Cost of a Colonoscopy Visit
in Nebraska
Reviewed by Momentary Medical Group West PC
Nebraska's healthcare landscape features concentrated provider networks in Omaha and Lincoln while rural counties face significant access challenges, creating notable cost variations for specialty care. Colonoscopy procedures typically range from $265 to $815, with a median cost of $701 across the state's 2,194 active providers. The state's Medicaid expansion and dominant presence of BCBS Nebraska have helped stabilize pricing compared to neighboring states, allowing patients to browse from a substantial network of in-network specialists throughout Nebraska.
Average
$594
Median
$701
Lowest
$265
Highest
$815
Providers
2,194
15% above national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in Nebraska?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $281 | $904 | $1,040 | 2,198 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $360 | $946 | $1,090 | 2,193 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $176 | $594 | $691 | 2,182 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $195 | $791 | $902 | 2,207 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $14 | $37 | 2,654 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $101 | $283 | $477 | 2,203 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $82 | $117 | $329 | 2,648 |
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 Nebraska
Nebraska's healthcare costs run approximately 1% below national averages, reflecting the state's lower cost of living and rural economics. The concentration of specialists in Omaha and Lincoln creates pricing dynamics where rural patients often face higher costs due to limited local options and travel requirements.
Urban vs. Rural Provider Availability
The Omaha-Lincoln corridor houses nearly 70% of Nebraska's gastroenterologists, creating significant access disparities for residents in the state's 93 counties. Rural Nebraskans often travel 100+ miles for colonoscopy procedures, with some areas served by mobile endoscopy units or requiring referrals to distant urban centers. This geographic concentration allows urban providers to offer competitive pricing while rural-serving facilities may charge premium rates due to limited competition.
Facility Type and Overhead Costs
Nebraska Medicine and CHI Health dominate the hospital-based endoscopy market in urban areas, typically charging higher facility fees than independent gastroenterology centers. Independent practices in Omaha and Lincoln can offer 30-50% lower total procedure costs due to reduced overhead compared to hospital-affiliated facilities. Rural critical access hospitals often have the highest per-procedure costs due to lower volumes and higher fixed costs per patient.
Insurance Market Competition in Nebraska
BCBS Nebraska maintains the largest market share statewide, followed by UHC and Aetna, creating moderate insurer competition that helps control negotiated rates. The state's relatively concentrated insurance market means providers have less leverage in rate negotiations compared to more competitive states. Rural areas face particularly limited insurer options, with some counties served by only one or two carriers offering individual market plans.
Physician Supply and Demand in Nebraska
With 2,194 active colonoscopy providers serving a population of 1.96 million, Nebraska maintains adequate specialist supply in urban areas but faces shortages in rural regions. The concentration of providers in metropolitan areas creates competitive pricing in Omaha and Lincoln while rural markets experience longer wait times and higher costs. Recent recruitment efforts by rural hospitals have slightly improved access, though geographic barriers remain significant for many patients.
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 Nebraska
What is the average cost of a Colonoscopy visit in Nebraska without insurance?
Does Nebraska Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in Nebraska?
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 Nebraska?
How does telemedicine affect the cost of seeing a Colonoscopy in Nebraska?
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 |