Cost of a Colonoscopy Polyp Removal Visit
in Delaware
Reviewed by Momentary Medical Group West PC
Delaware's compact healthcare market features concentrated provider networks primarily serving the Wilmington-Dover corridor, with 94 active Colonoscopy Polyp Removal specialists across the state. Patients typically pay between $80 and $2,338 for these procedures, with a median cost of $455 based on negotiated insurance rates. The First State's healthcare costs run approximately 11% above national averages, reflecting the concentrated market dynamics and proximity to major metropolitan areas.
Average
$958
Median
$455
Lowest
$80
Highest
$2,338
Providers
94
27% above national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in Delaware?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $95 | $317 | $1,830 | 84 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $376 | $2,117 | 99 |
| 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 45385 — Colonoscopy with removal of polyps by snare). 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 45385 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 45385 (Colonoscopy with removal of polyps by snare), as mandated by the CMS Price Transparency Rule.
What CPT 45385 covers: the provider's professional fee for colonoscopy with polyp removal. 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 Polyp Removal Visit Costs Vary Across Delaware
Delaware's healthcare costs run approximately 11% above national averages, driven by the state's small size, concentrated provider market, and proximity to high-cost metropolitan areas in Pennsylvania and New Jersey. The First State's unique geography creates distinct urban-rural cost dynamics despite covering only 1,954 square miles.
Urban vs. Rural Provider Availability
Most of Delaware's gastroenterology specialists practice in the Wilmington-Newark corridor and Dover area, creating access challenges for residents in western Sussex County. Rural patients often travel 45-60 minutes for Colonoscopy Polyp Removal procedures, with limited provider choice driving up costs in these underserved areas. The concentration of specialists in northern New Castle County creates competitive pricing in that region while leaving rural areas with fewer options.
Facility Type and Overhead Costs
Delaware's healthcare landscape is dominated by ChristianaCare and Bayhealth systems, with their hospital-based outpatient centers typically charging premium rates for endoscopic procedures. Independent gastroenterology practices, particularly those affiliated with smaller health networks, often provide more competitive pricing for Colonoscopy Polyp Removal. The state's high commercial real estate costs, especially near Wilmington, contribute to elevated overhead expenses across all facility types.
Insurance Market Competition in Delaware
With only Highmark, Aetna, and UHC holding significant market share, Delaware lacks the insurer competition seen in larger states, resulting in less aggressive rate negotiations. This concentrated market allows providers to maintain higher negotiated rates, contributing to the state's above-national cost averages. The limited competition also means fewer insurance product options for consumers, reducing price transparency and choice.
Physician Supply and Demand in Delaware
Delaware's 94 active Colonoscopy Polyp Removal providers serve a population of nearly one million, creating adequate but not abundant supply in urban areas. The concentration of specialists in New Castle County leaves Kent and Sussex counties potentially underserved, allowing providers in those regions to command higher rates. Wait times for routine procedures typically range from 2-4 weeks in urban areas but can extend to 6-8 weeks in rural regions, particularly during peak screening season.
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 Polyp Removal Costs in Delaware
What is the average cost of a Colonoscopy Polyp Removal visit in Delaware without insurance?
Does Delaware Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal 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 Polyp Removal visit in Delaware?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Delaware?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 45385)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $81 – $5,357 | $2,018 |
| 2 | Washington Range: $80 – $3,638 | $1,402 |
| 3 | Oregon Range: $80 – $3,638 | $1,391 |
| 4 | Idaho Range: $80 – $3,638 | $1,373 |
| 5 | Alaska Range: $80 – $3,638 | $1,266 |
| 6 | Montana Range: $80 – $3,638 | $1,266 |
| 7 | Massachusetts Range: $80 – $2,338 | $1,051 |
| 8 | New York Range: $276 – $2,338 | $1,041 |
| 9 | Rhode Island Range: $80 – $2,338 | $1,031 |
| 10 | Connecticut Range: $213 – $2,338 | $1,026 |
| 11 | North Dakota Range: $80 – $2,334 | $976 |
| 12 | Pennsylvania Range: $80 – $2,338 | $962 |
| 13 | Delaware Range: $80 – $2,338 | $958 |
| 14 | Minnesota Range: $80 – $1,954 | $879 |
| 15 | New Hampshire Range: $457 – $1,285 | $866 |
| 16 | Wyoming Range: $332 – $1,540 | $808 |
| 17 | Nebraska Range: $360 – $1,090 | $799 |
| 18 | Hawaii Range: $80 – $1,785 | $773 |
| 19 | Maine Range: $494 – $926 | $763 |
| 20 | California Range: $30 – $1,785 | $756 |
| 21 | Iowa Range: $95 – $1,197 | $726 |
| 22 | District of Columbia Range: $212 – $1,372 | $726 |
| 23 | Georgia Range: $225 – $1,310 | $723 |
| 24 | New Mexico Range: $265 – $1,278 | $696 |
| 25 | North Carolina Range: $80 – $1,433 | $685 |
| 26 | New Jersey Range: $151 – $1,496 | $684 |
| 27 | West Virginia Range: $98 – $1,538 | $682 |
| 28 | Vermont Range: $333 – $1,096 | $661 |
| 29 | Utah Range: $80 – $1,090 | $630 |
| 30 | Colorado Range: $85 – $1,282 | $611 |
| 31 | Indiana Range: $80 – $1,197 | $596 |
| 32 | Kentucky Range: $202 – $1,136 | $586 |
| 33 | Missouri Range: $239 – $853 | $564 |
| 34 | South Dakota Range: $80 – $1,090 | $553 |
| 35 | Maryland Range: $226 – $1,002 | $550 |
| 36 | Michigan Range: $80 – $1,088 | $545 |
| 37 | Illinois Range: $220 – $944 | $542 |
| 38 | Louisiana Range: $197 – $918 | $514 |
| 39 | Mississippi Range: $209 – $963 | $514 |
| 40 | Nevada Range: $320 – $740 | $504 |
| 41 | South Carolina Range: $80 – $936 | $477 |
| 42 | Virginia Range: $98 – $916 | $471 |
| 43 | Arkansas Range: $85 – $853 | $464 |
| 44 | Alabama Range: $80 – $870 | $454 |
| 45 | Texas Range: $90 – $866 | $453 |
| 46 | Kansas Range: $239 – $713 | $451 |
| 47 | Ohio Range: $191 – $751 | $450 |
| 48 | Arizona Range: $213 – $715 | $432 |
| 49 | Tennessee Range: $90 – $796 | $428 |
| 50 | Florida Range: $35 – $815 | $302 |
| 51 | Oklahoma Range: $85 – $646 | $272 |