Cost of a Colonoscopy Polyp Removal Visit
in Massachusetts
Reviewed by Momentary Medical Group West PC
Massachusetts leads the nation in healthcare quality metrics, yet the state's Colonoscopy Polyp Removal costs reflect its premium market positioning at roughly 20% above national averages. Based on negotiated insurance rates from 1,352 active providers statewide, patients typically encounter procedure costs ranging from $80 to $2,338, with a median rate of $735 for CPT code 45385. The Bay State's robust network of gastroenterology specialists spans from major academic medical centers in Boston to community practices across the Berkshires, giving patients extensive options when browsing all Colonoscopy Polyp Removal providers in Massachusetts.
Average
$1,051
Median
$735
Lowest
$80
Highest
$2,338
Providers
1,352
40% above national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in Massachusetts?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $113 | $500 | $1,830 | 1,075 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $600 | $2,117 | 1,381 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $159 | $457 | $1,259 | 1,065 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $508 | $1,654 | 1,412 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $14 | $80 | 1,987 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $77 | $218 | $677 | 1,520 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $52 | $80 | $328 | 1,764 |
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 Massachusetts
Massachusetts healthcare costs run approximately 20% above national benchmarks, driven by the state's concentration of world-renowned medical institutions and high physician reimbursement rates negotiated by dominant health systems. The Commonwealth's highly educated population and robust insurance coverage create market conditions that support premium pricing for specialized procedures like Colonoscopy Polyp Removal.
Urban vs. Rural Provider Availability
Eastern Massachusetts, particularly the Boston metropolitan area, hosts the majority of the state's gastroenterology specialists, while western regions including the Berkshires and Pioneer Valley rely on fewer providers serving larger geographic areas. This distribution creates longer wait times and potentially higher travel costs for rural patients, though telemedicine consultations have improved access to specialist expertise across the state's diverse geography.
Facility Type and Overhead Costs
Hospital-based endoscopy centers affiliated with major Massachusetts health systems like Partners HealthCare (Mass General Brigham) and Beth Israel Lahey command premium rates due to higher overhead and teaching hospital status. Independent ambulatory surgery centers throughout the state typically offer more competitive pricing for Colonoscopy Polyp Removal procedures, with several multi-specialty groups operating dedicated gastroenterology facilities that balance quality and cost-effectiveness.
Insurance Market Competition in Massachusetts
The state's insurance landscape is dominated by three major players - BCBS MA, Tufts Health Plan, and Harvard Pilgrim - which collectively control over 75% of the commercial market and negotiate distinct reimbursement schedules with providers. This concentrated market structure enables insurers to maintain relatively controlled premium growth while ensuring broad network access, though provider consolidation has strengthened hospitals' negotiating positions for specialist services.
Physician Supply and Demand in Massachusetts
With 1,352 active providers performing Colonoscopy Polyp Removal procedures, Massachusetts maintains one of the nation's highest gastroenterologist-to-population ratios, particularly concentrated around Boston's medical district and major teaching hospitals. This robust physician supply generally supports reasonable appointment availability and competitive pricing, though the most renowned specialists at prestigious institutions may maintain longer wait times and premium fee structures.
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 Massachusetts
What is the average cost of a Colonoscopy Polyp Removal visit in Massachusetts without insurance?
Does Massachusetts Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal near me in Massachusetts?
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 Massachusetts?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Massachusetts?
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 |