Cost of a Colonoscopy Visit
in Alabama
Reviewed by Momentary Medical Group West PC
Alabama's healthcare market operates at approximately 8% below national cost averages, offering residents more affordable specialty care options across the state's diverse geographic regions. Colonoscopy visit costs in Alabama typically range from $147 to $649, with a median negotiated rate of $323 based on transparency data from major insurers. With over 2,390 active Colonoscopy providers practicing throughout Alabama, patients can browse all available specialists to find quality care that fits their budget and location preferences.
Average
$373
Median
$323
Lowest
$147
Highest
$649
Providers
2,390
28% below national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in Alabama?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $372 | $762 | 2,672 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $412 | $870 | 2,649 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $98 | $239 | $500 | 2,364 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $269 | $566 | 2,667 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $11 | $19 | $80 | 2,739 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $60 | $148 | $329 | 2,687 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $39 | $81 | $189 | 2,668 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 45378 — Diagnostic colonoscopy, flexible). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 45378 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 45378 (Diagnostic colonoscopy, flexible), as mandated by the CMS Price Transparency Rule.
What CPT 45378 covers: the provider's professional fee for colonoscopy. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Why Colonoscopy Visit Costs Vary Across Alabama
Alabama's healthcare costs run approximately 8% below national averages, reflecting the state's lower overall cost of living and competitive provider market. The state's healthcare landscape spans from sophisticated medical centers in Birmingham and Huntsville to rural areas where specialty access can be limited.
Urban vs. Rural Provider Availability
Alabama's major metropolitan areas like Birmingham, Montgomery, and Mobile concentrate most gastroenterology specialists, while rural counties often have limited or no local colonoscopy providers. Patients in rural Alabama frequently travel 50-100 miles for specialty care, potentially adding travel costs but sometimes finding lower procedure fees. The state's rural hospital closures have increased the distance many residents must travel for outpatient procedures.
Facility Type and Overhead Costs
Hospital-owned outpatient centers in Alabama typically charge higher facility fees than independent ambulatory surgery centers due to increased overhead and regulatory requirements. Major health systems like UAB Health System and Baptist Health dominate urban markets, while smaller independent practices often offer more competitive pricing. Free-standing endoscopy centers generally provide the most cost-effective option for routine colonoscopy procedures.
Insurance Market Competition in Alabama
Blue Cross Blue Shield of Alabama holds a dominant market position, limiting competitive pressure that might otherwise drive down negotiated rates with providers. The ACA marketplace has few insurer options in most Alabama counties, reducing consumer choice and price competition. This concentrated market allows dominant insurers to negotiate more aggressively with providers, sometimes benefiting consumers through lower premiums but potentially limiting provider networks.
Physician Supply and Demand in Alabama
With over 2,390 providers offering colonoscopy services, Alabama maintains adequate specialist availability in urban areas but faces shortages in rural regions. This geographic mismatch creates longer wait times and higher costs in underserved areas while fostering competition in cities like Birmingham and Huntsville. The robust provider supply in metropolitan areas helps keep procedure costs competitive and reduces scheduling delays for routine screenings.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Colonoscopy Costs in Alabama
What is the average cost of a Colonoscopy visit in Alabama without insurance?
Does Alabama Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in Alabama?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Colonoscopy visit in Alabama?
How does telemedicine affect the cost of seeing a Colonoscopy in Alabama?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 45378)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $4,430 | $1,595 |
| 2 | North Dakota Range: $165 – $2,255 | $1,558 |
| 3 | Minnesota Range: $90 – $2,255 | $1,217 |
| 4 | South Dakota Range: $85 – $2,255 | $895 |
| 5 | Massachusetts Range: $113 – $1,830 | $815 |
| 6 | Rhode Island Range: $91 – $1,830 | $781 |
| 7 | Connecticut Range: $90 – $1,830 | $748 |
| 8 | Delaware Range: $95 – $1,830 | $747 |
| 9 | Pennsylvania Range: $85 – $1,830 | $746 |
| 10 | New York Range: $101 – $1,830 | $743 |
| 11 | West Virginia Range: $85 – $1,395 | $612 |
| 12 | Nebraska Range: $265 – $815 | $594 |
| 13 | New Hampshire Range: $204 – $956 | $571 |
| 14 | Wyoming Range: $158 – $1,057 | $530 |
| 15 | North Carolina Range: $90 – $1,065 | $511 |
| 16 | Georgia Range: $90 – $982 | $507 |
| 17 | New Jersey Range: $110 – $1,117 | $505 |
| 18 | New Mexico Range: $168 – $954 | $502 |
| 19 | Iowa Range: $85 – $944 | $498 |
| 20 | Maine Range: $220 – $674 | $485 |
| 21 | Illinois Range: $85 – $901 | $443 |
| 22 | Utah Range: $85 – $741 | $441 |
| 23 | District of Columbia Range: $126 – $815 | $437 |
| 24 | Indiana Range: $81 – $835 | $425 |
| 25 | Vermont Range: $106 – $801 | $418 |
| 26 | Missouri Range: $174 – $634 | $417 |
| 27 | Washington Range: $80 – $856 | $411 |
| 28 | Oregon Range: $80 – $836 | $408 |
| 29 | Kentucky Range: $85 – $814 | $408 |
| 30 | Maryland Range: $162 – $712 | $396 |
| 31 | Michigan Range: $92 – $768 | $395 |
| 32 | Colorado Range: $85 – $760 | $385 |
| 33 | Hawaii Range: $85 – $757 | $385 |
| 34 | Mississippi Range: $151 – $719 | $381 |
| 35 | Alabama Range: $147 – $649 | $373 |
| 36 | Virginia Range: $124 – $682 | $368 |
| 37 | Louisiana Range: $116 – $670 | $366 |
| 38 | South Carolina Range: $90 – $695 | $363 |
| 39 | Idaho Range: $80 – $735 | $363 |
| 40 | Nevada Range: $204 – $553 | $351 |
| 41 | Arkansas Range: $85 – $634 | $345 |
| 42 | Texas Range: $85 – $634 | $336 |
| 43 | Kansas Range: $174 – $530 | $331 |
| 44 | Ohio Range: $85 – $565 | $325 |
| 45 | Tennessee Range: $90 – $582 | $320 |
| 46 | Oklahoma Range: $85 – $606 | $303 |
| 47 | Arizona Range: $155 – $472 | $300 |
| 48 | California Range: $85 – $647 | $272 |
| 49 | Alaska Range: $80 – $648 | $269 |
| 50 | Montana Range: $80 – $538 | $233 |
| 51 | Florida Range: $35 – $604 | $231 |