Cost of a Colonoscopy Visit
in Delaware
Reviewed by Momentary Medical Group West PC
Delaware's concentrated healthcare market along the I-95 corridor means patients have access to major health systems in Wilmington and Dover, though rural areas face longer travel times for specialized care. Colonoscopy patients typically pay between $95 and $1,830, with a median out-of-pocket cost of $317, depending on their insurance coverage and provider choice. With 84 active Colonoscopy providers serving Delaware's population, patients can browse all available options to find the most cost-effective care for their needs.
Average
$747
Median
$317
Lowest
$95
Highest
$1,830
Providers
84
45% above national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in Delaware?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $376 | $2,117 | 99 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $455 | $2,338 | 94 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $109 | $271 | $701 | 77 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $324 | $1,647 | 98 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $15 | $15 | $46 | 212 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $60 | $171 | $677 | 104 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $54 | $139 | $216 | 203 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 45378 — Diagnostic colonoscopy, flexible). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 45378 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 45378 (Diagnostic colonoscopy, flexible), as mandated by the CMS Price Transparency Rule.
What CPT 45378 covers: the provider's professional fee for colonoscopy. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Why Colonoscopy Visit Costs Vary Across Delaware
Delaware's colonoscopy costs run approximately 11% above the national average, reflecting the state's proximity to high-cost East Coast markets and concentration of healthcare services in New Castle County. The small state's limited geographic area means most residents can access Wilmington's major medical centers, but this concentration also reduces competitive pricing pressure.
Urban vs. Rural Provider Availability
Most of Delaware's gastroenterologists practice in the Wilmington metropolitan area, with fewer options available in the agricultural regions of Kent and Sussex counties. Patients in southern Delaware may need to travel to Dover, Wilmington, or even Philadelphia for specialized procedures. This geographic concentration can limit price competition and increase costs for patients who must travel significant distances.
Facility Type and Overhead Costs
ChristianaCare and Bayhealth dominate Delaware's hospital market, operating most hospital-based gastroenterology services in the state. Independent ambulatory surgery centers in Delaware often offer lower facility fees than hospital outpatient departments. The state's high property costs and regulatory environment contribute to higher overhead expenses for all healthcare facilities.
Insurance Market Competition in Delaware
Highmark Blue Cross Blue Shield holds a dominant position in Delaware's individual and small group markets, with Aetna and UnitedHealthcare providing more limited competition. This market concentration can result in less aggressive negotiation of provider rates compared to states with more insurer competition. The state's small size means insurers have fewer provider options to choose from when building networks.
Physician Supply and Demand in Delaware
With 84 active colonoscopy providers serving Delaware's population of under one million residents, the state has adequate gastroenterologist availability in urban areas. However, the concentration of specialists in northern Delaware creates supply-demand imbalances in rural counties. Wait times for routine screening colonoscopies are generally reasonable, though urgent diagnostic procedures may require scheduling flexibility.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Colonoscopy Costs in Delaware
What is the average cost of a Colonoscopy visit in Delaware without insurance?
Does Delaware Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in Delaware?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Colonoscopy visit in Delaware?
How does telemedicine affect the cost of seeing a Colonoscopy in Delaware?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 45378)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $4,430 | $1,595 |
| 2 | North Dakota Range: $165 – $2,255 | $1,558 |
| 3 | Minnesota Range: $90 – $2,255 | $1,217 |
| 4 | South Dakota Range: $85 – $2,255 | $895 |
| 5 | Massachusetts Range: $113 – $1,830 | $815 |
| 6 | Rhode Island Range: $91 – $1,830 | $781 |
| 7 | Connecticut Range: $90 – $1,830 | $748 |
| 8 | Delaware Range: $95 – $1,830 | $747 |
| 9 | Pennsylvania Range: $85 – $1,830 | $746 |
| 10 | New York Range: $101 – $1,830 | $743 |
| 11 | West Virginia Range: $85 – $1,395 | $612 |
| 12 | Nebraska Range: $265 – $815 | $594 |
| 13 | New Hampshire Range: $204 – $956 | $571 |
| 14 | Wyoming Range: $158 – $1,057 | $530 |
| 15 | North Carolina Range: $90 – $1,065 | $511 |
| 16 | Georgia Range: $90 – $982 | $507 |
| 17 | New Jersey Range: $110 – $1,117 | $505 |
| 18 | New Mexico Range: $168 – $954 | $502 |
| 19 | Iowa Range: $85 – $944 | $498 |
| 20 | Maine Range: $220 – $674 | $485 |
| 21 | Illinois Range: $85 – $901 | $443 |
| 22 | Utah Range: $85 – $741 | $441 |
| 23 | District of Columbia Range: $126 – $815 | $437 |
| 24 | Indiana Range: $81 – $835 | $425 |
| 25 | Vermont Range: $106 – $801 | $418 |
| 26 | Missouri Range: $174 – $634 | $417 |
| 27 | Washington Range: $80 – $856 | $411 |
| 28 | Oregon Range: $80 – $836 | $408 |
| 29 | Kentucky Range: $85 – $814 | $408 |
| 30 | Maryland Range: $162 – $712 | $396 |
| 31 | Michigan Range: $92 – $768 | $395 |
| 32 | Colorado Range: $85 – $760 | $385 |
| 33 | Hawaii Range: $85 – $757 | $385 |
| 34 | Mississippi Range: $151 – $719 | $381 |
| 35 | Alabama Range: $147 – $649 | $373 |
| 36 | Virginia Range: $124 – $682 | $368 |
| 37 | Louisiana Range: $116 – $670 | $366 |
| 38 | South Carolina Range: $90 – $695 | $363 |
| 39 | Idaho Range: $80 – $735 | $363 |
| 40 | Nevada Range: $204 – $553 | $351 |
| 41 | Arkansas Range: $85 – $634 | $345 |
| 42 | Texas Range: $85 – $634 | $336 |
| 43 | Kansas Range: $174 – $530 | $331 |
| 44 | Ohio Range: $85 – $565 | $325 |
| 45 | Tennessee Range: $90 – $582 | $320 |
| 46 | Oklahoma Range: $85 – $606 | $303 |
| 47 | Arizona Range: $155 – $472 | $300 |
| 48 | California Range: $85 – $647 | $272 |
| 49 | Alaska Range: $80 – $648 | $269 |
| 50 | Montana Range: $80 – $538 | $233 |
| 51 | Florida Range: $35 – $604 | $231 |