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Colonoscopy to Decompress the Bowel

Nationwide rates for HCPCS 45393

Passes a flexible camera through the rectum into the colon to relieve a dangerously swollen or twisted section of bowel, letting trapped gas and fluid escape. A drainage tube can be left in place afterwards to stop the swelling returning. It is done urgently, because a stretched bowel wall can tear or lose its blood supply.

Rates data updated July 2026.

How much does Colonoscopy to Decompress the Bowel cost?

$3,650

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $3,650 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $3,311 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 56 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$339$240 to $550
Facility feeThe hospital or surgery center$3,311$1,096 to $5,888

How much rates vary

Facilitymedian $3,311 · 10th to 90th $355 to $8,913Professionalmedian $339 · 10th to 90th $219 to $1,413
$200$500$1K$2K$5K$10K$20Kfacility $3,311professional $339

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
$602.56
Median
$3,467.37
Typical High
$9,772.37
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$123.03
Median
$158.49
Typical High
$309.03
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$48.98
Median
$63.10
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$5,128.61
Typical High
$12,022.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$707.95
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$2,398.83
Typical High
$5,888.44

What it costs in each state

The same service costs 7.1 times more in California than in Virginia. 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

Touch or drag across the chart to see any state's rate.

CA $5,747VA $807

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.