# Colonoscopy with ultrasound: what Premera Blue Cross pays, by state

A colonoscopy that also uses an ultrasound probe on the scope.

- Insurer: Premera Blue Cross
- Billing code: 45391 (Digestive procedures)
- Price shown: negotiated in-network price, surgery center / hospital outpatient, doctor's fee
- Prices as of: 2026-10-02
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Named in files | Lowest | 25th pct | Median | 75th pct | Highest | Medicare pays | Median vs Medicare |
|---|---|---|---|---|---|---|---|---|---|
| Alabama | 2 | 47 | $346.86 | $346.86 | $346.86 | $346.86 | $346.86 | $211.67 | 1.6x Medicare |
| Alaska | 639 | 6,074 | $341.56 | $1,024.65 | $1,024.65 | $1,024.65 | $3,495.87 | $298.08 | 3.4x Medicare |
| Arizona | 25 | 375 | $341.56 | $346.86 | $346.86 | $1,024.65 | $1,024.65 | $221.94 | 1.6x Medicare |
| California | 79 | 1,099 | $341.56 | $342.00 | $346.86 | $346.86 | $1,024.65 | $234.82 | 1.5x Medicare |
| Colorado | 13 | 330 | $341.56 | $342.15 | $346.86 | $346.86 | $1,024.65 | $228.11 | 1.5x Medicare |
| Connecticut | 2 | 66 | $346.86 | $516.31 | $685.76 | $855.20 | $1,024.65 | $237.11 | 2.9x Medicare |
| Delaware | 1 | 18 | $346.86 | $346.86 | $346.86 | $346.86 | $346.86 | $224.52 | 1.5x Medicare |
| District of Columbia | 2 | 31 | $346.86 | $346.86 | $346.86 | $346.86 | $346.86 | $246.59 | 1.4x Medicare |
| Florida | 23 | 334 | $341.56 | $346.86 | $346.86 | $346.86 | $1,024.65 | $241.81 | 1.4x Medicare |
| Georgia | 8 | 152 | $341.56 | $346.86 | $346.86 | $1,024.65 | $1,024.65 | $226.87 | 1.5x Medicare |
| Guam | 1 | 3 | $346.86 | $346.86 | $346.86 | $346.86 | $346.86 |  |  |
| Hawaii | 8 | 95 | $346.86 | $346.86 | $346.86 | $685.76 | $1,024.65 | $227.29 | 1.5x Medicare |
| Idaho | 103 | 1,201 | $341.56 | $346.86 | $346.86 | $346.86 | $1,024.65 | $212.80 | 1.6x Medicare |
| Illinois | 20 | 262 | $341.56 | $346.86 | $346.86 | $346.86 | $1,024.65 | $239.58 | 1.4x Medicare |
| Indiana | 11 | 98 | $341.56 | $346.86 | $346.86 | $516.31 | $1,024.65 | $213.42 | 1.6x Medicare |
| Iowa | 3 | 62 | $346.86 | $346.86 | $346.86 | $346.86 | $346.86 | $211.26 | 1.6x Medicare |
| Kansas | 6 | 61 | $341.56 | $343.33 | $346.86 | $346.86 | $1,024.65 | $212.36 | 1.6x Medicare |
| Kentucky | 3 | 50 | $346.86 | $685.76 | $1,024.65 | $1,024.65 | $1,024.65 | $218.21 | 4.7x Medicare |
| Louisiana | 3 | 48 | $346.86 | $346.86 | $346.86 | $685.76 | $1,024.65 | $221.78 | 1.6x Medicare |
| Maryland | 14 | 130 | $346.86 | $346.86 | $346.86 | $346.86 | $1,024.65 | $231.86 | 1.5x Medicare |
| Massachusetts | 10 | 167 | $341.56 | $345.68 | $346.86 | $516.31 | $1,024.65 | $235.13 | 1.5x Medicare |
| Michigan | 18 | 164 | $341.56 | $346.86 | $346.86 | $346.86 | $1,024.65 | $229.21 | 1.5x Medicare |
| Minnesota | 15 | 132 | $341.56 | $341.86 | $346.86 | $346.86 | $1,024.65 | $216.31 | 1.6x Medicare |
| Mississippi | 4 | 22 | $341.56 | $342.00 | $344.51 | $516.31 | $1,024.65 | $213.68 | 1.6x Medicare |
| Missouri | 7 | 107 | $346.86 | $346.86 | $346.86 | $346.86 | $1,024.65 | $221.03 | 1.6x Medicare |
| Montana | 6 | 134 | $346.86 | $346.86 | $346.86 | $1,024.65 | $1,024.65 | $226.09 | 1.5x Medicare |
| Nevada | 10 | 123 | $346.86 | $346.86 | $346.86 | $346.86 | $1,024.65 | $223.45 | 1.6x Medicare |
| New Jersey | 7 | 83 | $341.56 | $341.56 | $341.56 | $341.86 | $346.86 | $242.66 | 1.4x Medicare |
