Cost of a Colonoscopy Visit
in North Dakota
Reviewed by Momentary Medical Group West PC
North Dakota's predominantly rural healthcare landscape, with medical care concentrated in major cities like Fargo and Bismarck, creates significant cost variations for colonoscopy procedures across the state. Patients seeking colonoscopy services typically pay between $165 and $2,255, with negotiated insurance rates showing a median cost of $2,255 based on transparency data from 473 active providers. With North Dakota's expanding network of gastroenterology specialists and hospital-based facilities, patients can browse all available colonoscopy providers throughout the state to find the most cost-effective option for their screening or diagnostic needs.
Average
$1,558
Median
$2,255
Lowest
$165
Highest
$2,255
Providers
473
202% above national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in North Dakota?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $434 | $1,268 | 55 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $515 | $2,334 | 52 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $118 | $348 | $853 | 42 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $181 | $2,396 | $2,396 | 470 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $26 | $26 | $26 | 253 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $75 | $183 | $619 | 67 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $68 | $68 | $157 | 236 |
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 Dakota
North Dakota's colonoscopy costs run approximately 4% above national averages, reflecting the state's rural healthcare delivery challenges and concentrated provider networks in major metropolitan areas. The Peace Garden State's sparse population density requires many patients to travel significant distances for specialized gastroenterology services, influencing both access patterns and pricing structures.
Urban vs. Rural Provider Availability
Fargo and Bismarck contain the majority of North Dakota's gastroenterology specialists and advanced endoscopy facilities, while rural counties often rely on traveling specialists or referrals to regional medical centers. This geographic concentration creates higher demand and pricing power for urban providers, while rural residents face additional travel costs alongside procedure fees.
Facility Type and Overhead Costs
Sanford Health and Essentia Health operate many hospital-based gastroenterology departments across North Dakota, typically charging facility fees that increase total colonoscopy costs compared to independent ambulatory surgery centers. The state's harsh winters and energy costs contribute to higher operational expenses that get reflected in procedure pricing, particularly for facilities maintaining specialized endoscopy equipment.
Insurance Market Competition in North Dakota
The limited competition between BCBS ND, Sanford Health Plan, and UHC creates less pricing pressure on providers compared to states with more robust insurer markets. This concentrated insurance landscape allows gastroenterology practices to maintain higher negotiated rates, particularly in markets where one health system dominates both insurance and provider networks.
Physician Supply and Demand in North Dakota
With 473 active colonoscopy providers serving the state's 780,000 residents, North Dakota maintains adequate specialist availability in urban areas but faces shortages in frontier counties. This supply-demand imbalance allows established gastroenterology practices to maintain premium pricing while extending wait times for non-urgent procedures, particularly during peak screening season.
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 Dakota
What is the average cost of a Colonoscopy visit in North Dakota without insurance?
Does North Dakota Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in North Dakota?
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 Dakota?
How does telemedicine affect the cost of seeing a Colonoscopy in North Dakota?
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 |