Cost of a Colonoscopy with Biopsy Visit
in Alabama
Reviewed by Momentary Medical Group West PC
Alabama's healthcare system operates with costs approximately 8% below the national average, particularly benefiting patients seeking specialist procedures. Colonoscopy with Biopsy visits across Alabama typically range from $80 to $762, with a median cost of $372 based on negotiated insurance rates. The state maintains over 2,600 active providers offering these services, giving patients substantial options when browsing all Colonoscopy with Biopsy specialists throughout Alabama.
Average
$405
Median
$372
Lowest
$80
Highest
$762
Providers
2,672
30% below national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Alabama?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $147 | $323 | $649 | 2,390 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $412 | $870 | 2,649 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $98 | $239 | $500 | 2,364 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $269 | $566 | 2,667 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $11 | $19 | $80 | 2,739 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $60 | $148 | $329 | 2,687 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $39 | $81 | $189 | 2,668 |
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 45380 — Colonoscopy with biopsy). 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 45380 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 45380 (Colonoscopy with biopsy), as mandated by the CMS Price Transparency Rule.
What CPT 45380 covers: the provider's professional fee for colonoscopy with biopsy. 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 with Biopsy Visit Costs Vary Across Alabama
Alabama's healthcare costs run approximately 8% below national averages, reflecting the state's lower cost of living and competitive provider market in major metropolitan areas. The concentration of medical facilities in Birmingham, Mobile, and Huntsville creates pricing pressures while rural counties often struggle with limited specialist availability.
Urban vs. Rural Provider Availability
Birmingham's medical district houses multiple academic and private gastroenterology practices, creating competitive pricing for colonoscopy services, while rural counties in northern and southeastern Alabama may have only one or two providers within 50 miles. This geographic disparity forces rural patients to travel to urban centers, adding transportation costs but often accessing lower procedure prices. Huntsville's growing healthcare infrastructure serves much of the Tennessee Valley region.
Facility Type and Overhead Costs
Hospital-owned outpatient centers like those affiliated with UAB Medicine and Mobile's Providence Hospital typically charge higher facility fees than independent gastroenterology practices. Ambulatory surgery centers throughout Alabama offer middle-ground pricing between hospital outpatient departments and office-based procedures. Many newer endoscopy centers have opened in suburban Birmingham and Montgomery, increasing competition and moderating prices.
Insurance Market Competition in Alabama
Blue Cross Blue Shield of Alabama maintains dominant market share across the state, reducing competitive pressure on negotiated rates compared to states with multiple major insurers. Limited insurer competition particularly affects rural areas where BCBS may be the only available option for individual and small group coverage. This concentration allows the insurer significant leverage in provider contract negotiations.
Physician Supply and Demand in Alabama
With over 2,600 providers offering colonoscopy services, Alabama maintains adequate specialist availability relative to its population, particularly in urban corridors along I-65 and I-20. This substantial provider network prevents artificial scarcity pricing while ensuring reasonable appointment availability for routine screening procedures. Rural areas still face specialist shortages, but telemedicine consultations increasingly bridge geographic gaps for initial evaluations.
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 with Biopsy Costs in Alabama
What is the average cost of a Colonoscopy with Biopsy visit in Alabama without insurance?
Does Alabama Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Alabama?
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 with Biopsy visit in Alabama?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Alabama?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 45380)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $5,357 | $1,938 |
| 2 | New York Range: $241 – $2,117 | $948 |
| 3 | Massachusetts Range: $80 – $2,117 | $932 |
| 4 | Rhode Island Range: $80 – $2,117 | $910 |
| 5 | Connecticut Range: $85 – $2,117 | $892 |
| 6 | Delaware Range: $80 – $2,117 | $858 |
| 7 | Pennsylvania Range: $80 – $2,117 | $857 |
| 8 | Minnesota Range: $85 – $1,970 | $853 |
| 9 | New Hampshire Range: $433 – $1,234 | $829 |
| 10 | Nebraska Range: $281 – $1,040 | $742 |
| 11 | Iowa Range: $85 – $1,373 | $726 |
| 12 | California Range: $80 – $1,785 | $724 |
| 13 | Maine Range: $456 – $887 | $714 |
| 14 | Wyoming Range: $217 – $1,313 | $657 |
| 15 | Vermont Range: $317 – $1,042 | $632 |
| 16 | Georgia Range: $85 – $1,250 | $620 |
| 17 | New Jersey Range: $120 – $1,329 | $599 |
| 18 | North Carolina Range: $80 – $1,268 | $597 |
| 19 | North Dakota Range: $80 – $1,268 | $594 |
| 20 | District of Columbia Range: $98 – $1,143 | $580 |
| 21 | West Virginia Range: $85 – $1,329 | $574 |
| 22 | New Mexico Range: $90 – $1,136 | $559 |
| 23 | Illinois Range: $80 – $1,147 | $556 |
| 24 | Washington Range: $80 – $1,143 | $536 |
| 25 | Utah Range: $80 – $944 | $520 |
| 26 | Missouri Range: $188 – $815 | $512 |
| 27 | South Dakota Range: $80 – $1,035 | $501 |
| 28 | Maryland Range: $175 – $919 | $489 |
| 29 | Oregon Range: $80 – $1,070 | $486 |
| 30 | Hawaii Range: $80 – $969 | $467 |
| 31 | Colorado Range: $85 – $969 | $466 |
| 32 | Indiana Range: $80 – $937 | $461 |
| 33 | Mississippi Range: $162 – $850 | $454 |
| 34 | Michigan Range: $80 – $887 | $453 |
| 35 | Kentucky Range: $80 – $917 | $439 |
| 36 | Virginia Range: $98 – $830 | $423 |
| 37 | Louisiana Range: $85 – $804 | $422 |
| 38 | Idaho Range: $80 – $906 | $419 |
| 39 | Arkansas Range: $85 – $815 | $416 |
| 40 | Alabama Range: $80 – $762 | $405 |
| 41 | Texas Range: $85 – $772 | $396 |
| 42 | South Carolina Range: $80 – $782 | $389 |
| 43 | Kansas Range: $188 – $646 | $387 |
| 44 | Nevada Range: $85 – $701 | $372 |
| 45 | Ohio Range: $85 – $709 | $371 |
| 46 | Tennessee Range: $85 – $714 | $371 |
| 47 | Alaska Range: $80 – $837 | $332 |
| 48 | Arizona Range: $85 – $567 | $295 |
| 49 | Florida Range: $35 – $770 | $287 |
| 50 | Oklahoma Range: $85 – $582 | $251 |
| 51 | Montana Range: $80 – $545 | $235 |