Cost of a Colonoscopy Visit
in Missouri
Reviewed by Momentary Medical Group West PC
Missouri's healthcare costs run approximately 5% below national averages, reflecting the state's mix of urban medical centers and rural provider networks. Colonoscopy visits typically cost between $174 and $634, with a median negotiated rate of $444 based on current insurance contracts. With over 5,300 active Colonoscopy providers across Missouri, patients have substantial options when selecting a gastroenterologist for screening or diagnostic procedures.
Average
$417
Median
$444
Lowest
$174
Highest
$634
Providers
5,324
19% below national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in Missouri?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $188 | $534 | $815 | 5,395 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $239 | $600 | $853 | 5,306 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $115 | $411 | $535 | 5,368 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $130 | $467 | $712 | 5,404 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $16 | $24 | $358 | 6,421 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $79 | $222 | $449 | 5,452 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $46 | $101 | $165 | 5,390 |
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 Missouri
Healthcare costs in Missouri run approximately 5% below national averages, influenced by the state's balanced mix of metropolitan medical centers and rural healthcare networks. The state's central location and moderate cost of living contribute to more affordable specialist care compared to coastal regions.
Urban vs. Rural Provider Availability
Missouri's major metropolitan areas like St. Louis and Kansas City concentrate most gastroenterology specialists, while rural counties often require patients to travel significant distances for colonoscopy services. This geographic disparity creates cost variations, with urban providers typically charging higher rates due to increased overhead and demand. Rural patients may face additional travel costs but sometimes find lower procedure fees at smaller facilities.
Facility Type and Overhead Costs
Hospital systems like BJC HealthCare in St. Louis and Saint Luke's Health System in Kansas City operate numerous outpatient gastroenterology clinics with higher facility fees compared to independent practices. Ambulatory surgery centers throughout Missouri often provide colonoscopy services at competitive rates with lower overhead than hospital-based facilities. The choice between hospital-affiliated and independent providers significantly impacts total procedure costs.
Insurance Market Competition in Missouri
Anthem Blue Cross Blue Shield holds substantial market share in Missouri alongside UHC and Cigna, creating moderate insurer competition that helps control negotiated rates with providers. The state's decision not to expand Medicaid limits low-income coverage options, potentially driving higher self-pay volumes at some facilities. Regional insurers and health plans add competitive pressure in specific markets, benefiting consumers through varied network options.
Physician Supply and Demand in Missouri
With over 5,300 active Colonoscopy providers reported in insurance networks across Missouri, the state maintains adequate specialist availability relative to its population of 6.2 million residents. This healthy supply-demand balance helps moderate pricing and reduces wait times compared to states with physician shortages. Urban areas enjoy particularly strong provider density, while some rural regions remain underserved.
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 Missouri
What is the average cost of a Colonoscopy visit in Missouri without insurance?
Does Missouri Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in Missouri?
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 Missouri?
How does telemedicine affect the cost of seeing a Colonoscopy in Missouri?
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 |