Cost of a Colonoscopy Visit
in Maryland
Reviewed by Momentary Medical Group West PC
Maryland's rate-setting authority for hospitals provides unique transparency in healthcare pricing compared to other states. Colonoscopy visits typically cost between $162 and $712, with a median negotiated rate of $312 among Maryland's 4,015 active providers. You can browse all Colonoscopy providers across Maryland to find the most affordable options for your specific insurance plan.
Average
$396
Median
$312
Lowest
$162
Highest
$712
Providers
4,015
24% below national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in Maryland?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $175 | $373 | $919 | 4,048 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $226 | $423 | $1,002 | 3,987 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $109 | $236 | $666 | 3,944 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $121 | $273 | $810 | 4,050 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $18 | $37 | 4,160 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $55 | $161 | $398 | 4,085 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $37 | $90 | $231 | 4,026 |
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 Maryland
Maryland's colonoscopy costs run approximately 13% above national averages, reflecting the state's proximity to high-cost Washington D.C. metro area and Baltimore's concentration of academic medical centers. The state's hospital rate-setting authority creates more predictable pricing compared to purely market-driven states.
Urban vs. Rural Provider Availability
The Baltimore-Washington corridor contains the majority of Maryland's 4,015 colonoscopy providers, while rural counties on the Eastern Shore and Western Maryland face significant access challenges. Patients in rural areas often travel 50+ miles to reach specialized endoscopy centers, driving up total care costs. Urban centers benefit from competition between multiple health systems, potentially lowering procedure fees.
Facility Type and Overhead Costs
Johns Hopkins, University of Maryland Medical System, and MedStar Health operate high-cost hospital-based programs throughout Maryland, while independent ambulatory surgery centers offer competitive pricing. Hospital-owned outpatient facilities typically charge facility fees that can double the total procedure cost. Academic medical centers command premium rates for their specialized expertise and teaching missions.
Insurance Market Competition in Maryland
CareFirst BlueCross BlueShield maintains the largest market share in Maryland, followed by UnitedHealthcare and Aetna competing for employer groups and individual market enrollment. This three-way competition creates more favorable negotiated rates compared to states with single-payer dominance. The Maryland Health Benefit Exchange adds another layer of plan options with varying provider networks and cost-sharing structures.
Physician Supply and Demand in Maryland
With 4,015 active colonoscopy providers serving 6.2 million residents, Maryland maintains adequate specialist availability in urban areas but faces shortages in rural regions. The high provider density in central Maryland keeps wait times reasonable and creates price competition among practices. Rural counties often rely on visiting specialists or require patients to travel to urban centers for procedures.
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 Maryland
What is the average cost of a Colonoscopy visit in Maryland without insurance?
Does Maryland Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in Maryland?
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 Maryland?
How does telemedicine affect the cost of seeing a Colonoscopy in Maryland?
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 |