Cost of a Colonoscopy Visit
in Wisconsin
Reviewed by Momentary Medical Group West PC
Wisconsin's healthcare market operates approximately 1% above national cost averages, reflecting the state's balanced mix of urban medical centers and rural clinics across its diverse geography. Colonoscopy patients in Wisconsin typically encounter negotiated rates ranging from $73 to $4,430, with a median cost of $281 based on actual insurer payment data from over 4,400 active providers statewide. Browse all Colonoscopy specialists in Wisconsin to compare costs and find the right provider for your screening or diagnostic needs.
Average
$1,595
Median
$281
Lowest
$73
Highest
$4,430
Providers
4,457
209% above national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in Wisconsin?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $73 | $385 | $5,357 | 4,222 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $81 | $617 | $5,357 | 2,400 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $130 | $529 | $4,430 | 1,916 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $116 | $615 | $5,357 | 2,133 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $19 | $73 | $102 | 9,032 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $73 | $175 | $1,020 | 5,284 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $68 | $95 | $502 | 3,783 |
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 Wisconsin
Wisconsin's healthcare costs run approximately 1% above national averages, reflecting the state's balanced economy and moderate cost of living compared to coastal regions. The state's mix of major metropolitan areas like Milwaukee and Madison alongside extensive rural counties creates distinct pricing tiers across different regions.
Urban vs. Rural Provider Availability
Milwaukee and Madison metro areas concentrate most of Wisconsin's gastroenterology specialists, while rural northern and western counties often require patients to travel significant distances for care. This geographic disparity creates higher costs in underserved areas due to limited competition and travel expenses. Telemedicine consultation options have expanded access but don't replace the need for in-person procedures.
Facility Type and Overhead Costs
Wisconsin's healthcare landscape includes major systems like Froedtert Health, Marshfield Clinic, and UW Health, which operate hospital-based outpatient centers with higher overhead costs. Independent gastroenterology practices typically offer lower facility fees but may have limited hours or services. Academic medical centers in Madison command premium rates due to their teaching hospital status and specialized capabilities.
Insurance Market Competition in Wisconsin
The state's insurance market features moderate competition among Blue Cross Blue Shield of Wisconsin (Anthem), UnitedHealthcare, and regional players like WEA Trust. This competitive environment helps contain negotiated rates compared to more concentrated markets. Rural areas often have fewer insurer options, potentially leading to higher costs due to reduced bargaining power.
Physician Supply and Demand in Wisconsin
With over 4,400 Colonoscopy providers across the state, Wisconsin maintains adequate specialist availability in urban areas but faces shortages in rural regions. This supply imbalance drives up costs and wait times in underserved counties while keeping prices competitive in Milwaukee and Madison. The state's medical schools help maintain steady physician recruitment, though retention in rural areas remains challenging.
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 Wisconsin
What is the average cost of a Colonoscopy visit in Wisconsin without insurance?
Does Wisconsin Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in Wisconsin?
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 Wisconsin?
How does telemedicine affect the cost of seeing a Colonoscopy in Wisconsin?
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 |