How Much Does Colonoscopy with Resection Cost?
Also known as: Colonoscopy w/resection (CPT 45390)
Colonoscopy with removal of large polyp using submucosal injection and snare technique.
The total estimated cost of Colonoscopy with Resection (CPT 45390) is $975 to $1,829, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $290.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Colonoscopy with Resection
What you need to know before your appointment
What to Expect
During colonoscopy, fluid is injected beneath a large polyp to lift it, then a snare wire is used to remove it. This technique allows safe removal of larger polyps.
How Long Does It Take?
30-90 minutes
Common Reasons Doctors Order This
Large colon polyp removal, flat polyp removal, preventing need for surgery
How to Prepare
Same bowel prep as standard colonoscopy. Stop blood thinners as directed. You may need follow-up colonoscopy in 3-6 months.
Procedures Commonly Done Together
These procedures are frequently performed alongside Colonoscopy w/resection
How to Reduce Your Cost for Colonoscopy w/resection
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (8.69) x CF ($33.40) = $290
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Colonoscopy w/resection cost?
The Medicare facility rate for Colonoscopy w/resection is $290. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Colonoscopy w/resection cost without insurance?
Without insurance, the cost of Colonoscopy w/resection can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Colonoscopy w/resection?
Most commercial health insurance plans and Medicare cover Colonoscopy w/resection when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.