Cost of a Colonoscopy Polyp Removal Visit
in Tennessee
Reviewed by Momentary Medical Group West PC
Tennessee's healthcare market operates approximately 4% below national averages, with strong Blue Cross Blue Shield presence across the state's diverse geography from Memphis to Nashville to Knoxville. Patients seeking Colonoscopy Polyp Removal typically pay between $90 and $796, with a median out-of-pocket cost of $399 based on negotiated insurance rates. Tennessee maintains over 2,520 active Colonoscopy Polyp Removal providers across urban centers and rural communities, giving patients multiple options when browsing all providers in Tennessee.
Average
$428
Median
$399
Lowest
$90
Highest
$796
Providers
2,520
43% below national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in Tennessee?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $90 | $288 | $582 | 2,610 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $314 | $714 | 2,664 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $101 | $223 | $473 | 2,452 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $200 | $604 | 2,698 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $18 | $85 | 2,824 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $64 | $165 | $340 | 2,797 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $48 | $104 | $189 | 2,512 |
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 Tennessee
Tennessee's healthcare costs run approximately 4% below national averages, reflecting the state's lower cost of living compared to coastal regions, though significant variations exist between Nashville's competitive market and rural Appalachian counties. The state's diverse geography creates distinct cost patterns from the Mississippi River delta to the Great Smoky Mountains.
Urban vs. Rural Provider Availability
Tennessee's major metropolitan areas like Nashville, Memphis, and Knoxville offer multiple gastroenterology options with competitive pricing, while rural counties in East and West Tennessee may have limited specialist access. Patients in rural areas often travel to regional medical centers, potentially increasing total procedure costs when factoring in travel and time off work. The concentration of academic medical centers in Nashville and Memphis creates pricing competition that benefits urban patients.
Facility Type and Overhead Costs
Hospital-owned gastroenterology practices have become increasingly common in Tennessee, with health systems like Vanderbilt, Baptist Health, and HCA Healthcare acquiring independent physician practices. Hospital-affiliated outpatient departments typically charge facility fees in addition to physician fees, increasing total colonoscopy costs. Independent ambulatory surgery centers often provide more transparent, bundled pricing for routine procedures.
Insurance Market Competition in Tennessee
BCBS Tennessee dominates the state's insurance market alongside national players like UnitedHealthcare and Cigna, creating moderate competition that helps control negotiated rates. The state's insurance marketplace offers limited carrier options in some rural counties, reducing competitive pressure on pricing. Tennessee's decision not to expand Medicaid creates a larger uninsured population that affects provider pricing strategies and charity care policies.
Physician Supply and Demand in Tennessee
Tennessee maintains over 2,520 active Colonoscopy Polyp Removal providers, indicating adequate supply in urban areas but potential shortages in rural regions where specialists may be hours away. This provider distribution affects both pricing and scheduling, with rural patients often facing longer wait times and potentially higher costs due to limited competition. The state's growing population and aging demographics continue to increase demand for colonoscopy services.
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 Tennessee
What is the average cost of a Colonoscopy Polyp Removal visit in Tennessee without insurance?
Does Tennessee Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal near me in Tennessee?
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 Tennessee?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Tennessee?
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 |