Cost of a Colonoscopy Visit
in South Dakota
Reviewed by Momentary Medical Group West PC
South Dakota's healthcare market operates with limited insurer competition and significant rural-urban cost disparities, creating substantial variation in specialist care pricing. Colonoscopy patients typically pay between $85 and $2,255, with a median out-of-pocket cost of $345 based on negotiated insurance rates. With 79 active Colonoscopy providers serving the state, patients have options to compare costs and find quality care throughout South Dakota.
Average
$895
Median
$345
Lowest
$85
Highest
$2,255
Providers
79
73% above national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in South Dakota?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $389 | $1,035 | 66 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $491 | $1,090 | 61 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $103 | $275 | $691 | 52 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $332 | $2,396 | 77 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $26 | $26 | $26 | 328 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $67 | $169 | $460 | 73 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $68 | $68 | $117 | 309 |
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 Dakota
South Dakota's healthcare costs run approximately 3% above the national average, reflecting the state's rural geography and limited provider competition in many regions. The concentration of specialists in Sioux Falls and Rapid City creates access challenges for rural residents while driving up costs in metropolitan areas.
Urban vs. Rural Provider Availability
Most Colonoscopy specialists practice in Sioux Falls, Rapid City, and Aberdeen, creating significant travel burdens for patients in rural counties and potentially higher costs due to limited competition. Rural residents often face longer wait times and may need to travel over 100 miles for specialized gastroenterology care, adding indirect costs to their healthcare. The physician shortage in rural areas allows urban providers to command premium rates.
Facility Type and Overhead Costs
Sanford Health and Avera Health dominate South Dakota's hospital market, with most Colonoscopy services provided through their hospital-based outpatient clinics that typically charge facility fees. Independent gastroenterology practices are less common but may offer more competitive pricing without additional facility charges. Monument Health in the Black Hills region also operates several specialty clinics with varying cost structures.
Insurance Market Competition in South Dakota
Wellmark Blue Cross Blue Shield holds a significant market share in South Dakota, followed by Sanford Health Plan and UnitedHealthcare, creating moderate competition that helps contain some costs. The limited number of major insurers means negotiated rates vary less dramatically than in more competitive markets, providing some pricing predictability for patients. However, this concentration can also limit patient options when seeking the most cost-effective coverage for specialist care.
Physician Supply and Demand in South Dakota
With 79 active Colonoscopy providers serving approximately 895,000 residents, South Dakota maintains adequate specialist availability compared to many rural states, though geographic distribution remains uneven. The relatively stable physician supply helps prevent extreme price inflation while still allowing providers to charge premium rates in underserved areas. Wait times for routine appointments are generally reasonable in urban areas but can extend several weeks in rural regions.
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 Dakota
What is the average cost of a Colonoscopy visit in South Dakota without insurance?
Does South Dakota Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in South 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 South Dakota?
How does telemedicine affect the cost of seeing a Colonoscopy in South 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 |