Cost of a Colonoscopy Polyp Removal Visit
in Pennsylvania
Reviewed by Momentary Medical Group West PC
Pennsylvania's healthcare market, dominated by major health systems in Philadelphia and Pittsburgh, offers patients access to 1,327 active providers performing Colonoscopy Polyp Removal procedures. Patients typically pay between $80 and $2,338 for these visits, with a median negotiated rate of $469 based on insurer agreements with Pennsylvania providers. The state's expanded Medicaid program and competitive insurance landscape between Highmark, Independence Blue Cross Blue Shield, and UnitedHealthcare create varied coverage options for patients needing polyp removal services across the Commonwealth.
Average
$962
Median
$469
Lowest
$80
Highest
$2,338
Providers
1,327
28% above national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in Pennsylvania?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $323 | $1,830 | 1,067 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $373 | $2,117 | 1,414 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $90 | $274 | $715 | 1,120 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $273 | $1,647 | 1,592 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $13 | $55 | $90 | 2,207 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $61 | $155 | $677 | 1,469 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $42 | $85 | $328 | 1,801 |
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 Pennsylvania
Pennsylvania's healthcare costs run approximately 9% above the national average for Colonoscopy Polyp Removal procedures, reflecting the state's mix of high-cost urban markets and more affordable rural regions. The concentration of major health systems in Philadelphia and Pittsburgh creates pricing pressures that ripple throughout the Commonwealth's healthcare economy.
Urban vs. Rural Provider Availability
Pennsylvania's 1,327 Colonoscopy Polyp Removal providers are heavily concentrated in the Philadelphia and Pittsburgh metropolitan areas, creating access challenges for residents in rural counties like Potter, Cameron, and Forest. Rural patients often face higher travel costs and limited appointment availability, while urban areas offer competitive pricing due to provider density.
Facility Type and Overhead Costs
Pennsylvania's healthcare landscape is dominated by large health systems like UPMC, Jefferson Health, and Penn Medicine, which typically charge higher facility fees for outpatient Colonoscopy Polyp Removal procedures. Independent ambulatory surgery centers and gastroenterology practices often provide the same services at 30-50% lower costs due to reduced overhead expenses.
Insurance Market Competition in Pennsylvania
The competitive landscape between Highmark, Independence Blue Cross Blue Shield, and UnitedHealthcare creates varying negotiated rates for Colonoscopy Polyp Removal procedures across Pennsylvania. Regional insurer dominance affects pricing, with Highmark holding stronger positions in western Pennsylvania and Independence BCBS maintaining market leadership in the southeastern counties.
Physician Supply and Demand in Pennsylvania
With 1,327 active providers offering Colonoscopy Polyp Removal services, Pennsylvania maintains adequate physician supply in urban areas but faces shortages in rural regions. This geographic imbalance affects both pricing and wait times, with rural patients often experiencing longer delays and potentially higher costs due to limited provider 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 Pennsylvania
What is the average cost of a Colonoscopy Polyp Removal visit in Pennsylvania without insurance?
Does Pennsylvania Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal near me in Pennsylvania?
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 Pennsylvania?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Pennsylvania?
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 |