Cost of a Colonoscopy Visit
in Tennessee
Reviewed by Momentary Medical Group West PC
Tennessee's healthcare landscape features concentrated provider networks in Nashville and Memphis alongside significant rural access challenges across the state's 95 counties. Colonoscopy visit costs in the Volunteer State typically reflect negotiated insurance rates 4% below national averages, though out-of-pocket expenses vary widely based on your specific plan and chosen provider. With thousands of active Colonoscopy specialists practicing across Tennessee, patients can browse comprehensive provider networks to find quality care within their budget.
Average
$320
Median
$288
Lowest
$90
Highest
$582
Providers
2,610
38% below national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in Tennessee?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $314 | $714 | 2,664 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $90 | $399 | $796 | 2,520 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $101 | $223 | $473 | 2,452 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $200 | $604 | 2,698 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $18 | $85 | 2,824 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $64 | $165 | $340 | 2,797 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $48 | $104 | $189 | 2,512 |
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 Tennessee
Tennessee's healthcare costs run approximately 4% below national averages, reflecting the state's lower cost of living and competitive provider markets in major metropolitan areas. The state's healthcare landscape is shaped by significant rural-urban disparities, with 73 of 95 counties classified as medically underserved areas.
Urban vs. Rural Provider Availability
Nashville, Memphis, Knoxville, and Chattanooga concentrate most of Tennessee's Colonoscopy specialists, creating access challenges for patients in rural counties who may travel 100+ miles for specialty care. Urban areas benefit from competition between major health systems like Vanderbilt, HCA Healthcare, and Methodist Le Bonheur, which can help moderate pricing. Rural patients often face higher total costs due to travel expenses, even when provider fees are lower.
Facility Type and Overhead Costs
Hospital-owned specialty clinics dominate Tennessee's urban markets, with systems like HCA Healthcare and Vanderbilt University Medical Center operating extensive outpatient networks that typically charge facility fees. Independent Colonoscopy practices remain common in mid-sized cities like Jackson and Johnson City, often offering more transparent pricing without additional facility charges. Academic centers like UT Medical Center may charge teaching hospital premiums but provide access to cutting-edge treatments.
Insurance Market Competition in Tennessee
BlueCross BlueShield of Tennessee holds significant market share alongside national carriers UnitedHealthcare and Cigna, creating moderate competition that helps control negotiated rates. Some rural counties have limited insurer participation in the individual marketplace, reducing competitive pressure on pricing. The state's decision to maintain a federal marketplace rather than create its own exchange has limited additional oversight of rate negotiations.
Physician Supply and Demand in Tennessee
Tennessee reports 2,610 providers billing for Colonoscopy services, indicating adequate specialist availability in urban areas but potential shortages in rural regions. This supply level appears sufficient for major metropolitan areas but creates longer wait times and potentially higher costs in underserved rural counties. The concentration of specialists in Nashville and Memphis medical centers means rural patients often pay urban pricing despite traveling significant distances.
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 Tennessee
What is the average cost of a Colonoscopy visit in Tennessee without insurance?
Does Tennessee Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in Tennessee?
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 Tennessee?
How does telemedicine affect the cost of seeing a Colonoscopy in Tennessee?
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 |