Cost of a Colonoscopy Polyp Removal Visit
in North Carolina
Reviewed by Momentary Medical Group West PC
North Carolina's growing ambulatory surgical center market and lack of Medicaid expansion have created a complex pricing landscape for colonoscopy procedures across the state's 100 counties. Colonoscopy Polyp Removal patients typically pay between $80 and $1,433, with a median out-of-pocket cost of $543 based on negotiated insurance rates from over 2,400 active providers statewide. From the Research Triangle to the Outer Banks, patients can browse all qualified Colonoscopy Polyp Removal specialists throughout North Carolina to find the most affordable option.
Average
$685
Median
$543
Lowest
$80
Highest
$1,433
Providers
2,407
9% below national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in North Carolina?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $90 | $378 | $1,065 | 2,531 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $444 | $1,268 | 2,531 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $120 | $298 | $853 | 2,213 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $318 | $1,088 | 2,729 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $26 | $85 | 2,727 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $68 | $194 | $501 | 2,737 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $44 | $107 | $272 | 2,508 |
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 North Carolina
North Carolina's healthcare costs run approximately 2% below the national average, reflecting the state's lower cost of living compared to coastal states while maintaining quality medical infrastructure. The state's mix of major academic medical centers, growing ambulatory surgery center market, and rural healthcare challenges creates distinct regional cost variations for procedures like colonoscopy polyp removal.
Urban vs. Rural Provider Availability
The Research Triangle, Charlotte metro, and Asheville regions have high concentrations of gastroenterology specialists, creating competitive pricing for Colonoscopy Polyp Removal procedures. Rural counties in eastern and western North Carolina often have limited specialist availability, requiring patients to travel to urban centers and potentially face higher facility costs. This geographic disparity can result in cost differences of several hundred dollars for the same procedure.
Facility Type and Overhead Costs
North Carolina's major health systems like Atrium Health, Duke Health, and UNC Health have extensive networks of hospital-owned outpatient facilities that typically charge higher facility fees than independent ambulatory surgery centers. The state's growing ASC market has introduced more competitive pricing options, particularly in urban areas. Independent gastroenterology practices often have lower overhead costs that translate to more affordable patient pricing.
Insurance Market Competition in North Carolina
Blue Cross Blue Shield of NC holds significant market share but faces meaningful competition from UnitedHealthcare and Aetna in most regions, creating negotiating pressure that benefits patients through competitive rates. The ACA marketplace has limited insurer participation in some counties, reducing competition and potentially affecting specialist reimbursement rates. This competitive landscape generally keeps negotiated rates for procedures like colonoscopy polyp removal within reasonable ranges compared to less competitive markets.
Physician Supply and Demand in North Carolina
With over 2,400 providers performing colonoscopy procedures statewide, North Carolina has adequate specialist availability in most regions, which helps moderate pricing pressure. The concentration of providers in urban areas creates competitive pricing, while rural areas may see premium pricing due to limited options. Medical schools at Duke, UNC, and Wake Forest help maintain a steady pipeline of gastroenterology specialists, supporting long-term market stability.
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 North Carolina
What is the average cost of a Colonoscopy Polyp Removal visit in North Carolina without insurance?
Does North Carolina Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal near me in North Carolina?
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 North Carolina?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in North Carolina?
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 |