Cost of a Colonoscopy Visit
in North Carolina
Reviewed by Momentary Medical Group West PC
North Carolina's growing ambulatory surgery center market has created more competitive pricing options for Colonoscopy procedures across the state. Patients typically pay between $90 and $1,065 for a diagnostic colonoscopy, with a median negotiated rate of $378 based on insurance contracts with the state's 2,531 active providers. The Tar Heel State offers patients access to specialists in both major metropolitan areas like Charlotte and Raleigh-Durham as well as rural communities, allowing patients to browse all providers in North Carolina to find the best option for their needs.
Average
$511
Median
$378
Lowest
$90
Highest
$1,065
Providers
2,531
1% below national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in North Carolina?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $444 | $1,268 | 2,531 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $543 | $1,433 | 2,407 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $120 | $298 | $853 | 2,213 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $318 | $1,088 | 2,729 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $26 | $85 | 2,727 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $68 | $194 | $501 | 2,737 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $44 | $107 | $272 | 2,508 |
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 North Carolina
North Carolina's colonoscopy costs run approximately 2% below national averages, reflecting the state's balanced mix of academic medical centers and community practices. The growing ambulatory surgery center market has increased competition and created more affordable options for routine procedures.
Urban vs. Rural Provider Availability
The Research Triangle and Charlotte metro areas concentrate most gastroenterology specialists, while rural counties in eastern and western North Carolina face provider shortages. Patients in areas like the Outer Banks or Appalachian counties may travel significant distances for specialized care. This geographic disparity creates cost variations based on local competition and facility overhead.
Facility Type and Overhead Costs
Major health systems like Atrium Health, Novant Health, and UNC Health dominate North Carolina's market, often charging higher facility fees than independent practices. Ambulatory surgery centers have expanded rapidly across the state, offering lower-cost alternatives to hospital-based procedures. Free-standing endoscopy centers typically provide the most competitive pricing for routine screening colonoscopies.
Insurance Market Competition in North Carolina
Blue Cross Blue Shield NC holds significant market share alongside national carriers UnitedHealthcare and Aetena, creating moderate competition in most regions. Rural areas often have limited insurer options, potentially affecting negotiated rates with providers. The state's insurance marketplace offers additional carriers in metropolitan areas, improving price competition for individual policies.
Physician Supply and Demand in North Carolina
With 2,531 active gastroenterology providers, North Carolina maintains adequate specialist availability in urban areas but faces shortages in rural regions. This supply distribution affects both wait times and pricing, with metropolitan areas offering more competitive rates due to provider density. Growing population centers continue attracting new practitioners, gradually improving access and cost competition.
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 North Carolina
What is the average cost of a Colonoscopy visit in North Carolina without insurance?
Does North Carolina Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in North Carolina?
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 North Carolina?
How does telemedicine affect the cost of seeing a Colonoscopy in North Carolina?
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 |