Cost of a Colonoscopy Polyp Removal Visit
in Maine
Reviewed by Momentary Medical Group West PC
Maine's rural geography creates unique challenges for accessing specialized gastroenterology services, with many patients traveling significant distances for care. Colonoscopy Polyp Removal procedures in Maine typically cost between $494 and $926, with a median price of $868 based on negotiated insurance rates. Maine maintains over 1,540 active providers offering these services across the state, allowing patients to browse multiple options and compare costs before scheduling their procedure.
Average
$763
Median
$868
Lowest
$494
Highest
$926
Providers
1,540
1% above national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in Maine?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $220 | $561 | $674 | 1,544 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $456 | $799 | $887 | 1,549 |
| 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 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 Maine
Healthcare costs in Maine run approximately 12% above the national average, reflecting the state's rural geography and limited provider competition in many regions. The concentration of specialists in Portland and Bangor creates cost disparities between urban and rural areas, with patients often traveling long distances for specialized gastroenterology care.
Urban vs. Rural Provider Availability
Most gastroenterologists practicing in Maine cluster around Portland, with fewer options available in rural counties like Aroostook and Washington. This geographic concentration forces many patients to travel 2-3 hours for colonoscopy procedures, sometimes making ambulatory surgery centers more cost-effective than hospital outpatient departments. Rural patients may also face longer wait times, which can influence their choice of provider and facility type.
Facility Type and Overhead Costs
Maine's healthcare landscape includes major systems like MaineHealth and Northern Light Health, which operate hospital-based outpatient departments with higher facility fees. Independent gastroenterology practices and ambulatory surgery centers typically offer lower total costs for colonoscopy procedures. The state's smaller population means fewer standalone endoscopy centers compared to more populous states, limiting competitive pricing pressure.
Insurance Market Competition in Maine
Anthem dominates Maine's individual and small group markets, while Harvard Pilgrim and UnitedHealthcare compete primarily in the employer-sponsored segment. Limited insurer competition allows for less aggressive rate negotiations with providers, contributing to higher overall healthcare costs. The rural nature of much of Maine also reduces insurers' leverage in negotiating rates with the limited number of specialist providers.
Physician Supply and Demand in Maine
With over 1,540 providers offering colonoscopy services statewide, Maine maintains adequate capacity relative to its population of 1.4 million residents. However, the geographic distribution heavily favors southern and central Maine, creating access challenges for northern and eastern regions. This supply-demand imbalance allows providers in underserved areas to maintain higher pricing due to limited competition.
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 Maine
What is the average cost of a Colonoscopy Polyp Removal visit in Maine without insurance?
Does Maine Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal 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 Polyp Removal visit in Maine?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Maine?
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 |