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Idaho

Cost of a Colonoscopy Visit
in Idaho

Reviewed by Momentary Medical Group West PC

Idaho's rural healthcare landscape and proximity to major metropolitan areas in neighboring states creates unique cost dynamics for specialty care like colonoscopy visits. Patients throughout the Gem State typically face varied pricing depending on whether they seek care in urban centers like Boise or more rural communities. With numerous active colonoscopy providers serving Idaho residents, patients can browse all providers statewide to compare costs and find quality care that fits their budget.

Average

$363

Median

$273

Lowest

$80

Highest

$735

Providers

165

National avg: $517Idaho: $363

30% below national average

Compare Similar Procedures

How does colonoscopy compare to related procedures in Idaho?

ProcedureCPTLowMedianHighProviders
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$272$906186
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$80$400$3,638163
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$86$239$62395
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$188$802191
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$26$90383
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$78$131$430189
OB Ultrasound

Obstetric ultrasound, complete

76805$50$85$591200

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 Idaho

Idaho's colonoscopy costs run approximately 3% below national averages, reflecting the state's lower cost of living and more modest healthcare infrastructure compared to coastal markets. The Gem State's blend of agricultural communities and growing tech centers creates diverse healthcare needs across vastly different geographic regions.

Urban vs. Rural Provider Availability

Boise's Treasure Valley concentrates most of Idaho's gastroenterology specialists, creating competitive pricing and shorter wait times for metropolitan patients. Rural residents in areas like north Idaho or the eastern agricultural regions often travel significant distances for specialty care, with some crossing state lines to Spokane or Salt Lake City for more accessible options. This geographic disparity affects both access and pricing, with rural facilities sometimes offering lower base rates but requiring additional travel costs.

Facility Type and Overhead Costs

Saint Alphonsus and Idaho Health system facilities dominate much of the state's hospital-based gastroenterology services, typically charging higher facility fees than independent surgery centers. Independent ambulatory surgery centers in Idaho often provide the same quality colonoscopy services at substantially lower total costs due to reduced overhead expenses. Some smaller communities rely on visiting gastroenterologists who perform procedures at local hospitals, creating unique pricing arrangements.

Insurance Market Competition in Idaho

Regence BlueCross and PacificSource represent the dominant insurers in Idaho's marketplace, with relatively limited competition compared to more populous states. This concentrated market can result in less aggressive rate negotiations between insurers and providers, potentially affecting patient out-of-pocket costs. Regional insurers and self-funded employer plans sometimes achieve better rates with local healthcare systems due to established relationships.

Physician Supply and Demand in Idaho

Idaho maintains adequate gastroenterology coverage in urban areas but faces specialist shortages in rural regions, affecting both availability and pricing dynamics. The state's growing population, particularly retirees relocating from other states, increases demand for colonoscopy services faster than specialist supply can expand. This supply-demand imbalance in certain regions can lead to longer wait times and potentially higher costs, especially for non-urgent procedures.

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 Idaho

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

Based on negotiated rates from Idaho providers, colonoscopy costs typically range from $80 at the lowest tier to over $730 for more complex cases, with a median cost around $273. These figures represent what insurance companies have agreed to pay providers, and uninsured patients may face different pricing. Many gastroenterology practices in Idaho offer cash-pay discounts that can significantly reduce these amounts for self-paying patients.

Does Idaho Medicaid cover Colonoscopy visits?

Yes, Idaho expanded Medicaid and covers colonoscopy procedures for qualifying beneficiaries. Screening colonoscopies are typically covered without cost-sharing for Medicaid patients, while diagnostic procedures may have different coverage rules. Idaho's Medicaid expansion has significantly improved access to preventive gastroenterology care for adults who previously lacked insurance coverage.

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

Compare prices between hospital-based facilities and independent ambulatory surgery centers, as the latter often charge significantly less for the same procedure. Ask about self-pay discounts if you're uninsured or have a high-deductible plan, and consider community health centers that may offer sliding-scale fees. Traveling to different regions within Idaho can sometimes result in substantial cost savings, particularly from urban areas to smaller communities.

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 and time required for new patient assessments. Based on the available data, the median negotiated rate for colonoscopy procedures in Idaho is around $273, though consultation visits would be billed separately using different codes. Follow-up visits generally involve shorter appointments and less extensive documentation, resulting in lower professional fees.

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

Yes, both Health Savings Accounts and Flexible Spending Accounts can be used to pay for medically necessary colonoscopy procedures and consultations. These tax-advantaged accounts cover qualified medical expenses including deductibles, copayments, and coinsurance for gastroenterology services. Keep receipts for all colonoscopy-related expenses, including facility fees, professional fees, and any pathology costs for removed polyps.

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

While the actual colonoscopy procedure requires in-person care, initial consultations and follow-up appointments can sometimes be conducted via telemedicine at reduced costs. Idaho's rural geography makes telehealth particularly valuable for pre-procedure consultations and post-procedure follow-ups, saving patients travel time and expenses. Many gastroenterologists in Idaho adopted expanded telehealth services and may offer these options for appropriate clinical scenarios, though procedural costs remain unchanged.

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