Cost of a Colonoscopy Visit
in South Carolina
Reviewed by Momentary Medical Group West PC
South Carolina's healthcare market operates approximately 1% below national averages, with over 1,100 active colonoscopy providers serving the state's diverse urban and rural communities. Patients typically pay between $90 and $695 for colonoscopy visits, with a median out-of-pocket cost of $304 based on negotiated insurance rates. The state's moderate but growing ambulatory surgery center market provides patients with multiple options for finding affordable care across South Carolina's provider network.
Average
$363
Median
$304
Lowest
$90
Highest
$695
Providers
1,131
30% below national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in South Carolina?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $306 | $782 | 1,333 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $414 | $936 | 1,265 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $109 | $243 | $564 | 1,048 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $211 | $627 | 1,357 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $21 | $88 | 1,517 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $62 | $137 | $364 | 1,356 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $43 | $90 | $221 | 1,332 |
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 South Carolina
South Carolina's healthcare costs run approximately 1% below national averages, reflecting the state's lower cost of living compared to coastal markets while still maintaining quality specialty care. The state's mix of urban medical centers in Charleston, Columbia, and Greenville alongside extensive rural areas creates significant cost and access variations across different regions.
Urban vs. Rural Provider Availability
South Carolina's major metropolitan areas like Charleston, Columbia, and the Greenville-Spartanburg corridor concentrate most gastroenterology specialists, while rural counties often require patients to travel significant distances for care. This geographic disparity can affect both access and pricing, with urban areas offering more competitive rates due to provider density but rural facilities sometimes offering lower overhead costs. The state's Lowcountry and Pee Dee regions particularly face specialist shortages that can impact both wait times and pricing.
Facility Type and Overhead Costs
South Carolina has seen growth in ambulatory surgery centers specializing in endoscopic procedures, which often offer lower costs than hospital-based outpatient departments. Major health systems like MUSC Health, Prisma Health, and McLeod Health operate hospital-based facilities with higher overhead costs, while independent gastroenterology practices and surgery centers may offer more competitive pricing. The state's moderate regulatory environment has encouraged ASC development, providing patients with more cost-effective options.
Insurance Market Competition in South Carolina
BlueCross BlueShield of South Carolina holds significant market share alongside national players like UnitedHealthcare and Aetna, creating moderate competition that helps keep negotiated rates reasonable. The state's insurance market concentration affects how aggressively insurers negotiate with providers, with some regional health systems having stronger negotiating positions due to market dominance in their areas. This dynamic particularly impacts pricing in markets where single health systems control large portions of specialist care.
Physician Supply and Demand in South Carolina
With over 1,100 active colonoscopy providers, South Carolina maintains a reasonable specialist-to-population ratio in urban areas, though rural regions face ongoing shortages. This supply distribution affects both pricing and access, with well-served urban markets offering more competitive rates and shorter wait times while underserved rural areas may see higher costs due to limited competition. The state's medical schools and residency programs help maintain specialist supply, but geographic maldistribution remains a challenge for equitable access and pricing.
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 South Carolina
What is the average cost of a Colonoscopy visit in South Carolina without insurance?
Does South Carolina Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in South 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 South Carolina?
How does telemedicine affect the cost of seeing a Colonoscopy in South 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 |