Cost of a Colonoscopy Visit
in Maine
Reviewed by Momentary Medical Group West PC
Maine's rural geography and limited specialist concentration drive colonoscopy costs approximately 44% above the national average. Patients typically pay between $220 and $674 for diagnostic colonoscopy procedures, with a median negotiated rate of $561 across Maine's healthcare facilities. With over 1,500 active colonoscopy providers throughout the state, patients can browse all qualified gastroenterologists and compare costs before scheduling their procedure.
Average
$485
Median
$561
Lowest
$220
Highest
$674
Providers
1,544
6% below national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in Maine?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $456 | $799 | $887 | 1,549 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $494 | $868 | $926 | 1,540 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $333 | $562 | $583 | 1,527 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $404 | $707 | $783 | 1,551 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $22 | $28 | $35 | 1,738 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $95 | $260 | $394 | 1,718 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $79 | $179 | $272 | 1,708 |
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 Maine
Healthcare costs in Maine run approximately 12% above national averages, driven by the state's rural geography and limited provider competition in many regions. The concentration of specialists in southern Maine creates access challenges for northern and eastern counties, often requiring patients to travel significant distances for colonoscopy procedures.
Urban vs. Rural Provider Availability
Greater Portland contains the majority of Maine's gastroenterology specialists, while rural counties like Aroostook and Washington have limited local options. This geographic imbalance forces many patients to travel 2-3 hours for procedures, potentially adding lodging costs to the overall expense of care.
Facility Type and Overhead Costs
Hospital-based outpatient departments at Maine Medical Center and Eastern Maine Medical Center typically charge facility fees in addition to physician fees, increasing total costs. Independent ambulatory surgery centers and gastroenterology practices often provide more transparent, bundled pricing without separate facility charges.
Insurance Market Competition in Maine
With Anthem, Harvard Pilgrim, and UnitedHealthcare controlling most of the commercial market, limited insurer competition reduces negotiating leverage for providers. This concentrated market dynamic contributes to higher negotiated rates compared to states with more diverse insurance landscapes and greater price competition.
Physician Supply and Demand in Maine
Maine has fewer gastroenterologists per capita than the national average, with approximately 25-30 practicing physicians serving the entire state's population. This relative shortage creates longer wait times for non-urgent procedures and supports higher pricing power for existing practices, particularly in underserved rural regions.
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 Maine
What is the average cost of a Colonoscopy visit in Maine without insurance?
Does Maine Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in Maine?
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 Maine?
How does telemedicine affect the cost of seeing a Colonoscopy in Maine?
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 |