Cost of a Colonoscopy Polyp Removal Visit
in Texas
Reviewed by Momentary Medical Group West PC
Texas operates over 600 ambulatory surgical centers, creating a competitive environment that keeps Colonoscopy Polyp Removal costs approximately 4% below national averages. Patients typically pay between $90 and $866 for this procedure, with a median cost of $402 based on negotiated insurance rates. Texas maintains a robust network of over 10,000 active providers offering Colonoscopy Polyp Removal services across major metropolitan areas and rural counties. Patients can browse all qualified providers throughout Texas to find the most cost-effective option for their specific insurance plan and geographic location.
Average
$453
Median
$402
Lowest
$90
Highest
$866
Providers
10,759
40% below national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in Texas?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $291 | $634 | 10,832 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $85 | $332 | $772 | 11,638 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $90 | $230 | $508 | 10,361 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $230 | $649 | 12,607 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $25 | $90 | 14,138 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $64 | $155 | $418 | 12,962 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $46 | $96 | $237 | 11,056 |
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 Texas
Texas Colonoscopy Polyp Removal costs run approximately 4% below national averages, reflecting the state's competitive healthcare market and abundant ambulatory surgical center options. The state's vast geographic spread creates significant cost variations between major metropolitan areas like Dallas-Fort Worth and Houston versus rural counties in East Texas and the Panhandle.
Urban vs. Rural Provider Availability
Major Texas cities like Austin, Dallas, Houston, and San Antonio concentrate most gastroenterology specialists, creating competitive pricing within metropolitan areas. Rural counties often have limited or no local Colonoscopy Polyp Removal providers, forcing patients to travel to regional centers and potentially increasing overall procedure costs. The Rio Grande Valley and West Texas particularly struggle with gastroenterology access, affecting both availability and pricing dynamics.
Facility Type and Overhead Costs
Texas operates over 600 ambulatory surgical centers, more than most states, creating downward pressure on procedure pricing through increased competition. Hospital-owned outpatient departments typically charge higher facility fees due to regulatory requirements and overhead costs compared to independent ASCs. Major health systems like Houston Methodist, Baylor Scott & White, and Texas Health Resources often command premium pricing in their respective markets.
Insurance Market Competition in Texas
UnitedHealthcare, Blue Cross Blue Shield of Texas, Aetna, and Cigna maintain robust provider networks across the state, creating competitive negotiated rates for Colonoscopy Polyp Removal procedures. The competitive marketplace prevents any single insurer from dominating pricing, though regional variations exist based on local market penetration. Self-funded employer plans common among Texas corporations often negotiate directly with providers for better rates.
Physician Supply and Demand in Texas
Texas maintains over 10,000 active providers offering Colonoscopy Polyp Removal services, indicating robust supply relative to many other states. This abundant provider network helps keep wait times reasonable and prevents artificial price inflation due to scarcity. However, geographic distribution remains uneven, with rural areas experiencing both longer wait times and potentially higher costs due to limited local options.
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 Texas
What is the average cost of a Colonoscopy Polyp Removal visit in Texas without insurance?
Does Texas Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal near me in Texas?
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 Texas?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Texas?
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 |