Cost of a Colonoscopy Visit
in Texas
Reviewed by Momentary Medical Group West PC
Texas leads the nation with over 600 ambulatory surgery centers, creating a competitive market for colonoscopy procedures across the state. Based on negotiated insurance rates, patients typically pay between $85 and $634 for a colonoscopy screening, with a median cost of $291. With more than 10,800 active colonoscopy providers throughout Texas, patients have extensive options for finding affordable care in their area.
Average
$336
Median
$291
Lowest
$85
Highest
$634
Providers
10,832
35% below national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in Texas?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $332 | $772 | 11,638 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $90 | $402 | $866 | 10,759 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $90 | $230 | $508 | 10,361 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $230 | $649 | 12,607 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $25 | $90 | 14,138 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $64 | $155 | $418 | 12,962 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $46 | $96 | $237 | 11,056 |
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 Texas
Texas colonoscopy costs run approximately 4% below national averages, reflecting the state's competitive healthcare market and large number of ambulatory surgery centers. The state's sprawling geography creates significant cost variations between urban centers like Houston and Dallas versus rural counties with limited specialist access.
Urban vs. Rural Provider Availability
Major Texas metropolitan areas including Houston, Dallas, Austin, and San Antonio have high concentrations of gastroenterologists and ambulatory surgery centers, creating competitive pricing. Rural counties across East Texas, the Panhandle, and West Texas often have limited specialist access, requiring patients to travel to urban areas for colonoscopy procedures. This geographic disparity affects both cost and accessibility, with rural patients facing additional travel expenses.
Facility Type and Overhead Costs
Texas's 600+ ambulatory surgery centers typically offer lower facility fees than hospital outpatient departments due to reduced overhead costs. Major health systems like Houston Methodist, Baylor Scott & White, and Memorial Hermann operate hospital-based facilities with higher operational costs reflected in pricing. Independent gastroenterology practices and ASCs often provide more competitive rates for routine screening procedures.
Insurance Market Competition in Texas
The Texas insurance market features strong competition among UnitedHealthcare, Blue Cross Blue Shield of Texas, Aetna, and Cigna, with robust negotiated rate variations across different plans and provider networks. This competitive environment generally keeps colonoscopy costs below national averages, though plan-specific networks can significantly impact patient out-of-pocket expenses. Regional insurers and self-funded employer plans add additional complexity to the pricing landscape.
Physician Supply and Demand in Texas
With over 10,800 active colonoscopy providers across Texas, the state maintains a relatively strong supply of qualified professionals compared to national averages. This abundance of providers, particularly in major metropolitan areas, helps maintain competitive pricing and shorter wait times for routine screening procedures. However, specialist distribution remains uneven, with rural areas experiencing relative shortages that can affect both 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 Texas
What is the average cost of a Colonoscopy visit in Texas without insurance?
Does Texas Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in Texas?
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 Texas?
How does telemedicine affect the cost of seeing a Colonoscopy in Texas?
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 |