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Colonoscopy

Cost of a Colonoscopy Visit:
$269-$1,217

How much does a colonoscopy visit cost? The national median negotiated rate for CPT 45378 is $417, with rates ranging from $269 to $1,217 across 137,317 providers.

National Median

$417

Low End (P5)

$269

High End (P95)

$1,217

Providers

137,317

Colonoscopy Visit Costs by State

Click any state to see detailed colonoscopy visit pricing. Colors represent the median negotiated rate for CPT 45378.

Median Visit Cost

$269
$1,217

Colonoscopy Visit Cost by State: All 50 States Ranked

States ranked from lowest to highest median colonoscopy visit rate for CPT 45378 (Diagnostic colonoscopy, flexible).

RankStateAverage
1Wisconsin
Range: $73$4,430
$281
2North Dakota
Range: $165$2,255
$2,255
3Minnesota
Range: $90$2,255
$1,305
4South Dakota
Range: $85$2,255
$345
5Massachusetts
Range: $113$1,830
$500
6Rhode Island
Range: $91$1,830
$423
7Connecticut
Range: $90$1,830
$323
8Delaware
Range: $95$1,830
$317
9Pennsylvania
Range: $85$1,830
$323
10New York
Range: $101$1,830
$298
11West Virginia
Range: $85$1,395
$357
12Nebraska
Range: $265$815
$701
13New Hampshire
Range: $204$956
$553
14Wyoming
Range: $158$1,057
$375
15North Carolina
Range: $90$1,065
$378
16Georgia
Range: $90$982
$448
17New Jersey
Range: $110$1,117
$289
18New Mexico
Range: $168$954
$384
19Iowa
Range: $85$944
$466
20Maine
Range: $220$674
$561
21Illinois
Range: $85$901
$344
22Utah
Range: $85$741
$499
23District of Columbia
Range: $126$815
$368
24Indiana
Range: $81$835
$359
25Vermont
Range: $106$801
$347
26Missouri
Range: $174$634
$444
27Washington
Range: $80$856
$298
28Oregon
Range: $80$836
$309
29Kentucky
Range: $85$814
$324
30Maryland
Range: $162$712
$312
31Michigan
Range: $92$768
$327
32Colorado
Range: $85$760
$309
33Hawaii
Range: $85$757
$312
34Mississippi
Range: $151$719
$273
35Alabama
Range: $147$649
$323
36Virginia
Range: $124$682
$297
37Louisiana
Range: $116$670
$314
38South Carolina
Range: $90$695
$304
39Idaho
Range: $80$735
$273
40Nevada
Range: $204$553
$295
41Arkansas
Range: $85$634
$316
42Texas
Range: $85$634
$291
43Kansas
Range: $174$530
$289
44Ohio
Range: $85$565
$326
45Tennessee
Range: $90$582
$288
46Oklahoma
Range: $85$606
$218
47Arizona
Range: $155$472
$273
48California
Range: $85$647
$85
49Alaska
Range: $80$648
$80
50Montana
Range: $80$538
$80
51Florida
Range: $35$604
$55

Frequently Asked Questions

How much does a colonoscopy cost without insurance?

The average negotiated rate for a colonoscopy (CPT 45378) is $517 nationally. Rates typically range from $269 to $1,217 depending on your state and provider. Without insurance, you may pay the provider's full charge rate, which can be 2-3x higher than negotiated rates.

How much does a colonoscopy cost with insurance?

With insurance, your out-of-pocket cost for a colonoscopy depends on your plan's copay, coinsurance, and whether you've met your deductible. The average insurer-negotiated rate is $517. Most plans charge a specialist copay of $30-$75, or you may owe a percentage (typically 20-30%) after your deductible is met.

Why do colonoscopy costs vary by state?

Healthcare costs vary significantly by state due to differences in cost of living, provider supply and demand, state regulations, and negotiated rates between insurers and providers. Urban areas and states with higher costs of living (like New York and California) tend to have higher rates.

What does CPT code 45378 cover?

CPT 45378 is the billing code for: Diagnostic colonoscopy, flexible. This is one of the standard codes used when billing for this procedure.

What factors affect the cost of a colonoscopy?

Several factors influence the cost: (1) Your geographic location — rates vary 2-3x between states, (2) Whether you have insurance and which plan, (3) Whether the provider is in-network, (4) The complexity of your case, (5) The facility where the procedure is performed.

Get Your Personalized Cost Estimate

These are the negotiated rates providers across the US are contracted to accept. Your personal share depends on your deductible and coinsurance. Call your insurer's member line with CPT code 45378 to get your exact estimate or talk to our AI to get your answers.

Written by Jayant Panwar | Last reviewed: Q1 2026

Rates sourced from Transparency in Coverage machine-readable files (Q1 2026). Negotiated rates are contracted prices between insurers and individual providers and do not represent guaranteed patient out-of-pocket costs. Actual costs depend on insurance plan terms, deductible status, coinsurance rate, and specific services received.