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Arizona

Cost of a Colonoscopy Polyp Removal Visit
in Arizona

Reviewed by Momentary Medical Group West PC

Arizona's robust ambulatory surgery center market, one of the most competitive in the Southwest, creates significant price variation for Colonoscopy Polyp Removal procedures across the state. Patients typically pay between $213 and $715 for this procedure, with a median out-of-pocket cost of $367 based on negotiated insurance rates. Arizona maintains over 5,000 active Colonoscopy Polyp Removal providers, giving patients substantial choice when selecting care that fits their budget and location preferences.

Average

$432

Median

$367

Lowest

$213

Highest

$715

Providers

5,353

National avg: $752Arizona: $432

43% below national average

Compare Similar Procedures

How does colonoscopy with polyp removal compare to related procedures in Arizona?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$155$273$4725,125
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$85$233$5675,479
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$71$174$4555,070
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$81$161$4936,206
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$16$806,498
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$60$110$2646,403
OB Ultrasound

Obstetric ultrasound, complete

76805$51$92$1785,607

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 45385Colonoscopy with removal of polyps by snare). 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 45385 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 45385 (Colonoscopy with removal of polyps by snare), as mandated by the CMS Price Transparency Rule.

What CPT 45385 covers: the provider's professional fee for colonoscopy with polyp removal. 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 Polyp Removal Visit Costs Vary Across Arizona

Arizona's healthcare costs run approximately 5% above the national average, driven by the state's rapid population growth and concentration of medical facilities in Phoenix and Tucson metro areas. The competitive ambulatory surgery center market helps moderate costs, though rural areas face limited provider access and higher per-procedure expenses.

Urban vs. Rural Provider Availability

Phoenix and Tucson metro areas contain over 80% of Arizona's gastroenterologists, creating significant access challenges for residents in rural counties like Apache, Navajo, and Greenlee. Rural patients often travel 100+ miles for specialized procedures, adding transportation costs to already higher procedure fees. Telemedicine consultations help with follow-up care but cannot replace hands-on procedures.

Facility Type and Overhead Costs

Arizona's numerous independent ambulatory surgery centers typically charge 30-50% less than hospital outpatient departments for the same procedures. Major health systems like Banner Health and Dignity Health operate higher-cost hospital-based facilities, while independent ASCs focus on competitive pricing. Facility overhead varies significantly between urban centers and smaller communities.

Insurance Market Competition in Arizona

UnitedHealthcare, Blue Cross Blue Shield of Arizona, and Aetna compete aggressively in Arizona's individual and employer markets, leading to varied negotiated rates across providers. The state's relatively competitive insurance landscape helps keep some costs in check, though consolidation among health systems has increased provider pricing power. Medicare Advantage penetration is high due to Arizona's large retiree population.

Physician Supply and Demand in Arizona

With over 5,000 active providers performing Colonoscopy Polyp Removal procedures, Arizona maintains adequate specialist supply in urban areas but faces shortages in rural regions. The state's growing population, particularly among older adults requiring screening colonoscopies, creates increasing demand that can drive up wait times and costs. Many physicians relocate to Arizona from higher-cost states, bringing varied pricing expectations.

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 Polyp Removal Costs in Arizona

What is the average cost of a Colonoscopy Polyp Removal visit in Arizona without insurance?

Without insurance, Colonoscopy Polyp Removal in Arizona typically costs between $213 and $715, with a median price of $367 based on negotiated insurance rates. Self-pay patients may qualify for cash discounts of 20-40% at many facilities, potentially reducing costs below these amounts. Independent surgery centers often offer more competitive self-pay rates than hospital outpatient departments.

Does Arizona Medicaid cover Colonoscopy Polyp Removal visits?

Yes, Arizona Medicaid covers medically necessary Colonoscopy Polyp Removal procedures for eligible members. Arizona expanded Medicaid under the Affordable Care Act, providing coverage for adults up to 138% of federal poverty level. Some AHCCCS managed care plans may require prior authorization or referrals, so verify requirements with your specific plan before scheduling.

