Cost of a Colonoscopy Polyp Removal Visit
in Vermont
Reviewed by Momentary Medical Group West PC
Vermont's small healthcare market and rural geography contribute to Colonoscopy Polyp Removal costs that run approximately 13% above national averages. Patients typically pay between $333 and $1,096 for these procedures, with a median cost of $553 based on negotiated insurance rates. The state has 337 active Colonoscopy Polyp Removal providers, giving patients multiple options to browse across Vermont's healthcare landscape.
Average
$661
Median
$553
Lowest
$333
Highest
$1,096
Providers
337
12% below national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in Vermont?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $106 | $347 | $801 | 334 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $317 | $537 | $1,042 | 337 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $211 | $362 | $673 | 325 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $273 | $476 | $907 | 339 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $11 | $18 | $73 | 352 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $61 | $171 | $471 | 348 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $42 | $124 | $341 | 337 |
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 Vermont
Vermont's healthcare costs run approximately 13% above national averages, reflecting the state's small market size and rural service delivery challenges. The concentration of providers in Burlington and limited competition among the state's dominant insurers contributes to higher negotiated rates.
Urban vs. Rural Provider Availability
Most of Vermont's gastroenterology specialists concentrate in the Burlington-Chittenden County area, with limited options in rural regions like the Northeast Kingdom. Rural residents often travel significant distances for Colonoscopy Polyp Removal procedures, adding transportation costs to their healthcare expenses. This geographic disparity creates access barriers and can drive up costs in underserved areas.
Facility Type and Overhead Costs
Hospital-based outpatient departments typically charge higher facility fees than independent endoscopy centers in Vermont. The University of Vermont Medical Center and other major health systems operate most procedure facilities, potentially reducing price competition. Smaller independent gastroenterology practices may offer more competitive pricing but have limited geographic distribution.
Insurance Market Competition in Vermont
BCBS VT and MVP Health Care dominate Vermont's insurance landscape, creating limited negotiating pressure on provider rates. This concentrated market structure can result in higher negotiated prices compared to states with more insurer competition. The small market size also limits providers' ability to negotiate favorable rates with these dominant payers.
Physician Supply and Demand in Vermont
With 337 active Colonoscopy Polyp Removal providers serving Vermont's small population, the state has adequate specialist availability in urban areas. However, the geographic concentration of providers creates supply-demand imbalances in rural regions, potentially driving up costs and extending wait times. Limited competition among specialists in rural areas can contribute to higher pricing for these procedures.
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 Vermont
What is the average cost of a Colonoscopy Polyp Removal visit in Vermont without insurance?
Does Vermont Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal near me in Vermont?
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 Vermont?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in Vermont?
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 |