Cost of a Colonoscopy Visit
in Vermont
Reviewed by Momentary Medical Group West PC
Vermont's aging population and high rural provider shortage create unique challenges for accessing specialized gastrointestinal care across the Green Mountain State. Colonoscopy visits in Vermont range from $106 to $801, with a median cost of $347 based on negotiated insurance rates from 334 active providers. Patients can browse all available Colonoscopy specialists throughout Vermont to find quality care that fits their budget and location preferences.
Average
$418
Median
$347
Lowest
$106
Highest
$801
Providers
334
19% below national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in Vermont?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $317 | $537 | $1,042 | 337 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $333 | $553 | $1,096 | 337 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $211 | $362 | $673 | 325 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $273 | $476 | $907 | 339 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $11 | $18 | $73 | 352 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $61 | $171 | $471 | 348 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $42 | $124 | $341 | 337 |
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 Vermont
Vermont's colonoscopy costs run approximately 15% above national averages, reflecting the state's rural geography and limited specialist availability outside major population centers. The concentration of gastroenterologists in Burlington and surrounding Chittenden County creates access challenges for residents in the Northeast Kingdom and southern Vermont regions.
Urban vs. Rural Provider Availability
Burlington area patients have access to multiple gastroenterology practices and the state's major academic medical center, creating competitive pricing pressure. Rural Vermont residents often travel 60+ miles to reach a gastroenterologist, with some areas served by visiting specialists only once or twice monthly. This geographic disparity affects both access and pricing, with rural patients sometimes paying premium rates for limited appointment availability.
Facility Type and Overhead Costs
UVM Medical Center and other hospital-affiliated practices in Vermont typically charge higher rates due to facility fees and academic medical center overhead. Independent gastroenterology practices in towns like Rutland and St. Johnsbury often offer more competitive pricing without sacrificing quality. Hospital-based endoscopy centers may have advantages for complex cases but generally cost more than freestanding ambulatory surgery centers.
Insurance Market Competition in Vermont
The limited competition between BCBS Vermont and MVP Health Care results in relatively standardized negotiated rates across the state. Vermont's small population and rural geography provide little leverage for aggressive price competition among insurers. This concentrated market structure tends to keep colonoscopy costs stable but potentially higher than states with more insurer competition.
Physician Supply and Demand in Vermont
With 334 active colonoscopy providers serving Vermont's 650,000 residents, the state maintains adequate specialist availability in urban areas but faces shortages in rural regions. The limited supply of gastroenterologists in northern and eastern Vermont allows providers to maintain premium pricing due to high demand. Wait times for non-urgent colonoscopies can extend 8-12 weeks in underserved areas, reflecting the supply-demand imbalance.
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 Vermont
What is the average cost of a Colonoscopy visit in Vermont without insurance?
Does Vermont Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in Vermont?
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 Vermont?
How does telemedicine affect the cost of seeing a Colonoscopy in Vermont?
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 |