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

Washington· 42nd of 51

$1,423

$468 physician + $955 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.