Cost of a Colonoscopy Visit
in Rhode Island
Reviewed by Momentary Medical Group West PC
Rhode Island maintains the highest physician density in New England, yet colonoscopy costs still vary significantly across the Ocean State's compact geography. Patients typically pay between $91 and $1,830 for colonoscopy procedures, with a median cost of $423 across 63 active providers. The state's concentrated healthcare market, dominated by major systems like Lifespan and Care New England, creates pricing variations even within Providence's urban core and surrounding communities.
Average
$781
Median
$423
Lowest
$91
Highest
$1,830
Providers
63
51% above national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in Rhode Island?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $535 | $2,117 | 77 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $673 | $2,338 | 75 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $109 | $391 | $718 | 58 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $418 | $1,647 | 83 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $28 | $90 | 108 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $64 | $207 | $895 | 90 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $50 | $115 | $328 | 80 |
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 Rhode Island
Rhode Island's healthcare costs run approximately 13% above national averages, reflecting the state's high cost of living and concentrated provider market. The Ocean State's small size means most residents can access major medical centers within 30 minutes, reducing geographic cost disparities common in larger states.
Urban vs. Rural Provider Availability
Rhode Island's dense population means even rural areas like Washington County have reasonable access to gastroenterology services, though most specialists concentrate in Providence and surrounding suburbs. The state lacks the extreme rural-urban cost gaps seen in larger states, as no area is more than an hour from major medical centers. Coastal communities may have slightly higher costs due to seasonal population fluctuations and vacation home residents.
Facility Type and Overhead Costs
Hospital-owned endoscopy centers, particularly those affiliated with Lifespan and Care New England health systems, typically charge higher facility fees than independent gastroenterology practices. Academic medical centers like Rhode Island Hospital carry additional teaching and research costs that influence pricing. Freestanding ambulatory surgery centers often provide the most cost-effective option for routine colonoscopy procedures.
Insurance Market Competition in Rhode Island
The state's insurance landscape features moderate competition between Blue Cross Blue Shield of Rhode Island, UnitedHealthcare, and Tufts Health Plan, though BCBS RI maintains the largest market share. This concentration gives insurers reasonable negotiating power with providers, but also limits patient choice compared to more competitive markets. The small state size means insurers can't leverage geographic exclusions as effectively as in larger states.
Physician Supply and Demand in Rhode Island
With 63 active colonoscopy providers serving just over one million residents, Rhode Island maintains adequate gastroenterology capacity relative to its population. The state's physician density ranks among the highest nationally, reducing supply-driven price pressures common in underserved areas. Wait times for routine screening colonoscopies typically range from 2-6 weeks, indicating balanced supply and demand.
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 Rhode Island
What is the average cost of a Colonoscopy visit in Rhode Island without insurance?
Does Rhode Island Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in Rhode Island?
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 Rhode Island?
How does telemedicine affect the cost of seeing a Colonoscopy in Rhode Island?
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 |