Cost of a Colonoscopy Visit
in Indiana
Reviewed by Momentary Medical Group West PC
Indiana's healthcare market reflects a growing shift toward ambulatory surgery centers, with colonoscopy procedures offered at competitive rates across the state. Patients typically pay between $81 and $835 for a diagnostic colonoscopy (CPT 45378), with a median cost of $359 based on negotiated insurance rates. With 374 active colonoscopy providers throughout Indiana, patients have substantial options when selecting a gastroenterologist or facility for their procedure.
Average
$425
Median
$359
Lowest
$81
Highest
$835
Providers
374
18% below national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in Indiana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $365 | $937 | 390 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $512 | $1,197 | 351 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $90 | $304 | $691 | 296 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $308 | $810 | 411 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $28 | $88 | 781 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $65 | $170 | $436 | 417 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $45 | $101 | $280 | 381 |
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 Indiana
Indiana's colonoscopy costs run approximately 6% below national averages, reflecting the state's lower healthcare overhead and growing ambulatory surgery center market. The concentration of providers in Indianapolis and Fort Wayne creates competitive pricing, while rural counties often rely on hospital-based services with higher facility fees.
Urban vs. Rural Provider Availability
Indianapolis and its surrounding counties offer the highest concentration of gastroenterologists and dedicated endoscopy centers, creating competitive pricing and shorter wait times for procedures. Rural areas in southern and eastern Indiana often require travel to regional medical centers, where hospital-based colonoscopies may cost 30-50% more than freestanding facilities. Counties like Pike and Ohio have limited local options, making travel to Evansville or Louisville necessary for specialized care.
Facility Type and Overhead Costs
Hospital outpatient departments at major systems like Indiana University Health and Community Health Network typically charge facility fees that can add $200-500 to colonoscopy costs. Independent ambulatory surgery centers throughout Indiana offer competitive rates without hospital overhead, particularly in suburban Indianapolis markets. Physician-owned endoscopy centers often provide the most transparent pricing and fastest service for routine screening procedures.
Insurance Market Competition in Indiana
The dominance of Anthem Blue Cross, UnitedHealthcare, and regional player MDwise creates moderate competition in most Indiana markets. Rural counties may have limited insurer participation in ACA marketplace plans, potentially affecting negotiated rates for specialist services. The state's decision to maintain a federal marketplace rather than create its own exchange has resulted in fewer plan options in some regions.
Physician Supply and Demand in Indiana
With 374 active colonoscopy providers serving a population of 6.8 million, Indiana maintains adequate gastroenterology access in urban areas but faces shortages in rural counties. The concentration of providers around Indianapolis and Fort Wayne creates competitive pricing in these markets. Wait times for routine screening colonoscopies typically range from 2-8 weeks depending on geographic location and provider type.
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 Indiana
What is the average cost of a Colonoscopy visit in Indiana without insurance?
Does Indiana Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in Indiana?
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 Indiana?
How does telemedicine affect the cost of seeing a Colonoscopy in Indiana?
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 |