How do I find an affordable Colonoscopy Polyp Removal near me in Arizona?

Compare costs between independent surgery centers and hospital outpatient departments, as ASCs typically charge 30-50% less for the same procedures. Ask about self-pay discounts if uninsured, and consider community health centers in Phoenix and Tucson that offer sliding scale fees. Rural residents may find lower costs by traveling to urban centers with more competitive pricing.

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 due to comprehensive evaluation requirements and longer appointment times. However, the actual Colonoscopy Polyp Removal procedure cost of $213-$715 (median $367) represents the therapeutic intervention, not the office visit charges. Follow-up visits for discussing results or planning additional treatment are usually billed separately at lower rates.

Can I use an HSA or FSA to pay for a Colonoscopy Polyp Removal visit in Arizona?

Yes, Colonoscopy Polyp Removal procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use pre-tax dollars to pay for the procedure, deductibles, copays, and any related medical expenses. Keep all receipts and documentation for tax purposes, as these accounts may require proof of medical necessity.

How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Arizona?

While the actual polyp removal procedure must be performed in-person at a medical facility, telemedicine consultations in Arizona can reduce costs for initial evaluations and follow-up care. Virtual visits typically cost $50-150 less than in-office consultations and are widely accepted by Arizona insurers. However, hands-on procedures like colonoscopy with polyp removal cannot be performed remotely and require facility-based care.

Click a state to compare costs

Average Visit Cost

$272
$2,018

Office visit (CPT 45385)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $81$5,357
$2,018
2Washington
Range: $80$3,638
$1,402
3Oregon
Range: $80$3,638
$1,391
4Idaho
Range: $80$3,638
$1,373
5Alaska
Range: $80$3,638
$1,266
6Montana
Range: $80$3,638
$1,266
7Massachusetts
Range: $80$2,338
$1,051
8New York
Range: $276$2,338
$1,041
9Rhode Island
Range: $80$2,338
$1,031
10Connecticut
Range: $213$2,338
$1,026
11North Dakota
Range: $80$2,334
$976
12Pennsylvania
Range: $80$2,338
$962
13Delaware
Range: $80$2,338
$958
14Minnesota
Range: $80$1,954
$879
15New Hampshire
Range: $457$1,285
$866
16Wyoming
Range: $332$1,540
$808
17Nebraska
Range: $360$1,090
$799
18Hawaii
Range: $80$1,785
$773
19Maine
Range: $494$926
$763
20California
Range: $30$1,785
$756
21Iowa
Range: $95$1,197
$726
22District of Columbia
Range: $212$1,372
$726
23Georgia
Range: $225$1,310
$723
24New Mexico
Range: $265$1,278
$696
25North Carolina
Range: $80$1,433
$685
26New Jersey
Range: $151$1,496
$684
27West Virginia
Range: $98$1,538
$682
28Vermont
Range: $333$1,096
$661
29Utah
Range: $80$1,090
$630
30Colorado
Range: $85$1,282
$611
31Indiana
Range: $80$1,197
$596
32Kentucky
Range: $202$1,136
$586
33Missouri
Range: $239$853
$564
34South Dakota
Range: $80$1,090
$553
35Maryland
Range: $226$1,002
$550
36Michigan
Range: $80$1,088
$545
37Illinois
Range: $220$944
$542
38Louisiana
Range: $197$918
$514
39Mississippi
Range: $209$963
$514
40Nevada
Range: $320$740
$504
41South Carolina
Range: $80$936
$477
42Virginia
Range: $98$916
$471
43Arkansas
Range: $85$853
$464
44Alabama
Range: $80$870
$454
45Texas
Range: $90$866
$453
46Kansas
Range: $239$713
$451
47Ohio
Range: $191$751
$450
48Arizona
Range: $213$715
$432
49Tennessee
Range: $90$796
$428
50Florida
Range: $35$815
$302
51Oklahoma
Range: $85$646
$272
Colonoscopy with Polyp Removal in Other States