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Idaho

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

National avg: $752Idaho: $1,373

83% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$80$273$735165
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$272$906186
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$86$239$62395
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$188$802191
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$26$90383
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$78$131$430189
OB Ultrasound

Obstetric ultrasound, complete

76805$50$85$591200

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 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.

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 Idaho

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

Uninsured patients in Idaho can expect to pay between $80 and $3,638 for colonoscopy with polyp removal, with a median cost of $400 based on negotiated insurance rates. Many facilities offer cash-pay discounts that can reduce these amounts by 30-50%, making the procedure more affordable for self-pay patients. Independent surgery centers typically offer lower rates than hospital-based facilities, and payment plans are commonly available to help manage costs.

Does Idaho Medicaid cover Colonoscopy Polyp Removal visits?

Yes, Idaho's expanded Medicaid program covers colonoscopy procedures including polyp removal for eligible adults. Patients typically need a referral from their primary care provider and may face longer wait times due to limited participating gastroenterologists, particularly in rural areas. Coverage includes both the physician fees and facility charges associated with the procedure.

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

Compare prices between independent surgery centers and hospital-based facilities, as surgery centers often offer significantly lower rates. Ask about cash-pay discounts if you're uninsured or have a high-deductible plan, and consider community health centers in larger cities like Boise that may offer sliding-scale fees. Rural patients should factor in travel costs when comparing urban versus local options.

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 the comprehensive evaluation required for new patients. The actual colonoscopy with polyp removal procedure represents the largest cost component at $400 median in Idaho, while office visits for consultation and post-procedure follow-up are generally under $200 each. Most insurance plans cover follow-up visits related to polyp removal as part of the overall treatment episode.

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

Yes, colonoscopy procedures including polyp removal qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. You can use these pre-tax dollars for physician fees, facility charges, anesthesia costs, and related expenses like pathology fees for polyp analysis. Keep all receipts and documentation for tax purposes, as these procedures clearly meet IRS requirements for qualified medical expenses.

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

While the actual colonoscopy procedure must be performed in person, many Idaho gastroenterologists offer telemedicine consultations for initial evaluations and post-procedure follow-ups at lower costs than office visits. Telehealth visits can be particularly valuable for rural Idaho patients who would otherwise travel long distances for routine consultations. Pre-procedure planning and results discussions often work well via telemedicine, reducing overall treatment costs and time commitments.

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