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Colorado

Cost of a Colonoscopy Visit
in Colorado

Reviewed by Momentary Medical Group West PC

Colorado's high-altitude environment and outdoor lifestyle contribute to unique digestive health considerations, making colonoscopy access particularly important for the state's 5.8 million residents. Colonoscopy visits in Colorado show significant cost variation, with negotiated insurance rates ranging from $85 to $760, and a median cost of $309 per procedure. The state's 1,571 active colonoscopy providers offer patients numerous options across urban centers like Denver and Boulder as well as rural mountain communities.

Average

$385

Median

$309

Lowest

$85

Highest

$760

Providers

1,571

National avg: $517Colorado: $385

26% below national average

Compare Similar Procedures

How does colonoscopy compare to related procedures in Colorado?

ProcedureCPTLowMedianHighProviders
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$85$344$9691,596
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$85$467$1,2821,413
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$117$243$6271,345
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$85$236$8291,652
ECG / EKG

12-lead electrocardiogram with interpretation

93000$16$26$851,878
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$77$169$4281,528
OB Ultrasound

Obstetric ultrasound, complete

76805$51$104$2751,580

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 45378Diagnostic 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 Colorado

Colorado's colonoscopy costs run approximately 7% above the national average, reflecting the state's higher cost of living and concentration of specialists in expensive metro areas like Boulder and Aspen. The state's unique geography creates significant access disparities between the Front Range urban corridor and remote mountain communities.

Urban vs. Rural Provider Availability

Denver and Colorado Springs offer abundant gastroenterology specialists and multiple ambulatory surgery centers, creating competitive pricing. Rural areas like the Western Slope and Eastern Plains have limited specialist access, often requiring patients to travel hours for procedures. Mountain resort communities like Vail and Telluride have high-cost specialty practices serving both residents and medical tourists.

Facility Type and Overhead Costs

Independent ambulatory surgery centers in Colorado typically charge 30-50% less than hospital outpatient departments for colonoscopy procedures. Major health systems like Presbyterian/Saint Joseph, National Jewish Health, and UCHealth operate higher-cost hospital-based programs but offer comprehensive care coordination. Smaller regional hospitals often contract with traveling gastroenterologists, which can affect scheduling and pricing.

Insurance Market Competition in Colorado

Strong competition between UnitedHealth Group, Anthem, and Kaiser Permanente creates favorable negotiated rates for colonoscopy procedures. The state's robust individual marketplace and employer insurance options give consumers leverage in choosing plans with better gastroenterology networks. Colorado's insurance commissioner actively monitors health plan adequacy, helping maintain reasonable specialist access standards.

Physician Supply and Demand in Colorado

With 1,571 active colonoscopy providers serving Colorado's population, the state maintains adequate specialist supply in urban areas but faces shortages in rural regions. The concentration of providers along the Front Range creates competitive pricing in metro Denver while rural patients face limited options and higher travel costs. Strong demand from Colorado's aging population and outdoor enthusiasts with GI issues keeps appointment availability tight at preferred practices.

JP

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.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Colonoscopy Costs in Colorado

What is the average cost of a Colonoscopy visit in Colorado without insurance?

Uninsured patients in Colorado typically pay between $85 and $760 for a colonoscopy, with a median cost of $309 based on negotiated insurance rates. Self-pay patients can often negotiate discounts of 20-40% off standard charges, particularly at independent ambulatory surgery centers. Additional costs may include anesthesia fees ($200-$400) and pathology charges if biopsies are taken ($100-$300 per specimen).

Does Colorado Medicaid cover Colonoscopy visits?

Yes, Colorado's expanded Medicaid program covers colonoscopy procedures with minimal patient cost-sharing for eligible adults. Screening colonoscopies are covered at 100% for average-risk patients starting at age 45, while diagnostic procedures may require small copays. Prior authorization may be required for certain therapeutic procedures, but routine screening and diagnostic colonoscopies are generally approved without delays.

How do I find an affordable Colonoscopy near me in Colorado?