| New Mexico | 9 | 112 | $346.86 | $346.86 | $346.86 | $346.86 | $1,024.65 | $224.53 | 1.5x Medicare |
| New York | 23 | 301 | $341.56 | $346.86 | $346.86 | $346.86 | $1,024.65 | $245.96 | 1.4x Medicare |
| North Carolina | 11 | 201 | $341.56 | $341.56 | $346.86 | $346.86 | $1,024.65 | $216.28 | 1.6x Medicare |
| North Dakota | 3 | 36 | $346.86 | $346.86 | $346.86 | $346.86 | $346.86 | $216.40 | 1.6x Medicare |
| Ohio | 11 | 193 | $341.56 | $346.86 | $346.86 | $346.86 | $1,024.65 | $221.14 | 1.6x Medicare |
| Oklahoma | 9 | 69 | $341.56 | $346.86 | $346.86 | $1,024.65 | $1,024.65 | $216.18 | 1.6x Medicare |
| Oregon | 123 | 1,360 | $341.56 | $346.86 | $346.86 | $346.86 | $1,024.65 | $225.96 | 1.5x Medicare |
| Pennsylvania | 24 | 187 | $341.56 | $341.86 | $346.86 | $346.86 | $1,024.65 | $227.41 | 1.5x Medicare |
| Rhode Island | 2 | 10 | $346.86 | $516.31 | $685.76 | $855.20 | $1,024.65 | $229.16 | 3.0x Medicare |
| South Carolina | 3 | 80 | $346.86 | $685.76 | $1,024.65 | $1,024.65 | $1,024.65 | $219.20 | 4.7x Medicare |
| South Dakota | 2 | 23 | $346.86 | $346.86 | $346.86 | $346.86 | $346.86 | $215.26 | 1.6x Medicare |
| Tennessee | 3 | 85 | $341.56 | $341.86 | $342.15 | $344.51 | $346.86 | $213.20 | 1.6x Medicare |
| Texas | 41 | 620 | $341.56 | $346.86 | $346.86 | $346.86 | $1,024.65 | $224.88 | 1.5x Medicare |
| Utah | 9 | 163 | $342.15 | $346.86 | $346.86 | $855.20 | $1,024.65 | $220.93 | 1.6x Medicare |
| Vermont | 1 | 26 | $346.86 | $346.86 | $346.86 | $346.86 | $346.86 | $217.45 | 1.6x Medicare |
| Virginia | 7 | 159 | $341.56 | $346.86 | $346.86 | $516.31 | $1,024.65 | $220.31 | 1.6x Medicare |
| Washington | 5,259 | 56,210 | $258.56 | $346.86 | $346.86 | $346.86 | $1,377.32 | $235.66 | 1.5x Medicare |
| West Virginia | 3 | 21 | $346.86 | $346.86 | $346.86 | $685.76 | $1,024.65 | $225.48 | 1.5x Medicare |
| Wisconsin | 9 | 142 | $341.56 | $346.86 | $346.86 | $346.86 | $1,024.65 | $212.33 | 1.6x Medicare |
| Wyoming | 1 | 25 | $346.86 | $346.86 | $346.86 | $685.76 | $1,024.65 | $221.87 | 1.6x Medicare |

**“x Medicare”** compares each price with what original Medicare pays a doctor for the same service in the same state under its physician fee schedule (RVU26D, in force from 2026-10-01) — the lower price a doctor is paid when a hospital or surgery center provides the room and equipment. Insurers write their contracts as a share of Medicare, so 1.3x means the insurer pays 30% more than Medicare would; Medicare Advantage plans generally pay close to 1.0x.

Premera Blue Cross’s files name **71,491 providers** for this procedure; **6,596** are counted here: the clinicians whose specialty performs it and the practices, clinics and hospitals. Insurers attach their whole fee schedule to every contracted provider, so the rest are clinicians listed at a price for something they never do; counting them would inflate the provider count and pull the typical price towards the fee schedule’s floor.

Prices are what the insurer has agreed to pay, not what you will be billed. This is a statewide summary: prices vary far more between towns and between practices than these medians suggest, and "providers" counts everyone with a contracted price, not only those who perform the procedure.

Map: https://medicalpricetransparency.netlify.app/insurers/premera/statemap_45391_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)