Cost of a Colonoscopy Visit
in District of Columbia
Reviewed by Momentary Medical Group West PC
District of Columbia maintains the nation's highest concentration of specialists per capita, creating unique cost dynamics for specialized care. Colonoscopy patients typically pay between varying amounts depending on their insurance plan and provider choice, with 326 active providers across the metropolitan area. Residents can browse all available Colonoscopy specialists throughout the District to compare costs and credentials before booking their appointment.
Average
$437
Median
$368
Lowest
$126
Highest
$815
Providers
326
16% below national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in District of Columbia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $98 | $498 | $1,143 | 342 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $212 | $593 | $1,372 | 333 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $115 | $344 | $701 | 315 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $86 | $432 | $995 | 346 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $13 | $31 | $85 | 380 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $59 | $192 | $569 | 354 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $39 | $117 | $342 | 342 |
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 District of Columbia
District of Columbia's healthcare costs run approximately 20% above the national average, driven by the region's high cost of living, concentration of academic medical centers, and premium urban real estate costs. The District's unique federal employment base creates a patient population with generally robust insurance coverage, allowing providers to maintain higher negotiated rates with insurers.
Urban vs. Rural Provider Availability
As an entirely urban jurisdiction, District of Columbia lacks the rural-urban cost disparities seen in other regions, but does experience cost variations between different neighborhoods and facility types. The concentration of providers within a small geographic area creates intense competition while also supporting premium pricing for specialized services at major medical centers like MedStar Georgetown University Hospital.
Facility Type and Overhead Costs
Hospital-based outpatient endoscopy centers in District of Columbia typically charge facility fees in addition to physician fees, while independent ambulatory surgery centers often provide more transparent, bundled pricing. Major health systems like MedStar Health and George Washington University Hospital maintain significant market presence, with their hospital-affiliated practices generally carrying higher overhead costs than independent gastroenterology groups.
Insurance Market Competition in District of Columbia
The District's insurance market features moderate competition among CareFirst BCBS, United Healthcare, and Aetna, with CareFirst maintaining the largest market share particularly among federal employees and local government workers. This concentrated but competitive market has resulted in relatively standardized negotiated rates across major providers, though smaller independent practices may offer more flexible pricing structures.
Physician Supply and Demand in District of Columbia
With 326 active colonoscopy providers serving a population of approximately 700,000 residents, District of Columbia enjoys excellent specialist access compared to national averages. This robust supply helps moderate wait times and provides patients with multiple options for both routine screening and therapeutic procedures, though the high concentration of specialists also supports premium pricing in the affluent market.
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 District of Columbia
What is the average cost of a Colonoscopy visit in District of Columbia without insurance?
Does District of Columbia Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in District of Columbia?
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 District of Columbia?
How does telemedicine affect the cost of seeing a Colonoscopy in District of Columbia?
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 |