Compare prices between independent ambulatory surgery centers and hospital outpatient departments, as surgery centers typically charge 30-50% less. Ask about self-pay discounts if you're uninsured, and consider community health centers in Denver, Colorado Springs, and Pueblo for reduced-cost options. Rural patients may find lower-cost providers by traveling to larger cities like Denver or Colorado Springs rather than using local hospital systems.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial gastroenterology consultations typically cost more than follow-up visits, though the colonoscopy procedure cost of $85-$760 (median $309) remains consistent regardless of whether it's your first or subsequent visit with the provider. New patient visits may include more comprehensive evaluation time, while follow-up colonoscopies for surveillance or monitoring are often streamlined. Insurance coverage is generally the same for both initial and follow-up colonoscopy procedures.

Can I use an HSA or FSA to pay for a Colonoscopy visit in Colorado?

Yes, colonoscopy procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes the procedure cost, anesthesia fees, pathology charges, and related pre-procedure consultations. Using HSA funds can provide significant tax savings, particularly for high-deductible health plan members facing the full $309 median cost before meeting their deductible.

How does telemedicine affect the cost of seeing a Colonoscopy in Colorado?

While the colonoscopy procedure itself must be performed in person, initial consultations and follow-up appointments can often be conducted via telemedicine at lower cost. Colorado has strong telehealth coverage requirements, with many insurers covering virtual gastroenterology consultations at the same rate as in-person visits. This can save patients travel time and costs, particularly beneficial for rural Colorado residents who otherwise face long drives to specialist appointments.

Click a state to compare costs

Average Visit Cost

$231
$1,595

Office visit (CPT 45378)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$4,430
$1,595
2North Dakota
Range: $165$2,255
$1,558
3Minnesota
Range: $90$2,255
$1,217
4South Dakota
Range: $85$2,255
$895
5Massachusetts
Range: $113$1,830
$815
6Rhode Island
Range: $91$1,830
$781
7Connecticut
Range: $90$1,830
$748
8Delaware
Range: $95$1,830
$747
9Pennsylvania
Range: $85$1,830
$746
10New York
Range: $101$1,830
$743
11West Virginia
Range: $85$1,395
$612
12Nebraska
Range: $265$815
$594
13New Hampshire
Range: $204$956
$571
14Wyoming
Range: $158$1,057
$530
15North Carolina
Range: $90$1,065
$511
16Georgia
Range: $90$982
$507
17New Jersey
Range: $110$1,117
$505
18New Mexico
Range: $168$954
$502
19Iowa
Range: $85$944
$498
20Maine
Range: $220$674
$485
21Illinois
Range: $85$901
$443
22Utah
Range: $85$741
$441
23District of Columbia
Range: $126$815
$437
24Indiana
Range: $81$835
$425
25Vermont
Range: $106$801
$418
26Missouri
Range: $174$634
$417
27Washington
Range: $80$856
$411
28Oregon
Range: $80$836
$408
29Kentucky
Range: $85$814
$408
30Maryland
Range: $162$712
$396
31Michigan
Range: $92$768
$395
32Colorado
Range: $85$760
$385
33Hawaii
Range: $85$757
$385
34Mississippi
Range: $151$719
$381
35Alabama
Range: $147$649
$373
36Virginia
Range: $124$682
$368
37Louisiana
Range: $116$670
$366
38South Carolina
Range: $90$695
$363
39Idaho
Range: $80$735
$363
40Nevada
Range: $204$553
$351
41Arkansas
Range: $85$634
$345
42Texas
Range: $85$634
$336
43Kansas
Range: $174$530
$331
44Ohio
Range: $85$565
$325
45Tennessee
Range: $90$582
$320
46Oklahoma
Range: $85$606
$303
47Arizona
Range: $155$472
$300
48California
Range: $85$647
$272
49Alaska
Range: $80$648
$269
50Montana
Range: $80$538
$233
51Florida
Range: $35$604
$231
Colonoscopy in Other States