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Georgia

Cost of a Colonoscopy Visit
in Georgia

Reviewed by Momentary Medical Group West PC

Georgia's healthcare market operates at approximately 1% below national averages, yet colonoscopy costs can range dramatically from $90 to $982 depending on your provider and location. Most patients pay between these extremes, with negotiated insurance rates typically falling around $448 for the procedure. Georgia maintains over 3,100 active colonoscopy providers across the state, giving patients substantial choice when selecting a gastroenterologist or facility for their screening or diagnostic needs.

Average

$507

Median

$448

Lowest

$90

Highest

$982

Providers

3,108

National avg: $517Georgia: $507

2% below national average

Compare Similar Procedures

How does colonoscopy compare to related procedures in Georgia?

ProcedureCPTLowMedianHighProviders
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$85$525$1,2503,159
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$225$632$1,3102,968
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$119$350$8302,875
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$85$396$1,0843,187
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$29$933,676
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$68$206$6533,205
OB Ultrasound

Obstetric ultrasound, complete

76805$50$118$3193,173

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 Georgia

Georgia's healthcare costs run approximately 1% below national averages, reflecting the state's mix of competitive urban markets and underserved rural regions. This positioning creates opportunities for patients willing to travel between different metro areas or consider suburban alternatives to downtown Atlanta facilities.

Urban vs. Rural Provider Availability

Metro Atlanta contains the highest concentration of Georgia's 3,100+ colonoscopy providers, creating competitive pricing and shorter wait times for patients in Fulton, DeKalb, and surrounding counties. Rural areas like Southwest Georgia and the mountains face significant provider shortages, often requiring patients to travel 60+ miles for specialized gastroenterology care. This geographic disparity means rural patients may pay higher effective costs when factoring in travel time and lodging expenses for procedures.

Facility Type and Overhead Costs

Major health systems like Emory Healthcare, Piedmont Healthcare, and Augusta University Health operate hospital-based endoscopy centers that typically charge higher facility fees than independent practices. Ambulatory surgery centers have grown rapidly across Georgia's suburbs, offering cost-effective alternatives for routine screening colonoscopies without the overhead of full hospital facilities. Free-standing endoscopy centers often negotiate lower rates with insurers while maintaining quality accreditation standards.

Insurance Market Competition in Georgia

Anthem Blue Cross Blue Shield holds significant market share in Georgia, followed by UnitedHealthcare and Cigna competing primarily in employer-sponsored plans. This relatively concentrated market gives insurers substantial negotiating power with providers, helping keep average costs below national levels. However, limited competition in rural markets can result in higher prices where patients have fewer in-network options.

Physician Supply and Demand in Georgia

Georgia's large population of over 10.7 million residents is served by approximately 3,100 providers offering colonoscopy services, indicating reasonable supply in aggregate numbers. However, distribution heavily favors metro areas, with gastroenterology subspecialists particularly concentrated in Atlanta, Augusta, and Savannah. This supply-demand imbalance means suburban and rural patients often face longer scheduling delays, though competitive pricing remains available for those willing to shop around within reasonable driving distance.

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 Georgia

What is the average cost of a colonoscopy visit in Georgia without insurance?

Uninsured patients in Georgia typically pay between $90 and $982 for colonoscopy procedures, with most facilities charging around $448 based on negotiated insurance rates. Many practices offer cash-pay discounts of 20-40% for patients who pay upfront, potentially reducing costs below what some insured patients pay after deductibles. The final amount depends heavily on facility type, with ambulatory surgery centers generally offering lower prices than hospital outpatient departments.

Does Georgia Medicaid cover colonoscopy visits?

Traditional Georgia Medicaid covers colonoscopy procedures for eligible patients, though the state chose not to expand Medicaid under the Affordable Care Act. This means adults earning between 44% and 138% of the federal poverty level often lack coverage options, while those below 44% may qualify for traditional Medicaid benefits. Covered procedures include both screening and diagnostic colonoscopies when medically necessary, subject to prior authorization requirements in some cases.

How do I find an affordable colonoscopy near me in Georgia?

Compare prices between ambulatory surgery centers and hospital outpatient departments, as ASCs typically offer lower facility fees for routine procedures. Ask about cash-pay discounts if you're uninsured or facing high deductibles, and consider community health centers in areas like Atlanta, Augusta, or Columbus for sliding-fee scale options. Shopping between different metro areas within reasonable driving distance can reveal significant price variations for the same procedure.

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 due to the comprehensive evaluation required during first appointments. New patient visits involve detailed medical history review, physical examination, and treatment planning, while established patient follow-ups focus on specific issues or surveillance needs. The actual colonoscopy procedure cost of $90-$982 remains separate from consultation fees, though some practices offer package pricing that combines consultation and procedure costs.

Can I use an HSA or FSA to pay for a colonoscopy visit in Georgia?

Health Savings Accounts and Flexible Spending Accounts can be used to pay for colonoscopy procedures and related medical expenses in Georgia. These include the procedure itself, anesthesia fees, pathology charges for biopsied polyps, and even transportation costs if traveling for medical care. Keep all receipts and documentation, as both screening and diagnostic colonoscopies qualify as eligible medical expenses under IRS guidelines.

How does telemedicine affect the cost of seeing a colonoscopy in Georgia?

While colonoscopy procedures require in-person visits, many Georgia gastroenterologists offer telehealth consultations for initial evaluations, follow-up discussions, and results review. These virtual visits typically cost $100-200 less than in-office consultations and may help patients avoid unnecessary travel, particularly beneficial for rural Georgia residents. However, the actual colonoscopy procedure must still be performed at an accredited facility with appropriate equipment and staff.

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