Cost of a Colonoscopy Polyp Removal Visit
in Georgia
Reviewed by Momentary Medical Group West PC
Georgia's healthcare market shows 30% higher negotiated rates for Colonoscopy Polyp Removal procedures compared to national averages, with 2,968 active providers across the state. Patients typically encounter rates ranging from $225 to $1,310, with a median negotiated rate of $632 for outpatient polyp removal procedures. The state's concentration of providers in metro Atlanta and Augusta creates competitive pricing options, while rural counties may have limited specialist availability affecting access and scheduling.
Average
$723
Median
$632
Lowest
$225
Highest
$1,310
Providers
2,968
4% below national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in Georgia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $90 | $448 | $982 | 3,108 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $525 | $1,250 | 3,159 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $119 | $350 | $830 | 2,875 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $396 | $1,084 | 3,187 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $29 | $93 | 3,676 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $68 | $206 | $653 | 3,205 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $50 | $118 | $319 | 3,173 |
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 45385 — Colonoscopy 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 Georgia
Georgia's healthcare costs run approximately 1% below national averages, though Colonoscopy Polyp Removal procedures show 30% higher negotiated rates than typical. The state's mix of urban medical centers and rural counties creates distinct pricing patterns influenced by provider availability and facility overhead differences.
Urban vs. Rural Provider Availability
Metro Atlanta concentrates the majority of Georgia's gastroenterologists, creating competitive pricing and shorter wait times, while rural counties in south and southwest Georgia often require patients to travel significant distances for specialist care. This geographic imbalance can drive up effective costs when factoring in travel and time off work for rural patients.
Facility Type and Overhead Costs
Hospital-based outpatient centers in Georgia typically charge facility fees that independent ambulatory surgery centers do not, affecting total procedure costs even with identical physician fees. Major health systems like Emory Healthcare and Piedmont Healthcare operate extensive outpatient networks that may have different negotiated rates with insurers compared to smaller independent practices.
Insurance Market Competition in Georgia
Georgia's insurance market features moderate competition with Anthem, UHC, and Cigna holding significant market share, leading to varied negotiated rates across different health plans. The state's regulatory environment allows insurers considerable flexibility in network design, which can create cost differences for the same provider depending on your specific plan.
Physician Supply and Demand in Georgia
With 2,968 active providers performing colonoscopy procedures statewide, Georgia shows adequate specialist availability in metro areas but potential shortages in rural counties. This supply distribution affects both access and pricing, with rural areas sometimes commanding higher rates due to limited competition and urban areas offering more cost-effective options.
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 Polyp Removal Costs in Georgia
What is the average cost of a Colonoscopy Polyp Removal visit in Georgia without insurance?
Does Georgia Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal near me in Georgia?
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 Polyp Removal visit in Georgia?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Georgia?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 45385)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $81 – $5,357 | $2,018 |
| 2 | Washington Range: $80 – $3,638 | $1,402 |
| 3 | Oregon Range: $80 – $3,638 | $1,391 |
| 4 | Idaho Range: $80 – $3,638 | $1,373 |
| 5 | Alaska Range: $80 – $3,638 | $1,266 |
| 6 | Montana Range: $80 – $3,638 | $1,266 |
| 7 | Massachusetts Range: $80 – $2,338 | $1,051 |
| 8 | New York Range: $276 – $2,338 | $1,041 |
| 9 | Rhode Island Range: $80 – $2,338 | $1,031 |
| 10 | Connecticut Range: $213 – $2,338 | $1,026 |
| 11 | North Dakota Range: $80 – $2,334 | $976 |
| 12 | Pennsylvania Range: $80 – $2,338 | $962 |
| 13 | Delaware Range: $80 – $2,338 | $958 |
| 14 | Minnesota Range: $80 – $1,954 | $879 |
| 15 | New Hampshire Range: $457 – $1,285 | $866 |
| 16 | Wyoming Range: $332 – $1,540 | $808 |
| 17 | Nebraska Range: $360 – $1,090 | $799 |
| 18 | Hawaii Range: $80 – $1,785 | $773 |
| 19 | Maine Range: $494 – $926 | $763 |
| 20 | California Range: $30 – $1,785 | $756 |
| 21 | Iowa Range: $95 – $1,197 | $726 |
| 22 | District of Columbia Range: $212 – $1,372 | $726 |
| 23 | Georgia Range: $225 – $1,310 | $723 |
| 24 | New Mexico Range: $265 – $1,278 | $696 |
| 25 | North Carolina Range: $80 – $1,433 | $685 |
| 26 | New Jersey Range: $151 – $1,496 | $684 |
| 27 | West Virginia Range: $98 – $1,538 | $682 |
| 28 | Vermont Range: $333 – $1,096 | $661 |
| 29 | Utah Range: $80 – $1,090 | $630 |
| 30 | Colorado Range: $85 – $1,282 | $611 |
| 31 | Indiana Range: $80 – $1,197 | $596 |
| 32 | Kentucky Range: $202 – $1,136 | $586 |
| 33 | Missouri Range: $239 – $853 | $564 |
| 34 | South Dakota Range: $80 – $1,090 | $553 |
| 35 | Maryland Range: $226 – $1,002 | $550 |
| 36 | Michigan Range: $80 – $1,088 | $545 |
| 37 | Illinois Range: $220 – $944 | $542 |
| 38 | Louisiana Range: $197 – $918 | $514 |
| 39 | Mississippi Range: $209 – $963 | $514 |
| 40 | Nevada Range: $320 – $740 | $504 |
| 41 | South Carolina Range: $80 – $936 | $477 |
| 42 | Virginia Range: $98 – $916 | $471 |
| 43 | Arkansas Range: $85 – $853 | $464 |
| 44 | Alabama Range: $80 – $870 | $454 |
| 45 | Texas Range: $90 – $866 | $453 |
| 46 | Kansas Range: $239 – $713 | $451 |
| 47 | Ohio Range: $191 – $751 | $450 |
| 48 | Arizona Range: $213 – $715 | $432 |
| 49 | Tennessee Range: $90 – $796 | $428 |
| 50 | Florida Range: $35 – $815 | $302 |
| 51 | Oklahoma Range: $85 – $646 | $272 |