Price AtlasInteractive atlas · All states · techysurgeon.comColonoscopy with biopsy: what insurers pay
A colonoscopy where one or more small tissue samples are taken. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 45380: Colonoscopy With Biopsy
1494 hospitals in 81 markets. National Medicare rate $1,223, surgery center $657.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 20 | $1,242 | $1,652 | $2,200 | $648–$3,146 |
| Alaska (statewide) | 6 | $988 | $1,986 | $5,168 | $724–$6,882 |
| Arizona (statewide) | 13 | $2,167 | $2,600 | $3,851 | $772–$5,282 |
| Arkansas (statewide) | 15 | $1,096 | $1,268 | $1,570 | $568–$1,730 |
| Atlanta GA | 10 | $3,812 | $3,870 | $4,140 | $3,601–$4,140 |
| Austin TX | 13 | $966 | $2,376 | $3,385 | $966–$3,385 |
| Boston MA | 15 | $1,388 | $1,724 | $2,030 | $980–$2,490 |
| California (statewide) | 68 | $2,144 | $3,479 | $4,462 | $1,156–$9,287 |
| Charlotte NC | 6 | $1,402 | $1,402 | $1,402 | $1,383–$5,050 |
| Chicago IL | 11 | $2,558 | $2,804 | $3,434 | $1,634–$3,988 |
| Cleveland OH | 11 | $2,321 | $2,690 | $3,152 | $2,018–$3,528 |
| Colorado (statewide) | 19 | $2,039 | $2,724 | $4,211 | $1,185–$6,520 |
| Columbus OH | 1 | — | — | — | $4,304–$4,304 |
| Connecticut (statewide) | 3 | — | — | — | $1,566–$4,986 |
| Dallas-Fort Worth TX | 13 | $2,831 | $2,831 | $3,016 | $2,462–$4,598 |
| Delaware (statewide) | 1 | — | — | — | $3,252–$3,252 |
| Denver CO | 15 | $1,922 | $4,098 | $4,312 | $1,336–$5,026 |
| Detroit MI | 17 | $1,056 | $1,200 | $1,411 | $635–$5,085 |
| Florida (statewide) | 69 | $2,512 | $2,997 | $3,442 | $673–$9,199 |
| Georgia (statewide) | 45 | $2,500 | $3,437 | $3,753 | $1,094–$4,797 |
| Hawaii (statewide) | 7 | $3,488 | $3,534 | $4,598 | $1,898–$5,672 |
| Houston TX | 19 | $2,284 | $2,613 | $2,810 | $1,734–$3,695 |
| Idaho (statewide) | 19 | $1,176 | $1,380 | $2,182 | $653–$3,575 |
| Illinois (statewide) | 35 | $1,754 | $2,246 | $2,803 | $895–$3,775 |
| Indiana (statewide) | 43 | $2,002 | $2,814 | $4,578 | $712–$8,220 |
| Indianapolis IN | 2 | — | — | — | $666–$7,982 |
| Iowa (statewide) | 35 | $1,198 | $1,863 | $2,123 | $620–$3,631 |
| Kansas (statewide) | 49 | $1,295 | $1,487 | $2,026 | $568–$6,882 |
| Kentucky (statewide) | 22 | $1,606 | $2,020 | $2,436 | $1,056–$5,397 |
| Las Vegas NV | 2 | — | — | — | $2,017–$2,590 |
| Los Angeles CA | 17 | $3,394 | $3,470 | $4,036 | $2,156–$6,417 |
| Louisiana (statewide) | 25 | $1,283 | $1,358 | $1,698 | $1,004–$3,728 |
| Maine (statewide) | 17 | $4,652 | $4,831 | $5,425 | $1,183–$7,052 |
| Maryland (statewide) | 1 | — | — | — | $2,710–$2,710 |
| Massachusetts (statewide) | 10 | $1,221 | $1,766 | $2,269 | $1,120–$2,553 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $1,899–$2,744 |
| Michigan (statewide) | 34 | $1,021 | $1,140 | $1,198 | $657–$1,820 |
| Minneapolis-St. Paul MN | 10 | $2,155 | $2,584 | $3,097 | $1,712–$3,114 |
| Minnesota (statewide) | 29 | $2,383 | $2,383 | $3,574 | $1,021–$4,858 |
