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California

Cost of a Colonoscopy Polyp Removal Visit
in California

Reviewed by Momentary Medical Group West PC

California's integrated health systems like Kaiser Permanente serve over 12 million members statewide, creating a unique healthcare landscape where Colonoscopy Polyp Removal procedures are often streamlined through coordinated care models. Patients typically pay between $30 and $1,785 for colonoscopy polyp removal, with a median out-of-pocket cost of $453. With over 9,290 active providers offering this procedure across California, patients have substantial options when browsing all available Colonoscopy Polyp Removal providers throughout the state.

Average

$756

Median

$453

Lowest

$30

Highest

$1,785

Providers

9,290

National avg: $752California: $756

1% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$85$85$6475,883
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$308$1,78512,256
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$80$85$5986,177
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$196$1,35216,316
ECG / EKG

12-lead electrocardiogram with interpretation

93000$16$49$8822,603
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$79$101$58617,572
OB Ultrasound

Obstetric ultrasound, complete

76805$52$90$2877,619

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.

Colonoscopy Polyp Removal Visit Costs by City in California2026

Colonoscopy Polyp Removal visit costs vary significantly across California cities due to the state's diverse geography spanning dense urban centers like Los Angeles and San Francisco to rural Central Valley communities. ---CITY_SUMMARIES---

CityMin CostMedian CostMax Cost
Santa Monica$85$1,785$1,785
Burbank$85$1,785$1,785
Thousand Oaks$85$1,785$1,785
Valencia$85$1,785$1,785
Van Nuys$85$1,785$1,785
Westlake Village$85$1,785$1,785
Ventura$85$1,785$1,785
Sylmar$80$1,785$1,785
Porter Ranch$85$1,785$1,785
Calabasas$85$1,785$1,785

Costs reflect self-pay estimates based on insurer-negotiated rates. Insured patients may pay significantly less depending on plan type, deductible status, and network tier.

Why Colonoscopy Polyp Removal Visit Costs Vary Across California

California's healthcare costs run approximately 18% above the national average, driven by the state's high cost of living, stringent regulatory environment, and concentration of premium healthcare facilities in major metropolitan areas. The state's diverse geography creates significant cost variations between coastal urban centers and inland rural communities.

Urban vs. Rural Provider Availability

The San Francisco Bay Area and greater Los Angeles region concentrate the majority of California's gastroenterology specialists, creating premium pricing in these markets while rural areas like the Central Valley and far northern counties face provider shortages. Patients in underserved regions often travel significant distances for specialized procedures, adding transportation costs to their total healthcare expense. This supply-demand imbalance contributes to the wide cost variations seen across the state.

Facility Type and Overhead Costs

California's major health systems including Kaiser Permanente, Sutter Health, and Cedars-Sinai operate extensive networks of hospital-based outpatient centers that typically charge higher facility fees than independent practices. Academic medical centers like UCSF and UCLA command premium rates due to their research missions and complex case mix. Independent ambulatory surgery centers often provide the most cost-effective option for routine procedures.

Insurance Market Competition in California

The dominance of Anthem Blue Cross, Kaiser Permanente, and UnitedHealthcare creates a moderately competitive but consolidated market where negotiated rates vary significantly by insurer and region. Kaiser's integrated delivery model often results in different pricing structures compared to traditional fee-for-service arrangements. Regional insurers like Blue Shield of California and Health Net add competitive pressure in select markets.

Physician Supply and Demand in California

With over 9,290 providers offering Colonoscopy Polyp Removal procedures, California maintains a relatively robust supply of qualified specialists, though distribution favors urban coastal areas over inland regions. This supply level generally supports reasonable access and competitive pricing in major metropolitan areas. Wait times tend to be shorter in areas with higher provider density, while rural regions may experience longer scheduling delays that can affect both cost and care coordination.

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 California

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

Without insurance, Colonoscopy Polyp Removal procedures in California typically range from $30 to $1,785, with a median cost of $453 based on negotiated rate data from transparency files. However, many providers offer cash-pay discounts that can reduce these amounts by 30-50% for uninsured patients. The final cost depends on factors like facility type, geographic location within California, and the complexity of the polyp removal procedure.

Does California Medicaid cover Colonoscopy Polyp Removal visits?

Yes, California's expanded Medicaid program (Medi-Cal) covers Colonoscopy Polyp Removal procedures when medically necessary or as part of appropriate screening protocols. Patients must use providers within the Medi-Cal network and may need referrals depending on their specific managed care plan. Coverage includes both the procedure itself and associated pathology services for removed polyps.

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

Compare costs across different facility types, as independent ambulatory surgery centers often charge less than hospital-based outpatient centers for the same procedure. Many California providers offer significant self-pay discounts for uninsured patients, while community health centers may provide sliding-scale fees based on income. Consider traveling to areas with lower healthcare costs if you live in expensive markets like San Francisco or Los Angeles.

What is the difference in cost between an initial consultation and a follow-up visit?

Based on the available data, the initial Colonoscopy Polyp Removal procedure ranges from $30 to $1,785 with a median of $453 in California. Follow-up visits are typically less expensive as they usually involve office consultations rather than procedures, though the exact costs depend on whether additional interventions or surveillance procedures are needed. Most follow-up visits involve reviewing pathology results and scheduling future surveillance colonoscopies.

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

Yes, Colonoscopy Polyp Removal procedures qualify as eligible medical expenses for both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). This includes the procedure itself, associated anesthesia fees, facility charges, and pathology costs for polyp analysis. Using pre-tax dollars from these accounts can provide significant savings, especially for California residents in higher tax brackets.

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

While the actual polyp removal procedure must be performed in person at an endoscopy facility, telemedicine can reduce costs for pre-procedure consultations and post-procedure follow-ups. Many California gastroenterologists offer virtual consultations to review symptoms, discuss procedure preparation, and review results, which typically cost less than in-person office visits. This hybrid approach can reduce overall care costs while maintaining quality outcomes.

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