Colonoscopy (Diagnostic) Cost in Virginia

Diagnostic colonoscopy

CPT 45378

Virginia Average Cost (2026)

-2.2% vs national avg

Average across 1 Medicare locality in Virginia

Virginia (Office)
$369.68
Non-facility rate
Virginia (Hospital)
$159.88
Facility rate
Private Insurance Est.
$481 - $739
130-200% of Medicare
Self-Pay / Cash Est.
$296 - $555
80-150% of Medicare

National Average

Office Rate$378.10
Hospital Rate$164.67

State Ranking

Virginia rank#25 of 49
Cheapest stateArkansas ($335.05)
Most expensiveAlaska ($441.84)

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About Colonoscopy (Diagnostic) Costs in Virginia

The average Medicare reimbursement for colonoscopy (diagnostic) in Virginia is $369.68 for an office setting and $159.88 in a hospital. This is about 2% lower than the national average of $378.10.

Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in Virginia, that would be roughly $74 for an office visit or $32 in a hospital setting.

Private insurance plans in Virginia typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $481 and $739.

Without insurance, you may be able to negotiate a cash discount. Many providers in Virginia 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 (Diagnostic)

Compare Insurance Plans

Uninsured? Comparing marketplace plans in Virginia 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.

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Colonoscopy (Diagnostic) in Virginia: Frequently Asked Questions

How much does colonoscopy (diagnostic) cost in Virginia?

The average 2026 Medicare rate for colonoscopy (diagnostic) (CPT 45378) in Virginia is $369.68 in an office setting and $159.88 in a hospital. Private insurance typically pays $481 to $739, and self-pay cash prices often run $296 to $555.

Is colonoscopy (diagnostic) cheaper in Virginia than the national average?

Virginia is about 2% lower than the national average of $378.10. Across all states, Virginia ranks #25 of 49 for this procedure. The cheapest state is Arkansas ($335.05) and the most expensive is Alaska ($441.84).

What will I pay out of pocket for colonoscopy (diagnostic) in Virginia with Medicare?

Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. In Virginia that is roughly $74 for an office visit or $32 in a hospital setting.

How can I save on colonoscopy (diagnostic) in Virginia?

Ask providers for a cash or self-pay price before scheduling; many in Virginia 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.

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts and may not reflect actual charges. Private insurance and self-pay estimates are approximations based on industry averages.