Cost of a Colonoscopy Visit
in Kentucky
Reviewed by Momentary Medical Group West PC
Kentucky's colonoscopy costs run approximately 17% below national averages, with negotiated rates ranging from $85 to $814 across the state's 243 active providers. Colonoscopy patients typically find significant price variation between hospital-based facilities and independent gastroenterology practices throughout the Commonwealth. You can browse all Colonoscopy providers across Kentucky to compare costs and verify insurance coverage before your appointment.
Average
$408
Median
$324
Lowest
$85
Highest
$814
Providers
243
21% below national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in Kentucky?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $322 | $917 | 270 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $202 | $421 | $1,136 | 210 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $106 | $249 | $631 | 191 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $60 | $220 | $830 | 282 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $80 | $88 | 945 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $64 | $152 | $477 | 283 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $44 | $92 | $229 | 248 |
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 Kentucky
Kentucky's colonoscopy costs run about 17% below national averages, reflecting the state's lower overall healthcare spending and rural provider mix. The Commonwealth's blend of urban medical centers in Louisville and Lexington with widespread rural practices creates distinct pricing tiers across different regions.
Urban vs. Rural Provider Availability
Louisville and Lexington metropolitan areas concentrate most of Kentucky's gastroenterology specialists, creating higher demand and facility costs in these urban centers. Rural counties often require patients to travel 50-100 miles for colonoscopy services, though some regional hospitals now offer visiting specialist clinics. Eastern Kentucky's mountainous terrain particularly challenges healthcare access, sometimes resulting in higher procedure costs due to limited provider competition.
Facility Type and Overhead Costs
Hospital-based outpatient departments at major Kentucky health systems like Baptist Health and Norton Healthcare typically charge 30-50% more than independent gastroenterology practices. University of Kentucky and University of Louisville academic medical centers carry additional teaching hospital overhead reflected in higher colonoscopy fees. Ambulatory surgery centers throughout Kentucky often provide cost-effective alternatives to hospital-based procedures.
Insurance Market Competition in Kentucky
Anthem Blue Cross Blue Shield dominates Kentucky's individual market while competing with UHC and Humana in employer-sponsored plans. This competitive landscape helps moderate negotiated rates for colonoscopy services compared to states with single-insurer dominance. Kentucky's insurance commissioner actively monitors rate increases, providing additional downward pressure on healthcare costs including specialist procedures.
Physician Supply and Demand in Kentucky
Kentucky maintains 243 active colonoscopy providers serving a population of 4.5 million, indicating adequate specialist availability in most regions. The state's physician-to-population ratio for gastroenterology aligns with national averages, preventing significant supply-driven price inflation. Rural areas experience periodic shortages requiring recruitment incentives, though telemedicine consultations increasingly supplement in-person colonoscopy follow-up care.
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 Kentucky
What is the average cost of a Colonoscopy visit in Kentucky without insurance?
Does Kentucky Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in Kentucky?
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 Kentucky?
How does telemedicine affect the cost of seeing a Colonoscopy in Kentucky?
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 |