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Utah

Cost of a Colonoscopy Visit
in Utah

Reviewed by Momentary Medical Group West PC

Utah's healthcare costs run approximately 2% below national averages, with colonoscopy procedures ranging from $85 to $741 across the state's 423 active providers. Patients typically pay between these amounts depending on their insurance coverage, facility type, and geographic location within Utah. The median negotiated rate of $499 reflects what most insurers have agreed to pay providers, though out-of-pocket costs vary significantly based on your specific plan and deductible status.

Average

$441

Median

$499

Lowest

$85

Highest

$741

Providers

423

National avg: $517Utah: $441

15% below national average

Compare Similar Procedures

How does colonoscopy compare to related procedures in Utah?

ProcedureCPTLowMedianHighProviders
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$537$944432
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$80$722$1,090362
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$98$491$627329
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$384$820441
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$26$88464
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$80$202$340425
OB Ultrasound

Obstetric ultrasound, complete

76805$51$143$241409

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 45378Diagnostic 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 Utah

Utah's colonoscopy costs average 2% below national rates, reflecting the state's competitive healthcare market and lower overall cost of living compared to coastal regions. The concentration of major health systems along the Wasatch Front creates pricing efficiencies while rural areas rely more heavily on regional medical centers.

Urban vs. Rural Provider Availability

Most of Utah's 423 colonoscopy providers practice in Salt Lake City, Ogden, and Provo, creating competitive pricing in these metropolitan areas. Rural counties often require patients to travel to regional centers like St. George or Logan, where fewer specialists may result in longer wait times but similar pricing structures.

Facility Type and Overhead Costs

Hospital-based colonoscopy procedures at facilities like University of Utah Health and Intermountain Healthcare typically cost more than independent ambulatory surgery centers. However, these larger systems often offer comprehensive services and accept more insurance plans, potentially reducing overall patient costs.

Insurance Market Competition in Utah

SelectHealth dominates Utah's insurance market alongside Blue Cross Blue Shield of Utah and UnitedHealthcare, creating moderate competition that influences negotiated rates. This three-way competition helps maintain reasonable colonoscopy costs while providing patients with multiple network options for specialist care.

Physician Supply and Demand in Utah

With 423 active providers performing colonoscopies across the state, Utah maintains adequate specialist availability relative to its population of 3.4 million residents. This healthy supply-demand balance prevents the pricing premiums seen in physician-shortage areas while keeping appointment wait times reasonable.

JP

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.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Colonoscopy Costs in Utah

What is the average cost of a Colonoscopy visit in Utah without insurance?

Uninsured patients in Utah can expect colonoscopy costs ranging from $85 to $741, with a median rate of $499 based on negotiated insurance rates. However, many providers offer self-pay discounts of 20-40% for patients paying upfront. Community health centers and ambulatory surgery centers often provide more affordable options than hospital-based facilities for cash-paying patients.

Does Utah Medicaid cover Colonoscopy visits?

Yes, Utah Medicaid covers colonoscopy procedures for eligible beneficiaries, including both screening and diagnostic colonoscopies when medically necessary. Since Utah expanded Medicaid in 2019, more adults qualify for coverage of preventive colonoscopy screening. Prior authorization may be required for certain situations, so check with your provider's office before scheduling.

How do I find an affordable Colonoscopy near me in Utah?

Compare costs across different facility types, as ambulatory surgery centers often charge less than hospital-based programs for the same procedure. Ask about self-pay discounts if you're uninsured, and consider community health centers which may offer sliding-scale pricing. Utah's competitive market with 423 providers gives you options to shop around for better rates.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial gastroenterology consultations typically cost more than follow-up visits, though the colonoscopy procedure itself represents the largest expense in your care journey. Pre-procedure consultations help determine medical necessity and discuss preparation requirements. Follow-up visits after colonoscopy are usually brief and focus on results discussion and future screening recommendations.

Can I use an HSA or FSA to pay for a Colonoscopy visit in Utah?

Yes, colonoscopy procedures qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. This includes the physician fees, facility costs, anesthesia, and any pathology services if polyps are removed. Using pre-tax HSA or FSA dollars can reduce your effective cost by 20-30% depending on your tax bracket.

How does telemedicine affect the cost of seeing a Colonoscopy in Utah?

While the colonoscopy procedure itself requires in-person care, many Utah gastroenterologists offer telehealth consultations for initial evaluations and follow-up discussions. These virtual visits typically cost $50-150 less than office visits and can help determine if colonoscopy is appropriate for your symptoms. Telehealth options have expanded significantly across Utah's healthcare systems since 2020.

Click a state to compare costs

Average Visit Cost

$231
$1,595

Office visit (CPT 45378)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$4,430
$1,595
2North Dakota
Range: $165$2,255
$1,558
3Minnesota
Range: $90$2,255
$1,217
4South Dakota
Range: $85$2,255
$895
5Massachusetts
Range: $113$1,830
$815
6Rhode Island
Range: $91$1,830
$781
7Connecticut
Range: $90$1,830
$748
8Delaware
Range: $95$1,830
$747
9Pennsylvania
Range: $85$1,830
$746
10New York
Range: $101$1,830
$743
11West Virginia
Range: $85$1,395
$612
12Nebraska
Range: $265$815
$594
13New Hampshire
Range: $204$956
$571
14Wyoming
Range: $158$1,057
$530
15North Carolina
Range: $90$1,065
$511
16Georgia
Range: $90$982
$507
17New Jersey
Range: $110$1,117
$505
18New Mexico
Range: $168$954
$502
19Iowa
Range: $85$944
$498
20Maine
Range: $220$674
$485
21Illinois
Range: $85$901
$443
22Utah
Range: $85$741
$441
23District of Columbia
Range: $126$815
$437
24Indiana
Range: $81$835
$425
25Vermont
Range: $106$801
$418
26Missouri
Range: $174$634
$417
27Washington
Range: $80$856
$411
28Oregon
Range: $80$836
$408
29Kentucky
Range: $85$814
$408
30Maryland
Range: $162$712
$396
31Michigan
Range: $92$768
$395
32Colorado
Range: $85$760
$385
33Hawaii
Range: $85$757
$385
34Mississippi
Range: $151$719
$381
35Alabama
Range: $147$649
$373
36Virginia
Range: $124$682
$368
37Louisiana
Range: $116$670
$366
38South Carolina
Range: $90$695
$363
39Idaho
Range: $80$735
$363
40Nevada
Range: $204$553
$351
41Arkansas
Range: $85$634
$345
42Texas
Range: $85$634
$336
43Kansas
Range: $174$530
$331
44Ohio
Range: $85$565
$325
45Tennessee
Range: $90$582
$320
46Oklahoma
Range: $85$606
$303
47Arizona
Range: $155$472
$300
48California
Range: $85$647
$272
49Alaska
Range: $80$648
$269
50Montana
Range: $80$538
$233
51Florida
Range: $35$604
$231
Colonoscopy in Other States