Cost of a Colonoscopy with Biopsy Visit
in Arizona
Reviewed by Momentary Medical Group West PC
Arizona's competitive ambulatory surgical center market and strong provider network create varied pricing for Colonoscopy with Biopsy procedures across the state. Based on negotiated insurance rates, patients typically pay between $85 and $567, with a median out-of-pocket cost of $233. The state's 5,479 active Colonoscopy with Biopsy providers offer patients multiple options from Phoenix's large health systems to specialized gastroenterology centers throughout Arizona.
Average
$295
Median
$233
Lowest
$85
Highest
$567
Providers
5,479
49% below national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Arizona?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $155 | $273 | $472 | 5,125 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $213 | $367 | $715 | 5,353 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $71 | $174 | $455 | 5,070 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $81 | $161 | $493 | 6,206 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $16 | $80 | 6,498 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $60 | $110 | $264 | 6,403 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $51 | $92 | $178 | 5,607 |
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 Arizona
Arizona's healthcare costs run approximately 5% above national averages, driven by the state's growing population and concentration of providers in Phoenix and Tucson metropolitan areas. The state's competitive ambulatory surgical center market helps moderate procedure costs compared to hospital-dominated markets in neighboring states.
Urban vs. Rural Provider Availability
Phoenix and Tucson metro areas contain the majority of Arizona's gastroenterology specialists, while rural counties often require patients to travel significant distances for Colonoscopy with Biopsy procedures. This geographic concentration creates cost disparities, with rural patients sometimes facing higher travel costs but potentially lower procedure fees.
Facility Type and Overhead Costs
Arizona's robust ASC market provides alternatives to expensive hospital-based procedures, with independent surgery centers often charging 30-50% less than hospital outpatient departments. Major health systems like Banner Health and HonorHealth operate both hospital-based and freestanding facilities throughout the Phoenix metro area.
Insurance Market Competition in Arizona
The presence of multiple major insurers including UnitedHealthCare, Blue Cross Blue Shield of Arizona, and Aetna creates competitive negotiated rates for Colonoscopy with Biopsy procedures. This multi-payer environment prevents any single insurer from dominating rate negotiations, generally benefiting patients through more reasonable pricing.
Physician Supply and Demand in Arizona
With 5,479 active providers performing Colonoscopy with Biopsy procedures, Arizona maintains adequate specialist availability relative to its population growth. This healthy provider supply helps prevent the artificial price inflation seen in markets with severe specialist shortages, though wait times may still vary between urban and rural areas.
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 Arizona
What is the average cost of a Colonoscopy with Biopsy visit in Arizona without insurance?
Does Arizona Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Arizona?
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 Arizona?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Arizona?
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 |