Cost of a Colonoscopy Visit
in Virginia
Reviewed by Momentary Medical Group West PC
Virginia's healthcare market features a growing ambulatory surgery center network that has helped moderate colonoscopy costs compared to hospital-based facilities. Colonoscopy patients typically pay between $124 and $682, with a median out-of-pocket cost of $297 based on negotiated insurance rates. With over 2,800 active colonoscopy providers across Virginia, patients have substantial choice when selecting their gastroenterologist or facility.
Average
$368
Median
$297
Lowest
$124
Highest
$682
Providers
2,843
29% below national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in Virginia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $98 | $343 | $830 | 3,248 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $98 | $398 | $916 | 3,147 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $95 | $228 | $551 | 2,703 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $90 | $257 | $728 | 2,890 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $13 | $22 | $98 | 3,469 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $59 | $150 | $390 | 3,292 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $36 | $85 | $215 | 2,860 |
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 Virginia
Virginia's colonoscopy costs run approximately 24% below national averages, reflecting the state's balanced mix of academic medical centers, community hospitals, and efficient ambulatory surgery centers. The Commonwealth's moderate regulatory environment and Medicaid expansion have created stable reimbursement patterns that benefit both providers and patients.
Urban vs. Rural Provider Availability
Northern Virginia and the Richmond-Petersburg corridor offer dense gastroenterology networks with competitive pricing, while rural areas like Southside Virginia rely on regional medical centers with higher transport costs. Hampton Roads benefits from military healthcare facilities that influence regional pricing standards. The Shenandoah Valley serves as a corridor between urban markets, creating moderate pricing pressures.
Facility Type and Overhead Costs
Virginia's major health systems including VCU Health, UVA Health, and Sentara operate hospital-based endoscopy suites with higher overhead costs than independent surgery centers. Freestanding endoscopy centers in Virginia Beach, Richmond, and Northern Virginia often provide the same quality care at 20-30% lower facility fees. Academic medical centers command premium rates due to their teaching mission and complex case referrals.
Insurance Market Competition in Virginia
Anthem Blue Cross Blue Shield holds the largest market share statewide, with Optima Health dominating Hampton Roads and UnitedHealthcare competing primarily in Northern Virginia's employer market. This regional insurer distribution creates varying negotiated rates across geographic areas. The competitive dynamic has prevented any single insurer from controlling colonoscopy reimbursement rates.
Physician Supply and Demand in Virginia
With over 2,800 active colonoscopy providers, Virginia maintains adequate gastroenterologist supply in urban areas while some rural counties experience access challenges. The state's physician density supports competitive pricing in metro markets like Richmond and Virginia Beach. Medical schools at UVA and VCU help maintain steady gastroenterology residency pipelines, preventing severe specialist shortages.
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 Virginia
What is the average cost of a Colonoscopy visit in Virginia without insurance?
Does Virginia Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in Virginia?
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 Virginia?
How does telemedicine affect the cost of seeing a Colonoscopy in Virginia?
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 |