Logo
Arkansas

Cost of a Colonoscopy with Biopsy Visit
in Arkansas

Reviewed by Momentary Medical Group West PC

Arkansas ranks among the states with highest rates of colorectal cancer, making access to quality diagnostic procedures particularly important for residents. Patients seeking a Colonoscopy with Biopsy in Arkansas typically pay between $85 and $815, with a median out-of-pocket cost of $349 based on negotiated insurance rates from 134 active providers across the state. You can browse all qualified Colonoscopy with Biopsy providers throughout Arkansas to find the most affordable option for your specific insurance plan.

Average

$416

Median

$349

Lowest

$85

Highest

$815

Providers

134

National avg: $577Arkansas: $416

28% below national average

Compare Similar Procedures

How does colonoscopy with biopsy compare to related procedures in Arkansas?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$85$316$634131
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$85$455$853116
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$90$272$535119
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$85$286$712140
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$23$358223
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$72$163$369159
OB Ultrasound

Obstetric ultrasound, complete

76805$49$96$188131

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 45380Colonoscopy 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 Arkansas

Arkansas healthcare costs run approximately 12% below national averages, reflecting the state's lower cost of living and wage structures. The state's rural geography creates significant disparities in specialist access, with most gastroenterologists concentrated in Little Rock, Fayetteville, and Fort Smith metropolitan areas.

Urban vs. Rural Provider Availability

Central Arkansas around Little Rock has the highest concentration of gastroenterology specialists, while rural counties in the Delta region face significant access challenges. Patients in rural areas often travel 1-2 hours for colonoscopy procedures, with some choosing hospital-based services in regional medical centers over independent practices due to proximity.

Facility Type and Overhead Costs

Arkansas has several major health systems including Baptist Health, CHI St. Vincent, and Arkansas Children's Hospital network that operate higher-cost hospital-based outpatient centers. Independent gastroenterology practices and ambulatory surgery centers typically charge 30-50% less for the same procedures due to lower overhead costs.

Insurance Market Competition in Arkansas

Blue Cross Blue Shield Arkansas holds dominant market share with limited competition from other insurers, resulting in less aggressive rate negotiations. This concentrated market dynamic means fewer plan choices for consumers but more standardized coverage policies across the state's employer-sponsored insurance market.

Physician Supply and Demand in Arkansas

With 134 active providers performing colonoscopy with biopsy procedures, Arkansas has adequate specialist supply in urban areas but significant shortages in rural regions. The relatively balanced supply in metropolitan areas helps keep costs competitive, though wait times for routine procedures can extend 2-3 weeks during peak screening seasons.

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 with Biopsy Costs in Arkansas

What is the average cost of a Colonoscopy with Biopsy visit in Arkansas without insurance?

Without insurance, patients in Arkansas typically pay between $85 and $815 for a colonoscopy with biopsy procedure, with a median cost of $349. These prices reflect negotiated rates that many providers extend to self-pay patients, especially when paid upfront. Independent ambulatory surgery centers often charge less than hospital-based outpatient facilities for the same procedure.

Does Arkansas Medicaid cover Colonoscopy with Biopsy visits?

Arkansas traditional Medicaid covers medically necessary colonoscopy procedures when prescribed by a physician, but eligibility is limited since the state did not expand Medicaid. Qualifying groups include pregnant women, children, elderly, and disabled individuals who meet strict income requirements. Coverage includes both the procedure and pathology analysis of biopsy samples when clinically indicated.

How do I find an affordable Colonoscopy with Biopsy near me in Arkansas?

Compare costs between independent gastroenterology practices and hospital-based outpatient centers, as independents often charge 30-50% less. Ask about self-pay discounts if you're uninsured, and consider community health centers in Little Rock or Fayetteville that offer sliding-scale fees. Rural patients might find better prices by traveling to metropolitan areas with more competition.

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 since they involve comprehensive history-taking and examination. However, the colonoscopy with biopsy procedure cost of $85-$815 with a median of $349 represents the actual endoscopic procedure and tissue sampling, which is separate from office visit charges and generally the same regardless of whether it's your first or subsequent procedure with that provider.

Can I use an HSA or FSA to pay for a Colonoscopy with Biopsy visit in Arkansas?

Yes, colonoscopy procedures with biopsy qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. This includes the procedure fee, facility charges, anesthesia costs, and pathology fees for biopsy analysis. Keep all receipts as documentation, including any pre-procedure consultations that are part of your diagnostic workup.

How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Arkansas?

While the actual colonoscopy procedure must be performed in person, many Arkansas gastroenterologists offer telehealth consultations for initial evaluation and post-procedure follow-up at lower costs than in-office visits. Telehealth consultations typically cost $100-200 less than office visits and can help determine if you need the procedure before scheduling the more expensive endoscopic examination.

Click a state to compare costs

Average Visit Cost

$235
$1,938

Office visit (CPT 45380)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$5,357
$1,938
2New York
Range: $241$2,117
$948
3Massachusetts
Range: $80$2,117
$932
4Rhode Island
Range: $80$2,117
$910
5Connecticut
Range: $85$2,117
$892
6Delaware
Range: $80$2,117
$858
7Pennsylvania
Range: $80$2,117
$857
8Minnesota
Range: $85$1,970
$853
9New Hampshire
Range: $433$1,234
$829
10Nebraska
Range: $281$1,040
$742
11Iowa
Range: $85$1,373
$726
12California
Range: $80$1,785
$724
13Maine
Range: $456$887
$714
14Wyoming
Range: $217$1,313
$657
15Vermont
Range: $317$1,042
$632
16Georgia
Range: $85$1,250
$620
17New Jersey
Range: $120$1,329
$599
18North Carolina
Range: $80$1,268
$597
19North Dakota
Range: $80$1,268
$594
20District of Columbia
Range: $98$1,143
$580
21West Virginia
Range: $85$1,329
$574
22New Mexico
Range: $90$1,136
$559
23Illinois
Range: $80$1,147
$556
24Washington
Range: $80$1,143
$536
25Utah
Range: $80$944
$520
26Missouri
Range: $188$815
$512
27South Dakota
Range: $80$1,035
$501
28Maryland
Range: $175$919
$489
29Oregon
Range: $80$1,070
$486
30Hawaii
Range: $80$969
$467
31Colorado
Range: $85$969
$466
32Indiana
Range: $80$937
$461
33Mississippi
Range: $162$850
$454
34Michigan
Range: $80$887
$453
35Kentucky
Range: $80$917
$439
36Virginia
Range: $98$830
$423
37Louisiana
Range: $85$804
$422
38Idaho
Range: $80$906
$419
39Arkansas
Range: $85$815
$416
40Alabama
Range: $80$762
$405
41Texas
Range: $85$772
$396
42South Carolina
Range: $80$782
$389
43Kansas
Range: $188$646
$387
44Nevada
Range: $85$701
$372
45Ohio
Range: $85$709
$371
46Tennessee
Range: $85$714
$371
47Alaska
Range: $80$837
$332
48Arizona
Range: $85$567
$295
49Florida
Range: $35$770
$287
50Oklahoma
Range: $85$582
$251
51Montana
Range: $80$545
$235
Colonoscopy with Biopsy in Other States