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Michigan

Cost of a Colonoscopy Visit
in Michigan

Reviewed by Momentary Medical Group West PC

Michigan's healthcare landscape benefits from Medicaid expansion and competitive insurer markets, helping keep colonoscopy costs approximately 3% below national averages. Patients typically pay between $91.53 and $767.71 for colonoscopy procedures, with a median negotiated rate of $326.64 among Michigan's 1,803 active providers. Browse all colonoscopy providers across Michigan to find the most affordable option for your specific insurance plan.

Average

$395

Median

$327

Lowest

$92

Highest

$768

Providers

1,803

National avg: $517Michigan: $395

24% below national average

Compare Similar Procedures

How does colonoscopy compare to related procedures in Michigan?

ProcedureCPTLowMedianHighProviders
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$393$8872,214
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$80$467$1,0882,038
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$121$274$5721,673
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$259$6852,142
ECG / EKG

12-lead electrocardiogram with interpretation

93000$15$21$952,698
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$67$166$4052,196
OB Ultrasound

Obstetric ultrasound, complete

76805$42$88$2162,133

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 Michigan

Michigan's colonoscopy costs run approximately 3% below national averages, reflecting the state's competitive insurance market and balanced urban-rural healthcare infrastructure. The Great Lakes State's mix of major metropolitan areas and rural communities creates distinct pricing patterns across different regions.

Urban vs. Rural Provider Availability

Metropolitan Detroit, Grand Rapids, and Ann Arbor concentrate most of Michigan's gastroenterology specialists, creating higher demand and pricing in these urban centers. Rural northern Michigan and Upper Peninsula residents often travel significant distances for colonoscopy procedures, with limited local provider options. This geographic disparity influences both procedure costs and patient travel expenses for specialized care.

Facility Type and Overhead Costs

Hospital-owned endoscopy centers in Michigan typically charge higher facility fees compared to independent gastroenterology practices and ambulatory surgery centers. Major health systems like Henry Ford Health, Spectrum Health, and University of Michigan Health dominate many markets, setting regional pricing standards. Independent endoscopy centers often offer competitive cash-pay rates and more flexible payment arrangements.

Insurance Market Competition in Michigan

BCBS Michigan maintains significant market share alongside national insurers UHC and Aetna, creating moderate competition that helps control negotiated rates. This multi-insurer environment prevents any single payer from dominating rate negotiations with gastroenterology providers. Regional insurers and Medicaid managed care plans add additional competitive pressure on colonoscopy pricing throughout the state.

Physician Supply and Demand in Michigan

Michigan's 1,803 active colonoscopy providers suggest adequate specialist availability relative to the state's 10 million residents, helping moderate pricing pressures. The concentration of medical schools and residency programs in Detroit, Ann Arbor, and Grand Rapids maintains steady physician supply. Balanced supply and demand dynamics contribute to Michigan's below-national-average colonoscopy costs and reasonable appointment availability.

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 Michigan

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

Uninsured patients in Michigan typically pay between $91.53 and $767.71 for colonoscopy procedures, with a median cost of $326.64 based on negotiated insurance rates. Self-pay patients may receive discounts from these standard rates, especially at independent endoscopy centers. Many providers offer payment plans to help manage these costs over time.

Does Michigan Medicaid cover Colonoscopy visits?

Michigan's expanded Medicaid program covers medically necessary colonoscopy procedures for eligible adults, including both screening and diagnostic colonoscopies. Coverage includes the procedure, anesthesia, and pathology services when polyps are removed. Patients typically have minimal or no out-of-pocket costs for covered colonoscopy services under Michigan Medicaid.

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

Compare costs across independent endoscopy centers versus hospital-based facilities, as independent centers often offer lower rates. Ask about self-pay discounts if you're uninsured, and consider community health centers that may provide sliding-scale fees. Check with multiple providers about payment plans and cash-pay options to find the most affordable solution.

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 comprehensive medical history reviews and examination complexity. The actual colonoscopy procedure represents the largest cost component at $91.53 to $767.71 in Michigan. Follow-up office visits for discussing results or ongoing care management are generally less expensive than the initial diagnostic consultation and procedure.

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

Both HSA and FSA funds can be used for colonoscopy procedures and related gastroenterology visits as qualified medical expenses. This includes the procedure cost, anesthesia fees, pathology services, and any required follow-up care. Using pre-tax dollars through these accounts effectively reduces your colonoscopy costs by your marginal tax rate.

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

Telemedicine consultations with gastroenterologists typically cost less than in-person visits and can be useful for discussing symptoms, reviewing results, or planning care. However, colonoscopy procedures themselves require in-person visits to endoscopy facilities. Michigan providers increasingly offer telehealth follow-up visits, which can reduce overall care costs and improve convenience for routine monitoring.

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