Cost of a Colonoscopy with Biopsy Visit
in District of Columbia
Reviewed by Momentary Medical Group West PC
District of Columbia's highly concentrated healthcare market, dominated by academic medical centers and federal health facilities, creates a unique pricing environment for specialized procedures. Colonoscopy with Biopsy patients in the District typically encounter negotiated rates ranging from $98 to $1,143, with a median cost of $498 based on insurer-provider agreements. The District maintains 342 active providers offering these services across its compact urban landscape, giving patients access to some of the nation's most specialized gastroenterology practices.
Average
$580
Median
$498
Lowest
$98
Highest
$1,143
Providers
342
0% above national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in District of Columbia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $126 | $368 | $815 | 326 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $212 | $593 | $1,372 | 333 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $115 | $344 | $701 | 315 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $86 | $432 | $995 | 346 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $13 | $31 | $85 | 380 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $59 | $192 | $569 | 354 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $39 | $117 | $342 | 342 |
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 District of Columbia
District of Columbia's healthcare costs run approximately 20% above the national average, reflecting the region's high cost of living and concentration of premium medical facilities. The District's unique status as a federal enclave creates a healthcare market heavily influenced by government healthcare programs and academic medical centers.
Urban vs. Rural Provider Availability
As a fully urban jurisdiction, District of Columbia lacks the rural-urban cost disparities seen in larger states, but neighboring suburban Maryland and Virginia markets influence pricing dynamics. The District's compact geography means most residents can access any provider within 30 minutes, creating competition that can help moderate costs. However, the concentration of prestigious medical institutions can drive prices higher than in less specialized markets.
Facility Type and Overhead Costs
District of Columbia's healthcare landscape is dominated by major academic medical centers like George Washington University Hospital and Georgetown University Hospital, which typically charge premium rates for specialized procedures. Independent ambulatory surgery centers and physician-owned clinics often provide the same services at lower facility fees. The high real estate costs and regulatory requirements in the District contribute to elevated overhead expenses across all facility types.
Insurance Market Competition in District of Columbia
The District's insurance market shows moderate concentration with CareFirst BlueCross BlueShield, UnitedHealthcare, and Aetna controlling most of the commercial market. Limited insurer competition can result in less aggressive negotiation of provider rates, potentially leading to higher patient costs. The large federal employee population creates a unique dynamic where Federal Employee Health Benefits plans influence local pricing structures.
Physician Supply and Demand in District of Columbia
With 342 active providers offering Colonoscopy with Biopsy services, District of Columbia maintains excellent specialist availability relative to its population of approximately 700,000 residents. This robust provider network includes many physicians who also serve the broader Washington metropolitan area, creating healthy competition. The concentration of medical talent, driven by academic institutions and federal healthcare facilities, helps maintain shorter wait times but may contribute to premium pricing for specialized services.
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 District of Columbia
What is the average cost of a Colonoscopy with Biopsy visit in District of Columbia without insurance?
Does District of Columbia Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in District of Columbia?
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 District of Columbia?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in District of Columbia?
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 |