Colonoscopy With Biopsy Cost in North Carolina
Colonoscopy and biopsy
North Carolina Average Cost (2026)
-5.9% vs national avgAverage across 1 Medicare locality in North Carolina
National Average
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About Colonoscopy With Biopsy Costs in North Carolina
The average Medicare reimbursement for colonoscopy with biopsy in North Carolina is $451.45 for an office setting and $169.43 in a hospital. This is about 6% lower than the national average of $479.97.
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in North Carolina, that would be roughly $90 for an office visit or $34 in a hospital setting.
Private insurance plans in North Carolina typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $587 and $903.
Without insurance, you may be able to negotiate a cash discount. Many providers in North Carolina will reduce their fees by 20% to 40% for self-pay patients. Always ask about cash pricing before scheduling your procedure.
Ways to Save on Colonoscopy With Biopsy
Compare Insurance Plans
Uninsured? Comparing marketplace plans in North Carolina could save you thousands on procedures like this.
Compare plans on eHealth →Try Telehealth First
Many consultations can be done virtually for $50-100, saving hundreds vs an in-person visit.
Book on Sesame Care →Save on Prescriptions
If this procedure leads to a prescription, check discount cards for up to 80% savings.
Check prices on GoodRx →Some links are affiliate links. We may earn a commission at no extra cost to you.
More ways to save →Other Procedures in North Carolina
Colonoscopy With Biopsy Cost by State
Colonoscopy With Biopsy in North Carolina: Frequently Asked Questions
How much does colonoscopy with biopsy cost in North Carolina?
The average 2026 Medicare rate for colonoscopy with biopsy (CPT 45380) in North Carolina is $451.45 in an office setting and $169.43 in a hospital. Private insurance typically pays $587 to $903, and self-pay cash prices often run $361 to $677.
Is colonoscopy with biopsy cheaper in North Carolina than the national average?
North Carolina is about 6% lower than the national average of $479.97. Across all states, North Carolina ranks #15 of 49 for this procedure. The cheapest state is Arkansas ($423.81) and the most expensive is Alaska ($554.38).
What will I pay out of pocket for colonoscopy with biopsy in North Carolina with Medicare?
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. In North Carolina that is roughly $90 for an office visit or $34 in a hospital setting.
How can I save on colonoscopy with biopsy in North Carolina?
Ask providers for a cash or self-pay price before scheduling; many in North Carolina reduce fees 20% to 40% for self-pay patients. If you are uninsured, comparing marketplace plans, using telehealth for consultations, and checking prescription discount cards can cut costs further.