Surgery · procedure code 45380

Colonoscopy with biopsy cost in Alabama

Troy, AL has 50 filings for Colonoscopy with biopsy. We need 100 before we will publish a market figure, so this page shows Alabama instead and says so. These are the rates plans published under federal law. Not billed charges, and nothing here is scaled, adjusted or estimated to stand in for the market we do not hold.

State market

Colonoscopy with biopsy

AL · procedure code 45380

Statewide· n=11,444Pooled filings, payers not identified

We do not have a publishable distribution for Troy, AL, so this is the AL market instead. The label above says so on purpose.

Medicare
$358
25th
$790
Median
$838
75th
$1,104
90th
$35825th
$790Median
$83875th
$1,10490th
$430Medicare

Middle price

$790

Half of this market is above it, half below

Middle half spans

$358 to $838

2.3x from low to high

The expensive end

$1,104

What the priciest providers charge

Medicare reference · Alabama (nearest published locality)

$430

Performed in an office

$166

Physician fee in a facility

Read this carefully. The facility figure is the physician fee only. When the same service happens in a hospital outpatient department, the hospital bills its own facility payment on top, and that amount is not in this dataset. So the lower number here does not mean the hospital is the cheaper site. It usually is not. We will not publish a total cost by site of service until we hold the facility payment.

Negotiated prices from published filings, reported only where the sample supports it. Statewide peer distribution, not a single-city sample. What plans have agreed to pay, not what a patient is billed. Filings as of July 20, 2026.

Reading it

What this distribution actually says.

The spread

The middle half of this market runs from $358 to $838, a 2.3x difference for the same procedure code in the same city. That gap is between contracts, not between quality.

Against Medicare

Medicare pays $430 for this service at its Alabama locality. We do not turn that into a percentage here, because the price above is Alabama and that Medicare figure is one locality inside it. Two different maps do not divide.

The expensive end

One in ten filings sits at or above $1,104. If a plan's network is weighted toward that end, the difference does not show up in a premium quote. It shows up in the claims.

How wide the data runs

The carriers that filed for this procedure in this market. What each plan has agreed to pay, side by side. These are prices, not bills, so they do not show how often anyone needs it.

The same service elsewhere

Colonoscopy with biopsy across other markets.

Local · metro5 of 6 measured locally
MarketLow endMiddleHigh endProvidersBasis
Alabama this page$358$790$83811,444Statewide
Birmingham, AL$410$838$9643,777Local · metro
Huntsville, AL$403$807$8381,230Local · metro
Mobile, AL$399$681$8381,031Local · metro
Montgomery, AL$303$838$838787Local · metro
Tuscaloosa, AL$280$838$838431Local · metro

Put this in front of a client.

Every figure on this page carries its source, its scope and the date the corpus was built, so it survives being forwarded to someone who was not in the meeting.

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