Cost of a Colonoscopy with Biopsy Visit
in Maine
Reviewed by Momentary Medical Group West PC
Maine's healthcare costs run approximately 12% above national averages, reflecting the state's rural geography and concentrated provider networks. Patients seeking a Colonoscopy with Biopsy in Maine can expect negotiated rates ranging from $456 to $887, with a median cost of $799 based on transparency data from 1,549 active providers. Maine maintains a robust network of specialists across both urban centers and rural communities, allowing patients to browse providers statewide for the most suitable care option.
Average
$714
Median
$799
Lowest
$456
Highest
$887
Providers
1,549
24% above national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Maine?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $220 | $561 | $674 | 1,544 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $494 | $868 | $926 | 1,540 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $333 | $562 | $583 | 1,527 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $404 | $707 | $783 | 1,551 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $22 | $28 | $35 | 1,738 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $95 | $260 | $394 | 1,718 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $79 | $179 | $272 | 1,708 |
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 Maine
Maine's healthcare costs run 12% above national averages, driven by the state's rural geography, limited provider competition, and higher overhead costs associated with serving scattered populations. The state's aging demographic and seasonal population fluctuations create unique demand patterns that influence specialist pricing.
Urban vs. Rural Provider Availability
Greater Portland and Bangor areas concentrate most gastroenterology specialists, while rural counties often require patients to travel 30-60 miles for specialized care. This geographic concentration allows urban practices to maintain higher fee schedules due to convenience and demand. Rural areas may have limited specialist availability, leading to longer wait times but occasionally lower procedure costs.
Facility Type and Overhead Costs
Maine's healthcare landscape includes major systems like MaineHealth and Northern Light Health, which operate hospital-based outpatient clinics with higher overhead costs than independent practices. Academic facilities associated with Maine Medical Center often charge premium rates for complex cases. Ambulatory surgery centers typically offer lower-cost alternatives for routine procedures compared to hospital outpatient departments.
Insurance Market Competition in Maine
With Anthem, Harvard Pilgrim, and UnitedHealthcare controlling most of the commercial insurance market, Maine has relatively limited insurer competition. This market concentration can lead to stronger negotiated rates with major health systems but fewer coverage options for consumers. The state's small population limits the number of insurers willing to offer individual market plans, affecting competitive pricing dynamics.
Physician Supply and Demand in Maine
Maine has approximately 1,549 providers offering Colonoscopy with Biopsy services, indicating reasonable specialist availability for a state of 1.4 million residents. However, the state faces physician recruitment challenges due to geographic isolation and limited urban amenities, which can drive up specialist compensation. An aging physician workforce and competition from larger metropolitan areas affects both availability and pricing for specialized 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 Maine
What is the average cost of a Colonoscopy with Biopsy visit in Maine without insurance?
Does Maine Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Maine?
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 Maine?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Maine?
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 |