Cost of a Colonoscopy Visit
in West Virginia
Reviewed by Momentary Medical Group West PC
West Virginia's predominantly rural healthcare landscape features 106 active Colonoscopy providers serving communities across mountain valleys and urban centers. Patients typically pay between $85 and $1,395 for colonoscopy services, with a median out-of-pocket cost of $357 based on negotiated insurance rates. These costs reflect what insurers have agreed to pay West Virginia providers, making them about 8% below national averages, and patients can browse all available providers throughout the state.
Average
$612
Median
$357
Lowest
$85
Highest
$1,395
Providers
106
19% above national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in West Virginia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $308 | $1,329 | 163 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $98 | $410 | $1,538 | 153 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $93 | $274 | $889 | 98 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $298 | $1,647 | 122 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $14 | $91 | 304 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $66 | $155 | $1,167 | 201 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $50 | $68 | $215 | 208 |
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 West Virginia
West Virginia's colonoscopy costs run approximately 8% below national averages, reflecting the state's lower cost of living and rural healthcare economics where provider overhead tends to be more modest than in major metropolitan areas. The state's mountainous terrain and scattered population centers create unique cost pressures as patients often travel significant distances for specialized gastroenterology services.
Urban vs. Rural Provider Availability
Charleston, Morgantown, and Huntington concentrate most of West Virginia's gastroenterologists, while rural counties often lack local specialists, forcing residents to drive hours for colonoscopy procedures. This geographic disparity means rural patients may face higher total costs when factoring in travel expenses, though the procedure itself might cost less at smaller facilities compared to major medical centers like WVU Medicine or Charleston Area Medical Center.
Facility Type and Overhead Costs
Hospital-owned gastroenterology practices in West Virginia typically charge facility fees on top of physician fees, particularly at major health systems like WVU Medicine, Charleston Area Medical Center, and Cabell Huntington Hospital. Independent ambulatory surgery centers and physician-owned practices often offer more transparent pricing without additional facility charges, though they may have longer wait times due to higher patient demand.
Insurance Market Competition in West Virginia
Highmark Blue Cross Blue Shield of West Virginia maintains the largest market share, followed by UnitedHealthcare and Aetna, creating moderate insurer competition that helps control colonoscopy reimbursement rates. This relatively concentrated market gives insurers decent negotiating leverage with providers, contributing to the state's below-average procedure costs compared to more fragmented insurance markets in other states.
Physician Supply and Demand in West Virginia
With 106 active colonoscopy providers serving approximately 1.8 million residents, West Virginia faces gastroenterologist shortages in rural areas while urban centers have adequate specialist coverage. This uneven distribution creates pricing disparities where rural patients may pay premium rates for limited local options, while urban patients benefit from competitive pricing among multiple providers and facilities.
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 West Virginia
What is the average cost of a Colonoscopy visit in West Virginia without insurance?
Does West Virginia Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in West 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 West Virginia?
How does telemedicine affect the cost of seeing a Colonoscopy in West 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 |