Cost of a Colonoscopy Polyp Removal Visit
in Virginia
Reviewed by Momentary Medical Group West PC
Virginia's healthcare system serves 8.6 million residents through a mix of academic medical centers in Norfolk and Richmond alongside growing ambulatory surgery centers statewide. Colonoscopy Polyp Removal patients in Virginia typically face procedure costs ranging from $98 to $916, with a median negotiated rate of $398 based on transparency data from over 3,000 active providers. The state's expanding network of gastroenterology specialists offers patients multiple options for accessing quality care across urban centers and rural communities throughout Virginia.
Average
$471
Median
$398
Lowest
$98
Highest
$916
Providers
3,147
37% below national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in Virginia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $124 | $297 | $682 | 2,843 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $98 | $343 | $830 | 3,248 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $95 | $228 | $551 | 2,703 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $90 | $257 | $728 | 2,890 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $13 | $22 | $98 | 3,469 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $59 | $150 | $390 | 3,292 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $36 | $85 | $215 | 2,860 |
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 Virginia
Healthcare costs in Virginia run approximately 3% above national averages, driven by the state's proximity to high-cost Washington DC markets and concentration of major medical centers. The Commonwealth's diverse geography spans from densely populated Northern Virginia suburbs to rural Appalachian regions, creating significant cost and access variations across markets.
Urban vs. Rural Provider Availability
Northern Virginia and the Richmond-Hampton Roads corridor concentrate most gastroenterology specialists, while rural regions like Southwest Virginia face provider shortages requiring patients to travel significant distances. Urban markets support multiple competing endoscopy centers that help moderate pricing, whereas rural areas may have limited facility options. Telemedicine consultation prior to procedures has improved access coordination for rural patients needing specialty care.
Facility Type and Overhead Costs
Virginia's major health systems including VCU Health, UVA Health, and Sentara operate hospital-based endoscopy centers with higher overhead costs than independent surgery centers. Freestanding ambulatory surgery centers have expanded rapidly across Virginia's suburban markets, offering lower-cost alternatives for routine procedures. Academic medical centers in Virginia often charge premium rates but provide access to advanced therapeutic procedures and clinical trials.
Insurance Market Competition in Virginia
Anthem Blue Cross Blue Shield dominates Virginia's individual and small group markets, while Optima Health maintains strong presence in Hampton Roads and UnitedHealthcare competes statewide in employer plans. Limited insurer competition in rural Virginia markets can result in higher premiums and narrower provider networks. The state's lack of an all-payer claims database limits price transparency compared to neighboring states with more robust data reporting requirements.
Physician Supply and Demand in Virginia
Over 3,000 providers in Virginia's transparency data suggest adequate gastroenterology capacity in urban markets, though specialists remain concentrated in major metropolitan areas. Rural physician shortages persist despite state loan forgiveness programs, contributing to longer wait times and higher costs in underserved regions. Growing demand from an aging population continues to strain specialist availability, particularly in areas with large retirement communities.
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 Virginia
What is the average cost of a Colonoscopy Polyp Removal visit in Virginia without insurance?
Does Virginia Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal near me in Virginia?
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 Virginia?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Virginia?
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 |