| Mississippi (statewide) | 25 | $1,221 | $1,848 | $2,044 | $804–$3,264 |
| Missouri (statewide) | 35 | $1,535 | $2,326 | $3,018 | $601–$6,278 |
| Montana (statewide) | 8 | $2,093 | $2,591 | $3,451 | $675–$4,764 |
| Nashville TN | 8 | $1,970 | $2,404 | $2,426 | $1,409–$2,474 |
| Nebraska (statewide) | 27 | $1,992 | $2,352 | $3,262 | $757–$6,799 |
| Nevada (statewide) | 7 | $2,017 | $2,017 | $2,392 | $1,014–$3,118 |
| New Hampshire (statewide) | 7 | $2,440 | $3,548 | $4,426 | $650–$5,359 |
| New Jersey (statewide) | 24 | $2,039 | $3,592 | $6,204 | $1,288–$8,615 |
| New Mexico (statewide) | 10 | $2,055 | $2,484 | $3,977 | $1,020–$4,947 |
| New York (statewide) | 39 | $1,659 | $2,635 | $3,356 | $800–$5,417 |
| New York City | 8 | $1,707 | $1,743 | $3,689 | $1,707–$7,034 |
| North Carolina (statewide) | 11 | $1,814 | $2,601 | $2,964 | $987–$4,154 |
| North Dakota (statewide) | 9 | $2,040 | $2,382 | $2,383 | $1,008–$5,550 |
| Ohio (statewide) | 46 | $2,288 | $2,840 | $4,031 | $784–$4,671 |
| Oklahoma (statewide) | 16 | $1,223 | $1,718 | $2,621 | $707–$6,536 |
| Oregon (statewide) | 14 | $2,753 | $3,020 | $4,128 | $1,002–$5,460 |
| Pennsylvania (statewide) | 51 | $1,957 | $2,607 | $3,322 | $1,158–$5,292 |
| Philadelphia PA | 11 | $3,039 | $3,598 | $3,660 | $2,605–$8,155 |
| Phoenix AZ | 8 | $2,658 | $2,678 | $2,706 | $2,600–$2,788 |
| Pittsburgh PA | 12 | $1,751 | $2,049 | $2,506 | $1,512–$2,968 |
| Portland OR | 9 | $4,922 | $5,144 | $5,144 | $4,922–$5,158 |
| Rhode Island (statewide) | 6 | $1,615 | $2,052 | $3,103 | $1,159–$4,052 |
| Richmond VA | 3 | — | — | — | $4,146–$4,816 |
| Rio Grande Valley TX | 6 | $1,570 | $1,971 | $2,826 | $1,555–$3,154 |
| Salt Lake City UT | 9 | $1,589 | $1,589 | $1,589 | $1,589–$1,589 |
| San Antonio TX | 3 | — | — | — | $1,882–$2,800 |
| San Diego CA | 7 | $2,616 | $2,616 | $2,633 | $2,201–$2,838 |
| San Francisco Bay Area CA | 6 | $3,635 | $4,682 | $5,570 | $3,546–$9,589 |
| Seattle-Tacoma WA | 16 | $3,432 | $3,558 | $4,128 | $2,873–$4,870 |
| South Carolina (statewide) | 28 | $2,048 | $3,076 | $4,935 | $749–$8,667 |
| South Dakota (statewide) | 5 | $1,467 | $2,383 | $2,831 | $1,148–$6,074 |
| St. Louis MO | 10 | $1,711 | $1,920 | $1,920 | $1,576–$2,740 |
| Tampa FL | 6 | $1,300 | $1,300 | $1,989 | $1,300–$6,648 |
| Tennessee (statewide) | 37 | $1,441 | $1,695 | $1,938 | $1,144–$2,500 |
| Texas (statewide) | 86 | $1,690 | $2,613 | $2,923 | $654–$8,220 |
| Utah (statewide) | 16 | $1,589 | $1,589 | $1,589 | $742–$4,126 |
| Vermont (statewide) | 5 | $667 | $3,196 | $3,666 | $647–$4,046 |
| Virginia (statewide) | 29 | $2,973 | $4,544 | $5,051 | $1,321–$6,169 |
| Washington (statewide) | 16 | $2,158 | $2,939 | $3,520 | $1,216–$6,476 |
| Washington DC | 9 | $2,857 | $2,857 | $3,273 | $2,857–$3,488 |
| West Virginia (statewide) | 12 | $1,938 | $2,087 | $3,894 | $1,309–$7,967 |
