Cost of a Colonoscopy Polyp Removal Visit
in Idaho
Reviewed by Momentary Medical Group West PC
Idaho's rural healthcare infrastructure presents unique challenges for accessing specialized procedures, with many residents traveling significant distances for gastroenterology services. Colonoscopy Polyp Removal procedures in Idaho typically cost patients between $80 and $3,638, with a median negotiated rate of $400. The state has 163 active providers offering these services across urban centers like Boise and Coeur d'Alene as well as smaller communities, giving patients multiple options when browsing providers throughout Idaho.
Average
$1,373
Median
$400
Lowest
$80
Highest
$3,638
Providers
163
83% above national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in Idaho?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $80 | $273 | $735 | 165 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $272 | $906 | 186 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $86 | $239 | $623 | 95 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $188 | $802 | 191 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $26 | $90 | 383 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $78 | $131 | $430 | 189 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $50 | $85 | $591 | 200 |
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 Idaho
Healthcare costs in Idaho run approximately 3% below national averages, reflecting the state's lower cost of living and competitive pressure from regional health systems. The state's vast rural geography creates significant access challenges, with many specialists concentrated in the Boise metro area and Coeur d'Alene region.
Urban vs. Rural Provider Availability
Most of Idaho's gastroenterologists practice in the Boise metropolitan area, with additional concentrations in Coeur d'Alene and Idaho Falls, leaving large rural areas underserved. Patients in remote areas often travel 2-3 hours for specialized procedures, creating additional indirect costs beyond the procedure fees themselves.
Facility Type and Overhead Costs
Hospital-owned gastroenterology practices in Idaho typically charge higher facility fees than independent surgery centers, particularly at major systems like Saint Alphonsus and Kootenai Health. Independent endoscopy centers often offer more competitive pricing due to lower overhead costs and streamlined operations focused specifically on digestive procedures.
Insurance Market Competition in Idaho
The limited number of major insurers in Idaho, primarily Regence BlueCross and PacificSource, creates less competitive pressure on negotiated rates compared to states with more insurance options. This market concentration can result in higher negotiated rates for specialized procedures, though the state's overall lower cost structure helps moderate these effects.
Physician Supply and Demand in Idaho
With 163 active providers offering colonoscopy services statewide, Idaho maintains adequate specialist availability in urban areas but faces shortages in rural regions. This supply-demand imbalance contributes to longer wait times and potentially higher costs in underserved areas, while urban markets show more competitive pricing due to provider density.
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 Idaho
What is the average cost of a Colonoscopy Polyp Removal visit in Idaho without insurance?
Does Idaho Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal near me in Idaho?
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 Idaho?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Idaho?
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 |
