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Indiana

Cost of a Colonoscopy Polyp Removal Visit
in Indiana

Reviewed by Momentary Medical Group West PC

Indiana's growing ambulatory surgery center market has created competitive pricing for Colonoscopy Polyp Removal procedures, with patients typically paying between $80 and $1,197 depending on facility type and insurance coverage. The median negotiated rate of $512 reflects Indiana's healthcare costs running approximately 6% below national averages, supported by 351 active providers across the state's urban centers and rural communities. Patients can browse all Colonoscopy Polyp Removal providers in Indiana to compare costs and find the most affordable option for their needs.

Average

$596

Median

$512

Lowest

$80

Highest

$1,197

Providers

351

National avg: $752Indiana: $596

21% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$81$359$835374
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$365$937390
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$90$304$691296
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$308$810411
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$28$88781
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$65$170$436417
OB Ultrasound

Obstetric ultrasound, complete

76805$45$101$280381

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 Indiana

Indiana's healthcare costs run approximately 6% below national averages, reflecting the state's lower cost of living and competitive ambulatory surgery center market. The concentration of major health systems in Indianapolis and Fort Wayne creates pricing competition that benefits patients seeking Colonoscopy Polyp Removal procedures throughout the state.

Urban vs. Rural Provider Availability

Indianapolis metro area hosts the highest concentration of gastroenterologists and endoscopy facilities, while rural counties in southern and northern Indiana have limited specialist availability. Patients in rural areas often travel to regional centers like Evansville, Fort Wayne, or South Bend for Colonoscopy Polyp Removal procedures. This urban-rural divide can create access barriers and transportation costs for patients in agricultural counties.

Facility Type and Overhead Costs

Indiana University Health, Community Health Network, and Franciscan Health operate hospital-based endoscopy centers with higher facility fees due to hospital overhead costs. Independent ambulatory surgery centers throughout Indiana typically offer 20-30% lower facility fees for Colonoscopy Polyp Removal procedures. Many gastroenterology practices have invested in office-based endoscopy suites to provide cost-effective screening options.

Insurance Market Competition in Indiana

Anthem Blue Cross Blue Shield maintains the largest market share among commercial insurers, followed by UnitedHealthcare and smaller regional carriers. Limited insurer competition in rural counties can result in higher premium costs and narrower provider networks. MDwise serves as the primary Medicaid managed care organization, creating additional network considerations for eligible patients.

Physician Supply and Demand in Indiana

With 351 active providers performing Colonoscopy Polyp Removal procedures, Indiana maintains adequate specialist supply in urban areas but faces shortages in rural regions. The Indiana University School of Medicine gastroenterology fellowship program helps maintain physician supply for the state. High demand for screening colonoscopies as baby boomers age has created scheduling challenges at some practices, potentially affecting procedure timing and costs.

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 Indiana

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

Without insurance, Colonoscopy Polyp Removal procedures in Indiana typically cost between $80 and $1,197, with a median price of $512 based on negotiated rates from major insurers. Self-pay patients can often negotiate discounts of 20-40% below standard rates, particularly at ambulatory surgery centers. Many providers offer payment plans to help manage these costs over several months.

Does Indiana Medicaid cover Colonoscopy Polyp Removal visits?

Indiana traditional Medicaid covers medically necessary Colonoscopy Polyp Removal procedures for eligible beneficiaries, including diagnostic colonoscopies and therapeutic polyp removal. Since Indiana has not expanded Medicaid, many working adults remain uninsured until age 65 and must rely on safety net programs or self-pay options. Coverage includes both physician and facility fees when performed at Medicaid-participating providers.

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

Compare prices between hospital outpatient departments and independent ambulatory surgery centers, as freestanding facilities typically cost 20-30% less for Colonoscopy Polyp Removal procedures. Ask about self-pay discounts, payment plans, and package pricing that includes pathology fees for removed polyps. Community health centers in Indiana may offer sliding-scale fees based on income for uninsured patients.

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 comprehensive history-taking and examination requirements. The actual Colonoscopy Polyp Removal procedure represents the largest cost component, ranging from $80 to $1,197 in Indiana based on facility type and complexity. Follow-up visits for pathology review and surveillance planning are usually brief appointments with lower associated costs.

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

Yes, Colonoscopy Polyp Removal procedures qualify as eligible medical expenses for both Health Savings Account and Flexible Spending Account reimbursement. This includes physician fees, facility charges, anesthesia costs, and pathology fees for removed polyps. Using pre-tax HSA or FSA funds can provide significant savings on out-of-pocket costs for these procedures.

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

While the actual Colonoscopy Polyp Removal procedure requires in-person care, initial consultations and follow-up visits can often be conducted via telehealth at lower costs than office visits. Many Indiana gastroenterology practices expanded telemedicine options during the pandemic and continue offering virtual consultations for appropriate cases. Telehealth visits typically cost $100-200 less than in-person consultations while maintaining quality care for routine follow-ups and procedure planning.

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