Cost of a Colonoscopy Visit
in Massachusetts
Reviewed by Momentary Medical Group West PC
Massachusetts maintains one of the highest physician-to-patient ratios in the nation, yet Colonoscopy costs remain approximately 29% above national averages. Patients typically pay between $113 and $1,830 for a Colonoscopy procedure, with a median negotiated rate of $500. With over 1,075 active Colonoscopy providers across the state, Massachusetts residents have extensive options when browsing specialists throughout the Commonwealth.
Average
$815
Median
$500
Lowest
$113
Highest
$1,830
Providers
1,075
58% above national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in Massachusetts?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $600 | $2,117 | 1,381 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $735 | $2,338 | 1,352 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $159 | $457 | $1,259 | 1,065 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $508 | $1,654 | 1,412 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $14 | $80 | 1,987 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $77 | $218 | $677 | 1,520 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $52 | $80 | $328 | 1,764 |
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 Massachusetts
Massachusetts healthcare costs run approximately 20% above national averages, driven by the state's concentration of prestigious academic medical centers and high cost of living throughout the Boston metropolitan area. The Commonwealth's physician supply exceeds most states, yet pricing remains elevated due to strong provider bargaining power and extensive hospital consolidation.
Urban vs. Rural Provider Availability
The Greater Boston area contains the highest concentration of gastroenterologists, while rural regions like the Berkshires and parts of Central Massachusetts face provider shortages that can drive up costs and extend wait times. Urban areas benefit from competition between major health systems, though this doesn't always translate to lower prices due to market consolidation. Rural patients often travel significant distances to access specialized endoscopy centers.
Facility Type and Overhead Costs
Massachusetts features numerous hospital-owned specialty clinics that typically charge higher facility fees compared to independent practices. Major health systems like Partners HealthCare (Mass General Brigham), Beth Israel Lahey Health, and UMass Memorial dominate the market, often commanding premium rates. Freestanding ambulatory surgery centers generally offer more competitive pricing but may have limited insurance contracts.
Insurance Market Competition in Massachusetts
The state's insurance market is relatively concentrated among BCBS MA, Tufts Health Plan, and Harvard Pilgrim Health Care, which collectively cover most residents. This concentration gives insurers significant negotiating power with providers, though it hasn't prevented the state's above-average healthcare costs. Smaller regional insurers like Fallon Health serve specific geographic areas and may offer different rate structures.
Physician Supply and Demand in Massachusetts
With over 1,075 active colonoscopy providers, Massachusetts has one of the highest gastroenterologist-to-population ratios in the country. Despite this abundant supply, wait times for routine screening procedures can extend several weeks due to high demand and comprehensive insurance coverage. The oversupply in urban areas contrasts with rural shortages, creating significant geographic pricing variations across the state.
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 Massachusetts
What is the average cost of a Colonoscopy visit in Massachusetts without insurance?
Does Massachusetts Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in Massachusetts?
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 Massachusetts?
How does telemedicine affect the cost of seeing a Colonoscopy in Massachusetts?
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 |