Cost of a Colonoscopy with Biopsy Visit
in Delaware
Reviewed by Momentary Medical Group West PC
Delaware's concentrated healthcare market, dominated by just a few major health systems serving the nation's second-smallest state, creates unique pricing dynamics for specialty procedures. Patients seeking a Colonoscopy with Biopsy typically pay between $80 and $2,117, with a median out-of-pocket cost of $376 based on negotiated insurance rates. Delaware has 99 active Colonoscopy with Biopsy providers across the state, giving patients multiple options to browse all providers in Delaware for their care.
Average
$858
Median
$376
Lowest
$80
Highest
$2,117
Providers
99
49% above national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Delaware?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $95 | $317 | $1,830 | 84 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $455 | $2,338 | 94 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $109 | $271 | $701 | 77 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $324 | $1,647 | 98 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $15 | $15 | $46 | 212 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $60 | $171 | $677 | 104 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $54 | $139 | $216 | 203 |
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 45380 — Colonoscopy with biopsy). 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 45380 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 45380 (Colonoscopy with biopsy), as mandated by the CMS Price Transparency Rule.
What CPT 45380 covers: the provider's professional fee for colonoscopy with biopsy. 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 with Biopsy Visit Costs Vary Across Delaware
Delaware's healthcare costs run approximately 11% above the national average, reflecting the state's higher cost of living and concentrated provider market. The state's small geographic footprint means most residents can access Wilmington's major medical centers, but limited competition keeps prices elevated compared to larger markets.
Urban vs. Rural Provider Availability
Most of Delaware's Colonoscopy with Biopsy specialists practice in New Castle County around Wilmington, creating longer travel times for residents in rural Kent and Sussex counties. This concentration means southern Delaware patients may face higher total costs when factoring in travel and time off work. Rural areas have fewer independent surgery centers, pushing more procedures to higher-cost hospital facilities.
Facility Type and Overhead Costs
Delaware's market is dominated by large health systems like ChristianaCare and Bayhealth, which operate most hospital-based outpatient centers where many Colonoscopy with Biopsy procedures occur. These hospital-owned facilities typically charge higher facility fees compared to independent ambulatory surgery centers. The limited number of independent providers means less price competition across facility types.
Insurance Market Competition in Delaware
With Highmark, Aetna, and UHC controlling most of the commercial insurance market, Delaware has moderate insurer competition but limited leverage for aggressive rate negotiations. The small market size means insurers have fewer provider alternatives to create competitive pressure. This dynamic can result in higher negotiated rates that get passed through to patients via higher deductibles and copays.
Physician Supply and Demand in Delaware
Delaware's 99 active Colonoscopy with Biopsy providers serve a population of nearly one million, indicating reasonable availability compared to many rural states. However, the concentration of specialists in northern Delaware creates access challenges for residents in the southern counties. Wait times are generally manageable but can extend during peak screening season, particularly for non-urgent procedures.
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 with Biopsy Costs in Delaware
What is the average cost of a Colonoscopy with Biopsy visit in Delaware without insurance?
Does Delaware Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Delaware?
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 with Biopsy visit in Delaware?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Delaware?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 45380)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $5,357 | $1,938 |
| 2 | New York Range: $241 – $2,117 | $948 |
| 3 | Massachusetts Range: $80 – $2,117 | $932 |
| 4 | Rhode Island Range: $80 – $2,117 | $910 |
| 5 | Connecticut Range: $85 – $2,117 | $892 |
| 6 | Delaware Range: $80 – $2,117 | $858 |
| 7 | Pennsylvania Range: $80 – $2,117 | $857 |
| 8 | Minnesota Range: $85 – $1,970 | $853 |
| 9 | New Hampshire Range: $433 – $1,234 | $829 |
| 10 | Nebraska Range: $281 – $1,040 | $742 |
| 11 | Iowa Range: $85 – $1,373 | $726 |
| 12 | California Range: $80 – $1,785 | $724 |
| 13 | Maine Range: $456 – $887 | $714 |
| 14 | Wyoming Range: $217 – $1,313 | $657 |
| 15 | Vermont Range: $317 – $1,042 | $632 |
| 16 | Georgia Range: $85 – $1,250 | $620 |
| 17 | New Jersey Range: $120 – $1,329 | $599 |
| 18 | North Carolina Range: $80 – $1,268 | $597 |
| 19 | North Dakota Range: $80 – $1,268 | $594 |
| 20 | District of Columbia Range: $98 – $1,143 | $580 |
| 21 | West Virginia Range: $85 – $1,329 | $574 |
| 22 | New Mexico Range: $90 – $1,136 | $559 |
| 23 | Illinois Range: $80 – $1,147 | $556 |
| 24 | Washington Range: $80 – $1,143 | $536 |
| 25 | Utah Range: $80 – $944 | $520 |
| 26 | Missouri Range: $188 – $815 | $512 |
| 27 | South Dakota Range: $80 – $1,035 | $501 |
| 28 | Maryland Range: $175 – $919 | $489 |
| 29 | Oregon Range: $80 – $1,070 | $486 |
| 30 | Hawaii Range: $80 – $969 | $467 |
| 31 | Colorado Range: $85 – $969 | $466 |
| 32 | Indiana Range: $80 – $937 | $461 |
| 33 | Mississippi Range: $162 – $850 | $454 |
| 34 | Michigan Range: $80 – $887 | $453 |
| 35 | Kentucky Range: $80 – $917 | $439 |
| 36 | Virginia Range: $98 – $830 | $423 |
| 37 | Louisiana Range: $85 – $804 | $422 |
| 38 | Idaho Range: $80 – $906 | $419 |
| 39 | Arkansas Range: $85 – $815 | $416 |
| 40 | Alabama Range: $80 – $762 | $405 |
| 41 | Texas Range: $85 – $772 | $396 |
| 42 | South Carolina Range: $80 – $782 | $389 |
| 43 | Kansas Range: $188 – $646 | $387 |
| 44 | Nevada Range: $85 – $701 | $372 |
| 45 | Ohio Range: $85 – $709 | $371 |
| 46 | Tennessee Range: $85 – $714 | $371 |
| 47 | Alaska Range: $80 – $837 | $332 |
| 48 | Arizona Range: $85 – $567 | $295 |
| 49 | Florida Range: $35 – $770 | $287 |
| 50 | Oklahoma Range: $85 – $582 | $251 |
| 51 | Montana Range: $80 – $545 | $235 |