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Connecticut

Cost of a Colonoscopy Visit
in Connecticut

Reviewed by Momentary Medical Group West PC

Connecticut's healthcare costs run approximately 14% above the national average, reflecting the state's concentration of major medical centers and academic hospitals. For Colonoscopy visits, Connecticut patients typically see negotiated rates ranging from $90 to $1,830, with a median cost of $323 based on insurance company agreements with over 400 active providers statewide. Residents can browse all participating Colonoscopy specialists across Connecticut to find quality care that fits their budget and location preferences.

Average

$748

Median

$323

Lowest

$90

Highest

$1,830

Providers

426

National avg: $517Connecticut: $748

45% above national average

Compare Similar Procedures

How does colonoscopy compare to related procedures in Connecticut?

ProcedureCPTLowMedianHighProviders
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$85$475$2,117445
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$213$525$2,338437
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$118$301$683414
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$85$402$1,647461
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$63$931,940
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$64$127$6771,444
OB Ultrasound

Obstetric ultrasound, complete

76805$45$70$328895

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 Connecticut

Healthcare costs in Connecticut run approximately 14% above national averages, driven by the state's concentration of prestigious medical institutions and higher operational expenses. The state's compact geography creates unique market dynamics where patients can easily travel between urban medical centers and suburban specialty practices.

Urban vs. Rural Provider Availability

Connecticut's urban corridors from Hartford to New Haven concentrate most specialty providers, while rural areas in the northwest and eastern regions have limited options. This geographic distribution forces some patients to travel significant distances for specialized care, potentially affecting both access and pricing. Urban practices benefit from higher patient volumes but face elevated overhead costs compared to suburban counterparts.

Facility Type and Overhead Costs

Connecticut's healthcare landscape includes major academic medical centers like Yale-New Haven and Hartford Hospital alongside numerous community hospitals and independent practices. Hospital-owned specialty clinics typically charge facility fees that can double the total visit cost compared to independent physician offices. The state's high real estate and operational costs particularly impact hospital-based practices in urban areas.

Insurance Market Competition in Connecticut

Anthem, Cigna, and UnitedHealthcare dominate Connecticut's commercial insurance market, creating moderate competition that influences negotiated rates with providers. The presence of multiple major insurers prevents any single company from dictating pricing terms entirely. This competitive environment generally benefits patients through more reasonable negotiated rates compared to monopolistic markets.

Physician Supply and Demand in Connecticut

With over 400 active Colonoscopy providers serving Connecticut's 3.6 million residents, the state maintains adequate specialist availability relative to population. This healthy provider-to-patient ratio helps moderate pricing pressure while maintaining reasonable appointment availability. The concentration of medical training programs in Connecticut continues to attract specialists to practice in the state.

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 Connecticut

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

Connecticut patients without insurance can expect Colonoscopy visits to range from $90 to $1,830, with a median cost of $323 based on negotiated rates between insurers and providers. Self-pay patients may qualify for discounts of 20-40% when paying at the time of service. Many Connecticut providers offer payment plans or sliding fee scales for uninsured patients to make care more affordable.

Does Connecticut Medicaid cover Colonoscopy visits?

Yes, Connecticut expanded Medicaid under the Affordable Care Act, providing comprehensive coverage for medically necessary Colonoscopy visits and procedures. Medicaid typically covers both screening and diagnostic colonoscopies when performed by participating providers. Patients may need referrals from their primary care physicians and should verify that their chosen gastroenterologist accepts Connecticut Medicaid before scheduling.

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

Compare costs across different facility types, as independent practices often charge less than hospital-based specialty clinics that add facility fees. Ask about self-pay discounts, which many Connecticut providers offer for patients paying at the time of service. Community health centers throughout Connecticut may provide colonoscopy services on sliding fee scales based on income for qualifying patients.

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

Initial Colonoscopy consultations typically cost more than follow-up visits due to the comprehensive evaluation required during first appointments. Based on the available data showing a median cost of $323 for colonoscopy procedures, consultation visits would likely fall within a lower range. Follow-up visits generally focus on specific issues or post-procedure care, requiring less time and fewer resources than comprehensive initial evaluations.

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

Yes, both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to pay for medically necessary Colonoscopy visits and procedures in Connecticut. These accounts allow you to use pre-tax dollars for qualified medical expenses, effectively reducing your out-of-pocket costs. Keep receipts for tax purposes and verify that your specific procedure qualifies as a medical expense under current IRS guidelines.

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

Telemedicine consultations with gastroenterologists typically cost 30-50% less than in-person visits and can be useful for initial consultations, follow-up discussions, or reviewing test results. However, colonoscopy procedures themselves require in-person visits to specialized facilities with appropriate equipment. Connecticut providers increasingly offer telehealth options for pre-procedure consultations and post-procedure follow-ups, potentially reducing overall care costs while maintaining quality.

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