| Wisconsin (statewide) | 45 | $2,714 | $3,077 | $4,196 | $591–$6,834 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital Ozark | Arkansas (statewide) | $568 | 0.5× | 1 | 2026-06-08 |
| Amberwell Atchison Association | Kansas (statewide) | $568 | 0.5× | 1 | 2026-08-18 |
| Tomah Memorial Hospital | Wisconsin (statewide) | $591 | 0.5× | 7 | 2026-06-30 |
| Pemiscot County Memorial Hospital | Missouri (statewide) | $601 | 0.5× | 1 | 2026-07-01 |
| Boone County Hospital | Iowa (statewide) | $620 | 0.5× | 2 | 2026-07-27 |
| Henry Ford Health -St John Hospital | Detroit MI | $635 | 0.5× | 2 | 2026-01-01 |
| Southwestern Vermont Medical Center | Vermont (statewide) | $647 | 0.5× | 5 | 2025-01-01 |
| Usa Health Children'S & Women'S Hospital | Alabama (statewide) | $648 | 0.6× | 1 | 2026-04-30 |
| Valley Regional Hospital | New Hampshire (statewide) | $650 | 0.5× | 1 | 2026-06-06 |
| Weiser Memorial Hospital | Idaho (statewide) | $653 | 0.6× | 5 | 2026-08-18 |
| Comanche County Medical Center | Texas (statewide) | $654 | 0.5× | 1 | 2026-07-14 |
| Holland Hospital | Michigan (statewide) | $657 | 0.6× | 6 | 2026-09-21 |
| Franciscan Health Indianapolis | Indianapolis IN | $7,982 | 6.3× | 3 | 2026-01-01 |
| Providence Redwood Memorial Hospital | California (statewide) | $8,005 | 5.2× | 3 | 2026-04-01 |
| Inspira Medical Center Vineland | New Jersey (statewide) | $8,155 | 6.1× | 1 | 2026-03-24 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $8,155 | 6.1× | 1 | 2026-03-24 |
| Parkview Regional Medical Center | Indiana (statewide) | $8,220 | 6.5× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $8,220 | 6.8× | 1 | 2026-09-01 |
| Jfk University Medical Center | New Jersey (statewide) | $8,615 | 6.4× | 5 | 2025-12-31 |
| Mcleod Loris Hospital | South Carolina (statewide) | $8,667 | 7.8× | 1 | 2026-07-20 |
| Mcleod Health Clarendon | South Carolina (statewide) | $8,667 | 7.8× | 1 | 2026-07-20 |
| Holy Cross Hospital | Florida (statewide) | $9,199 | 7.4× | 24 | 2026-03-31 |
| Valley Children'S Hospital | California (statewide) | $9,287 | 6.0× | 3 | 2026-04-01 |
| Stanford Health Care | San Francisco Bay Area CA | $9,589 | 5.5× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for colonoscopy with biopsy?
Across 1494 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 45380, hospital outpatient is $2,526, 2.1× the same hospital's local Medicare base rate. The middle half of hospitals runs $1,589 to $3,464. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for colonoscopy with biopsy?
Medicare's national hospital outpatient rate for CPT 45380 is $1,223 and its surgery-center rate is $657, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for colonoscopy with biopsy?
Lowest medians: Mercy Hospital Ozark ($568), Amberwell Atchison Association ($568), Tomah Memorial Hospital ($591). Highest: Stanford Health Care ($9,589), Valley Children'S Hospital ($9,287), Holy Cross Hospital ($9,199). Coverage: every hospital whose price file we could read.