Cost of a Colonoscopy Polyp Removal Visit
in Kentucky
Reviewed by Momentary Medical Group West PC
Kentucky's healthcare costs run approximately 5% below national averages, with the state's Medicaid expansion providing broader access to preventive care including Colonoscopy Polyp Removal procedures. Patients typically pay between $202 and $1,136 for these visits, with a median out-of-pocket cost of $421, depending on their insurance coverage and chosen provider. With 210 active Colonoscopy Polyp Removal providers across the Commonwealth, patients can browse all available specialists throughout Kentucky's urban centers and rural communities.
Average
$586
Median
$421
Lowest
$202
Highest
$1,136
Providers
210
22% below national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in Kentucky?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $324 | $814 | 243 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $322 | $917 | 270 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $106 | $249 | $631 | 191 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $60 | $220 | $830 | 282 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $80 | $88 | 945 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $64 | $152 | $477 | 283 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $44 | $92 | $229 | 248 |
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 Kentucky
Kentucky's healthcare costs run approximately 5% below national averages, reflecting the state's lower cost of living and more competitive provider markets compared to coastal regions. The Commonwealth's mix of urban medical centers and rural healthcare challenges creates significant cost variation across different regions and facility types.
Urban vs. Rural Provider Availability
Louisville and Lexington metro areas concentrate most of Kentucky's gastroenterology specialists, creating access challenges for patients in Appalachian counties and other rural regions who may need to travel significant distances for specialized care. Rural patients often face higher total costs when factoring in travel expenses, though the procedures themselves may be less expensive at smaller regional hospitals compared to major academic medical centers.
Facility Type and Overhead Costs
Hospital-based outpatient departments at major Kentucky health systems like Baptist Health, Norton Healthcare, and UK HealthCare typically charge facility fees that independent gastroenterology practices do not, adding hundreds of dollars to procedure costs. Ambulatory surgery centers throughout Kentucky often provide the most cost-effective option for routine Colonoscopy Polyp Removal procedures, combining hospital-level safety standards with lower overhead expenses than traditional hospital settings.
Insurance Market Competition in Kentucky
Strong competition among Anthem, UHC, and Humana in Kentucky's individual and group insurance markets has helped moderate premium growth and maintain reasonable negotiated rates with specialist providers. The state's relatively concentrated insurance market means that most gastroenterologists participate in multiple major networks, giving patients more in-network options compared to states with more fragmented insurance landscapes.
Physician Supply and Demand in Kentucky
With 210 active Colonoscopy Polyp Removal providers serving Kentucky's 4.5 million residents, the state maintains adequate specialist availability in urban areas while facing shortages in rural regions, particularly eastern Kentucky. This geographic maldistribution means that urban patients typically enjoy shorter wait times and more competitive pricing, while rural patients may face longer delays and higher travel costs despite potentially lower procedure fees at regional facilities.
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 Kentucky
What is the average cost of a Colonoscopy Polyp Removal visit in Kentucky without insurance?
Does Kentucky Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal near me in Kentucky?
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 Kentucky?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Kentucky?
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 |