Cost of a Colonoscopy Polyp Removal Visit
in Montana
Reviewed by Momentary Medical Group West PC
Montana's sparse population across 147,000 square miles creates unique challenges for accessing specialized gastroenterology care, with many patients traveling long distances to reach one of the 307 active Colonoscopy Polyp Removal providers across the state. Based on actual insurance negotiated rates, patients typically pay between $80 and $3,638 for this procedure, with costs running approximately 84% below national averages. The wide geographic distribution of Montana's healthcare facilities means that patients can browse all available providers throughout the state to find both convenient locations and competitive pricing.
Average
$1,266
Median
$80
Lowest
$80
Highest
$3,638
Providers
307
68% above national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in Montana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $80 | $80 | $538 | 319 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $80 | $545 | 315 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $90 | $231 | $581 | 40 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $80 | $523 | 327 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $14 | $80 | 367 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $80 | $80 | $269 | 318 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $51 | $68 | $991 | 354 |
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 Montana
Montana's healthcare costs run approximately 4% above national averages, but Colonoscopy Polyp Removal procedures actually cost 84% less than national rates, reflecting the state's lower facility overhead and physician costs relative to coastal markets. The state's challenging geography, with patients often traveling hundreds of miles for specialist care, creates unique cost dynamics where providers must balance accessibility with financial sustainability.
Urban vs. Rural Provider Availability
Most of Montana's gastroenterologists concentrate in Billings, Missoula, Great Falls, and Bozeman, leaving vast rural areas dependent on traveling specialists or patient travel to urban centers. This geographic concentration allows urban practices to offer more competitive pricing through higher patient volumes, while rural areas often rely on visiting specialists who may charge premium rates. The 147,000 square mile service area means some patients drive over 200 miles for specialized procedures, adding travel costs to medical expenses.
Facility Type and Overhead Costs
Hospital-based outpatient centers in Montana typically charge higher facility fees than independent ambulatory surgery centers, reflecting the higher overhead costs of maintaining full-service hospitals in low-population areas. Major health systems like Billings Clinic and Providence St. Patrick Hospital operate multiple locations but may have standardized pricing that doesn't reflect local market conditions. Independent gastroenterology practices often offer more flexible pricing, particularly for self-pay patients.
Insurance Market Competition in Montana
The dominance of Blue Cross Blue Shield Montana, PacificSource, and UnitedHealthcare creates a stable but not highly competitive insurance market, with each insurer negotiating different rates with the state's limited number of gastroenterology providers. This concentrated market structure can lead to similar negotiated rates across insurers, reducing the typical price variation seen in more competitive markets. The state's small population and rural geography limit insurers' ability to create narrow networks, giving most providers reasonable negotiating power.
Physician Supply and Demand in Montana
With 307 providers offering Colonoscopy Polyp Removal services across Montana's population of just over one million residents, the state maintains adequate specialist access in urban areas but significant shortages in frontier regions. This relatively balanced supply in population centers helps keep costs competitive, while rural shortages can drive up prices for patients who cannot travel to larger cities. Wait times for non-urgent procedures typically range from 2-8 weeks, indicating neither severe shortages nor oversupply in the specialist market.
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 Montana
What is the average cost of a Colonoscopy Polyp Removal visit in Montana without insurance?
Does Montana Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal near me in Montana?
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 Montana?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Montana?
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 |