go back

Colonoscopy With Ultrasound Imaging

California rates for HCPCS 45391

A flexible scope is passed through the anus along the colon, and an ultrasound probe at its tip produces images of the layers of the bowel wall and the tissue immediately around it. This shows how deeply a growth or other abnormality reaches, which cannot be judged from the surface view alone. It is an imaging examination only; no tissue is taken during it.

Rates data updated July 2026.

How much does Colonoscopy With Ultrasound Imaging cost?

$5,129

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $5,129 for this service. Most negotiated rates run $2,818 to $7,943.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,072 to $13,804Professionalmedian $257 · 10th to 90th $204 to $676
$100$500$2K$10Kfacility $5,495professional $257

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
$2,187.76
Median
$6,165.95
Typical High
$16,982.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,888.44
Typical High
$13,489.63
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$2,884.03
Typical High
$6,456.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$1,862.09
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$257.04
Typical High
$758.58
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$28,840.32
Typical High
$28,840.32
Providence
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$4,073.80
Typical High
$9,549.93

Where California sits

The same service costs 24.5 times more in Indiana than in North Dakota. 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.

California· 3rd of 51

$5,129

IN $6,310ND $257

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.