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Colorado

Cost of a Colonoscopy Polyp Removal Visit
in Colorado

Reviewed by Momentary Medical Group West PC

Colorado's competitive ambulatory surgery center market, particularly concentrated in the Denver metropolitan area, has helped moderate costs for gastroenterology procedures across the state. Patients seeking Colonoscopy Polyp Removal typically pay between $85 and $1,282, with a median cost of $467 based on negotiated rates from over 1,400 active providers. The state's expanded Medicaid program and strong presence of insurers like UHC, Anthem, and Kaiser have created a robust network of Colonoscopy Polyp Removal specialists throughout Colorado's urban and mountain communities.

Average

$611

Median

$467

Lowest

$85

Highest

$1,282

Providers

1,413

National avg: $752Colorado: $611

19% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$85$309$7601,571
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$85$344$9691,596
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$117$243$6271,345
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$85$236$8291,652
ECG / EKG

12-lead electrocardiogram with interpretation

93000$16$26$851,878
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$77$169$4281,528
OB Ultrasound

Obstetric ultrasound, complete

76805$51$104$2751,580

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 Colorado

Colorado healthcare costs run approximately 7% above national averages, driven by the state's high cost of living and concentration of specialized medical facilities in metropolitan areas. The state's unique geography creates distinct cost zones between urban centers and mountain communities with limited provider access.

Urban vs. Rural Provider Availability

Denver, Colorado Springs, and Fort Collins offer abundant gastroenterology options with competitive pricing, while mountain communities and eastern plains often require patients to travel for specialist care. This geographic disparity means rural Colorado residents may face higher costs due to travel requirements and limited local alternatives.

Facility Type and Overhead Costs

Colorado's robust ambulatory surgery center network, particularly around Denver, often provides lower-cost alternatives to hospital-based outpatient departments for Colonoscopy Polyp Removal procedures. Major health systems like UCHealth, Presbyterian/Saint Joseph, and SCL Health operate throughout Colorado but may have higher overhead costs than independent gastroenterology practices.

Insurance Market Competition in Colorado

The presence of multiple major insurers including UHC, Anthem, and Kaiser creates competitive negotiated rates for gastroenterology services across Colorado. The state's insurance marketplace offers numerous plan options, giving consumers leverage to choose networks that include their preferred Colonoscopy Polyp Removal providers.

Physician Supply and Demand in Colorado

With over 1,400 active providers offering Colonoscopy Polyp Removal services, Colorado maintains a relatively strong specialist supply compared to national averages. This healthy provider-to-population ratio helps contain costs and reduces wait times, particularly in metro areas where most gastroenterologists concentrate their practices.

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 Colorado

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

Self-pay patients in Colorado typically pay between $85 and $1,282 for Colonoscopy Polyp Removal, with a median cost of $467. Many gastroenterology practices offer cash-pay discounts that can reduce these amounts by 30-50%. The final cost depends on the complexity of the procedure and whether it's performed at an ambulatory surgery center versus a hospital outpatient department.

Does Colorado Medicaid cover Colonoscopy Polyp Removal visits?

Yes, Colorado's expanded Medicaid program covers medically necessary Colonoscopy Polyp Removal procedures when performed by participating providers. Patients typically need a referral from their primary care physician and should verify that both the gastroenterologist and facility accept Colorado Medicaid. Coverage includes the procedure, pathology, and related facility fees.

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

Compare costs across different facility types, as ambulatory surgery centers often charge less than hospital outpatient departments in Colorado. Ask about self-pay discounts if you're uninsured, and consider community health centers in Denver and other major cities that may offer sliding fee scales. Shopping around can save hundreds of dollars even within the same insurance network.

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

Initial gastroenterology consultations in Colorado typically cost more than follow-up visits, though the specific pricing depends on the complexity of your case and time spent with the physician. If polyp removal is performed during the same visit as the consultation, the procedural fee becomes the primary charge. Follow-up visits for post-procedure care are usually brief and less expensive.

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

Yes, Colonoscopy Polyp Removal is considered a qualified medical expense eligible for HSA and FSA reimbursement in Colorado. You can use these pre-tax dollars to pay for the procedure, related facility fees, pathology costs, and transportation to the appointment. Keep all receipts and documentation for your HSA/FSA administrator.

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

While the actual polyp removal procedure must be performed in person, initial consultations and follow-up visits can sometimes be conducted via telemedicine in Colorado at lower costs. Telehealth visits typically cost $100-200 less than in-person consultations and can be convenient for discussing biopsy results or post-procedure care. However, physical examination is often necessary for proper evaluation.

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