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
30% below national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in Idaho?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $272 | $906 | 186 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $400 | $3,638 | 163 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $86 | $239 | $623 | 95 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $188 | $802 | 191 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $26 | $90 | 383 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $78 | $131 | $430 | 189 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $50 | $85 | $591 | 200 |
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 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.
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 Idaho
What is the average cost of a Colonoscopy visit in Idaho without insurance?
Does Idaho Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in Idaho?
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 Idaho?
How does telemedicine affect the cost of seeing a Colonoscopy in Idaho?
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 |
