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Washington

Cost of a Colonoscopy Polyp Removal Visit
in Washington

Reviewed by Momentary Medical Group West PC

Washington's extensive network of gastroenterology practices across the Cascade Range creates significant cost variations for medical procedures statewide. Colonoscopy Polyp Removal costs in Washington range from $80 to $3,638, with a median rate of $487 based on negotiated insurance rates. With over 4,541 active providers offering these services throughout the state, patients have substantial options for finding quality care at competitive rates.

Average

$1,402

Median

$487

Lowest

$80

Highest

$3,638

Providers

4,541

National avg: $752Washington: $1,402

87% above national average

Compare Similar Procedures

How does colonoscopy with polyp removal compare to related procedures in Washington?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$80$298$8565,559
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$385$1,1434,616
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$152$312$7592,247
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$236$9545,547
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$16$805,856
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$80$185$5134,713
OB Ultrasound

Obstetric ultrasound, complete

76805$51$92$9915,465

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 45385Colonoscopy 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 Washington

Washington's healthcare costs run approximately 10% above national averages, driven by the state's concentration of major medical centers and higher labor costs in metropolitan areas. The geographic spread from dense urban centers like Seattle-Tacoma to remote rural counties creates dramatic cost variations for specialized procedures.

Urban vs. Rural Provider Availability

Seattle and Spokane metropolitan areas host the majority of Washington's gastroenterology specialists, creating higher competition and varied pricing within these markets. Rural counties often require patients to travel significant distances, though some smaller cities offer competitive rates due to lower overhead expenses.

Facility Type and Overhead Costs

Major health systems like UW Medicine, MultiCare, and Providence typically charge higher rates for hospital-based procedures compared to independent ambulatory surgery centers throughout Washington. These systems often provide more complex care capabilities but pass along higher facility fees to patients and insurers.

Insurance Market Competition in Washington

Washington's four major insurers - Premera, Regence, Kaiser, and UnitedHealthcare - maintain relatively competitive markets that help moderate negotiated rates for specialist procedures. The state's active insurance commissioner and rate review process provides additional oversight that can influence pricing trends across the market.

Physician Supply and Demand in Washington

With 4,541 active providers offering colonoscopy services, Washington maintains adequate specialist availability relative to its population, particularly in urban corridors. This healthy supply helps moderate pricing pressure and reduces wait times, though rural areas may still experience access challenges requiring longer travel distances.

JP

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.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Colonoscopy Polyp Removal Costs in Washington

What is the average cost of a Colonoscopy Polyp Removal visit in Washington without insurance?

Without insurance, colonoscopy with polyp removal in Washington ranges from $80 to $3,638, with a median cost of $487 based on negotiated rates. Self-pay patients often receive discounts of 20-40% when paying upfront, bringing typical costs down to $300-900 for most procedures. Rural facilities and ambulatory surgery centers generally offer lower rates than hospital-based urban centers.

Does Washington Medicaid cover Colonoscopy Polyp Removal visits?

Yes, Washington's expanded Medicaid program covers medically necessary colonoscopy procedures including polyp removal. Patients typically need referrals from their primary care providers and must use Medicaid-contracted gastroenterologists. Coverage includes both the physician fees and facility charges, though some patients may have small copayments depending on their specific Medicaid plan.

How do I find an affordable Colonoscopy Polyp Removal near me in Washington?

Compare costs between ambulatory surgery centers and hospital outpatient departments, as surgery centers often charge 30-50% less for the same procedure. Ask about self-pay discounts if you're uninsured, and consider traveling to smaller cities where overhead costs are typically lower. Community health centers and federally qualified health centers throughout Washington also offer sliding fee scales based on income.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial gastroenterology consultations typically cost $200-400 more than follow-up visits due to comprehensive evaluation requirements. The colonoscopy procedure itself represents the largest cost component at $80-3,638 in Washington, while follow-up visits for discussing pathology results or planning future surveillance generally cost $150-300 depending on the complexity and duration of the appointment.

Can I use an HSA or FSA to pay for a Colonoscopy Polyp Removal visit in Washington?

Yes, colonoscopy procedures including polyp removal qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. You can use these tax-advantaged funds for physician fees, facility charges, anesthesia costs, and pathology services. Keep all receipts and documentation, as some HSA administrators require detailed procedure codes for reimbursement.

How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Washington?

While the colonoscopy procedure itself requires in-person care, many Washington gastroenterologists offer telehealth consultations for initial evaluations, follow-up discussions, and post-procedure check-ins. These virtual visits typically cost $100-200 less than in-office consultations and can help reduce overall care costs. Washington's strong telehealth infrastructure makes these services widely available across both urban and rural areas.

Click a state to compare costs

Average Visit Cost

$272
$2,018

Office visit (CPT 45385)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $81$5,357
$2,018
2Washington
Range: $80$3,638
$1,402
3Oregon
Range: $80$3,638
$1,391
4Idaho
Range: $80$3,638
$1,373
5Alaska
Range: $80$3,638
$1,266
6Montana
Range: $80$3,638
$1,266
7Massachusetts
Range: $80$2,338
$1,051
8New York
Range: $276$2,338
$1,041
9Rhode Island
Range: $80$2,338
$1,031
10Connecticut
Range: $213$2,338
$1,026
11North Dakota
Range: $80$2,334
$976
12Pennsylvania
Range: $80$2,338
$962
13Delaware
Range: $80$2,338
$958
14Minnesota
Range: $80$1,954
$879
15New Hampshire
Range: $457$1,285
$866
16Wyoming
Range: $332$1,540
$808
17Nebraska
Range: $360$1,090
$799
18Hawaii
Range: $80$1,785
$773
19Maine
Range: $494$926
$763
20California
Range: $30$1,785
$756
21Iowa
Range: $95$1,197
$726
22District of Columbia
Range: $212$1,372
$726
23Georgia
Range: $225$1,310
$723
24New Mexico
Range: $265$1,278
$696
25North Carolina
Range: $80$1,433
$685
26New Jersey
Range: $151$1,496
$684
27West Virginia
Range: $98$1,538
$682
28Vermont
Range: $333$1,096
$661
29Utah
Range: $80$1,090
$630
30Colorado
Range: $85$1,282
$611
31Indiana
Range: $80$1,197
$596
32Kentucky
Range: $202$1,136
$586
33Missouri
Range: $239$853
$564
34South Dakota
Range: $80$1,090
$553
35Maryland
Range: $226$1,002
$550
36Michigan
Range: $80$1,088
$545
37Illinois
Range: $220$944
$542
38Louisiana
Range: $197$918
$514
39Mississippi
Range: $209$963
$514
40Nevada
Range: $320$740
$504
41South Carolina
Range: $80$936
$477
42Virginia
Range: $98$916
$471
43Arkansas
Range: $85$853
$464
44Alabama
Range: $80$870
$454
45Texas
Range: $90$866
$453
46Kansas
Range: $239$713
$451
47Ohio
Range: $191$751
$450
48Arizona
Range: $213$715
$432
49Tennessee
Range: $90$796
$428
50Florida
Range: $35$815
$302
51Oklahoma
Range: $85$646
$272
Colonoscopy with Polyp Removal in Other States