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Utah

Cost of a Colonoscopy Polyp Removal Visit
in Utah

Reviewed by Momentary Medical Group West PC

Utah's healthcare system, anchored by major health networks like Intermountain Healthcare and University of Utah Health, offers extensive access to Colonoscopy Polyp Removal services across the state. Patients typically face out-of-pocket costs ranging from $80 to $1,090, with a median cost of $722 for the procedure. With 362 active providers performing colonoscopy polyp removals throughout Utah, patients have numerous options to choose from when selecting their care provider.

Average

$630

Median

$722

Lowest

$80

Highest

$1,090

Providers

362

National avg: $752Utah: $630

16% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$85$499$741423
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$537$944432
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$98$491$627329
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$384$820441
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$26$88464
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$80$202$340425
OB Ultrasound

Obstetric ultrasound, complete

76805$51$143$241409

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 Utah

Utah's healthcare costs run approximately 2% below national averages, reflecting the state's efficient healthcare delivery models and competitive insurance market. The concentration of major health systems along the Wasatch Front creates cost efficiencies while rural areas face higher per-procedure costs due to lower patient volumes.

Urban vs. Rural Provider Availability

The Salt Lake City metro area and Utah County concentrate most of Utah's gastroenterology specialists, creating competitive pricing and shorter wait times for Colonoscopy Polyp Removal procedures. Rural counties in southern and eastern Utah often require patients to travel significant distances, with some areas served by visiting specialists who may charge premium rates. This geographic disparity can create cost differences of 20-30% between urban and rural locations.

Facility Type and Overhead Costs

Intermountain Healthcare and University of Utah Health operate major hospital systems with higher facility fees, while independent gastroenterology centers often provide more competitive pricing for outpatient procedures. Utah's numerous ambulatory surgery centers specialize in endoscopy procedures with lower overhead costs than full-service hospitals. The state's emphasis on outpatient care delivery helps keep colonoscopy costs below national averages.

Insurance Market Competition in Utah

SelectHealth, BCBS Utah, and UHC compete actively in Utah's insurance market, creating favorable negotiated rates with gastroenterology providers across the state. This competitive environment benefits patients through lower out-of-pocket costs and broader provider networks. Utah's relatively concentrated population along the Wasatch Front gives insurers strong negotiating power with specialty practices.

Physician Supply and Demand in Utah

With 362 active providers performing colonoscopy polyp removal procedures, Utah maintains adequate specialist availability relative to its population of 3.4 million residents. This healthy provider-to-patient ratio helps keep wait times reasonable and prevents significant price inflation from supply shortages. The presence of University of Utah's medical training programs ensures continued specialist recruitment to the state.

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 Utah

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

Uninsured patients in Utah typically pay between $80 and $1,090 for colonoscopy with polyp removal, with a median cost of $722. Many Utah gastroenterology practices offer cash-pay discounts of 20-40% for self-pay patients. Independent endoscopy centers often provide more affordable options than hospital-based facilities for uninsured patients.

Does Utah Medicaid cover Colonoscopy Polyp Removal visits?

Yes, Utah's expanded Medicaid program covers medically necessary colonoscopy polyp removal procedures with minimal patient cost-sharing. Coverage includes both diagnostic colonoscopies when symptoms are present and therapeutic procedures when polyps are discovered during screening. Patients must use Medicaid-approved gastroenterology providers and may need referrals from their primary care physicians.

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

Compare pricing between ambulatory surgery centers and hospital outpatient departments, as surgery centers typically charge 20-30% less for the same procedure. Ask about self-pay discounts if you're uninsured, and consider community health centers that may offer sliding-scale fees. Rural Utah patients might find lower costs by traveling to Wasatch Front providers due to higher competition and volume.

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, though the colonoscopy procedure itself represents the largest cost component at $80-$1,090 in Utah. Follow-up visits after polyp removal for discussing pathology results or scheduling surveillance procedures generally involve standard specialist visit fees. The facility fee for the procedure remains consistent regardless of whether it's your first or subsequent visit to that provider.

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

Yes, colonoscopy polyp removal qualifies as an eligible medical expense for both HSA and FSA accounts. You can use these tax-advantaged funds to pay deductibles, copays, and any remaining balance after insurance coverage. Keep all receipts and documentation as these accounts may require proof that the procedure was medically necessary rather than purely elective.

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

While the actual colonoscopy procedure must be performed in person, many Utah gastroenterologists offer telemedicine consultations for pre-procedure planning and post-procedure follow-ups at lower costs than office visits. Initial consultations via telehealth typically cost $150-300 less than in-person visits and may help determine if colonoscopy is necessary. Utah insurers generally cover telehealth gastroenterology visits at the same rate as office visits, making this a cost-effective option for consultation and follow-up care.

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