Cost of a Colonoscopy Visit
in Montana
Reviewed by Momentary Medical Group West PC
Montana's vast rural geography creates unique challenges for accessing specialized care, with many patients traveling significant distances for gastrointestinal services. Colonoscopy patients typically pay between $80 and $538, with a median out-of-pocket cost reflecting negotiated insurance rates across the state's 319 active providers. With Montana's Medicaid expansion providing broader coverage and major insurers like BCBS MT negotiating competitive rates, patients can browse all Colonoscopy providers in Montana to find affordable options.
Average
$233
Median
$80
Lowest
$80
Highest
$538
Providers
319
55% below national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in Montana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $80 | $545 | 315 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $80 | $3,638 | 307 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $90 | $231 | $581 | 40 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $80 | $523 | 327 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $14 | $80 | 367 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $80 | $80 | $269 | 318 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $51 | $68 | $991 | 354 |
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 Montana
Montana's healthcare costs run approximately 4% above national averages, driven by the state's rural geography and limited specialist availability outside major population centers. The combination of high overhead costs in remote areas and concentrated provider networks in cities like Billings and Missoula creates significant regional price variations.
Urban vs. Rural Provider Availability
Most of Montana's gastroenterologists practice in Billings, Missoula, Great Falls, and Bozeman, forcing rural patients to travel hours for colonoscopy services. This geographic concentration allows urban practices to maintain higher rates while rural areas rely on visiting specialists or outreach clinics. Transportation costs and time off work add substantial indirect expenses for rural Montana residents.
Facility Type and Overhead Costs
Hospital-owned gastroenterology clinics dominate Montana's major cities, often charging facility fees that increase total colonoscopy costs by 25-40%. Independent practices and ambulatory surgical centers typically offer lower rates but may have limited geographic presence. Billings Clinic and Providence Health systems influence much of the state's specialist pricing through their extensive networks.
Insurance Market Competition in Montana
BCBS MT maintains the largest market share statewide, with PacificSource and UHC providing additional options primarily in urban areas. Limited insurer competition in rural counties reduces leverage for negotiating lower rates with gastroenterology providers. The state's small population relative to its geographic size makes it challenging for new insurers to enter the market competitively.
Physician Supply and Demand in Montana
With 319 active Colonoscopy providers serving nearly 1.1 million residents, Montana maintains adequate specialist availability in urban areas but faces shortages in rural regions. This supply-demand imbalance allows gastroenterologists to maintain premium pricing, particularly for complex diagnostic procedures. Wait times for routine colonoscopies can extend 4-8 weeks in smaller cities due to limited provider capacity.
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 Montana
What is the average cost of a Colonoscopy visit in Montana without insurance?
Does Montana Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in Montana?
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 Montana?
How does telemedicine affect the cost of seeing a Colonoscopy in Montana?
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 |