Cost of a Colonoscopy with Biopsy Visit
in Maryland
Reviewed by Momentary Medical Group West PC
Maryland's rate-setting authority for hospitals creates unique cost transparency that benefits patients seeking specialized procedures. Colonoscopy with Biopsy visits in Maryland typically range from $175 to $919, with a median cost of $373, reflecting negotiated rates across the state's 4,048 active providers. The state's expanded Medicaid program and competitive insurance market dominated by CareFirst BCBS help keep specialist care accessible for Maryland residents.
Average
$489
Median
$373
Lowest
$175
Highest
$919
Providers
4,048
15% below national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Maryland?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $162 | $312 | $712 | 4,015 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $226 | $423 | $1,002 | 3,987 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $109 | $236 | $666 | 3,944 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $121 | $273 | $810 | 4,050 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $18 | $37 | 4,160 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $55 | $161 | $398 | 4,085 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $37 | $90 | $231 | 4,026 |
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 Maryland
Maryland's healthcare costs run approximately 13% above national averages, driven by the state's proximity to Washington DC and Baltimore's status as a major medical hub. The Maryland Health Services Cost Review Commission uniquely regulates hospital rates, creating more predictable pricing than most states.
Urban vs. Rural Provider Availability
Baltimore and the DC suburbs concentrate most of Maryland's gastroenterologists, while the Eastern Shore and Western Maryland face provider shortages. Urban areas offer multiple endoscopy center options, creating competitive pricing, whereas rural patients may travel significant distances. This geographic disparity affects both access and cost for Colonoscopy with Biopsy procedures.
Facility Type and Overhead Costs
Johns Hopkins, University of Maryland Medical System, and MedStar dominate Maryland's hospital market, with their outpatient centers typically charging higher facility fees. Independent gastroenterology practices often provide more competitive pricing without hospital overhead costs. Ambulatory surgery centers represent a middle-ground option between hospital and office-based procedures.
Insurance Market Competition in Maryland
CareFirst BCBS holds the largest market share in Maryland, followed by UHC and Aetna, creating moderate competition for negotiated rates. The state's small geographic size allows most insurers to maintain statewide networks. Maryland's rate-setting authority for hospitals provides additional leverage in controlling specialty procedure costs.
Physician Supply and Demand in Maryland
With 4,048 providers offering Colonoscopy with Biopsy services, Maryland maintains adequate specialist access relative to its population of 6 million residents. The concentration of providers near major metropolitan areas creates competitive pricing in those regions. Wait times remain reasonable in urban areas but may extend several weeks in rural counties.
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 Maryland
What is the average cost of a Colonoscopy with Biopsy visit in Maryland without insurance?
Does Maryland Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Maryland?
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 Maryland?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Maryland?
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 |