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By Jayant Panwar, Healthcare Data AnalystUpdated April 4, 2026Editorial policy
Disclaimer: This page provides cost comparison data sourced from insurer Transparency in Coverage files. It is not medical advice. Consult a qualified healthcare provider for medical decisions.Learn about our data methodology.
Modesto, California

Cost of a Colonoscopy with Biopsy Visit
in Modesto

Modesto's healthcare market shows limited specialist availability, which can impact both access and pricing for gastroenterology procedures. Patients in Modesto pay between $80 and $339 for a Colonoscopy with Biopsy visit, with a median of $80. The current data reflects 0 active providers in Modesto (0 individual practitioners, 0 group practices), indicating patients typically need to seek care in nearby cities.

Cost Summary for Colonoscopy with Biopsy in Modesto

Low Estimate

$80

Median

$80

High Estimate

$339

Providers

76

National avg: $577Modesto: $80

86% below national average

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.

Is It Cheaper to See a Colonoscopy with Biopsy Near Modesto?

Comparing nearby cities reveals significant cost variations, with San Jose offering the most competitive median rate at $154, just $74 above Modesto's median. Stockton and Fremont show substantially higher medians at $383 and $373 respectively, making the drive to San Jose potentially worthwhile for cost-conscious patients. Modesto's limited provider network means most patients will need to factor in travel costs when comparing total expenses across these regional options.

Cost comparison with nearby cities
CityMedian Costvs. ModestoProviders
Modesto (this city)$8076
Stockton27.2 mi away$383+$30323
San Jose53 mi away$154+$7469
Fremont54.7 mi away$373+$29325

Nearby cities sorted by distance. Delta = nearby city median minus Modesto median. Provider count reflects active providers for this specialty.

Colonoscopy with Biopsy Visit Costs by City in California2026

Colonoscopy with Biopsy visit costs across cities in California
CityMin CostMedian CostMax Cost
Sonoma$285$713$731
San Rafael$246$713$713
Novato$154$713$713
Los Angeles$85$604$1,785
West Hollywood$86$604$604
Beverly Hills$85$604$1,785
Westlake Village$85$604$1,785
Marina Del Rey$85$604$1,785
Tarzana$85$604$1,785
Culver City$85$604$1,785
Santa Clarita$81$604$1,785
Manhattan Beach$85$500$1,785
Torrance$80$492$1,785
Pasadena$80$492$1,785
Covina$80$492$492
Arcadia$80$492$1,717
Mission Hills$80$492$1,785
Redondo Beach$82$492$1,785
Northridge$84$492$1,785
West Hills$85$492$1,785
Glendora$154$492$900
El Segundo$308$474$1,146
Valencia$85$407$1,785
Alhambra$30$399$1,667
Santa Monica$85$384$1,785
Glendale$116$383$1,428
Ukiah$154$383$449
Saint Helena$308$383$713
Ventura$85$383$1,785
Lodi$323$383$900
Simi Valley$82$383$1,785
Yuba City$246$383$415
Stockton$80$383$1,716
Hanford$284$383$514
Marysville$383$383$537
Willits$246$383$383
Mill Valley$373$383$713
Pacific Palisades$85$382$1,785
Burbank$85$381$1,785
Travis Afb$125$379$2,177
San Francisco$85$373$1,040
Oakland$85$373$917
San Leandro$80$373$437
Vallejo$84$373$604
Orinda$339$373$373
Fremont$80$373$462
Alameda$80$373$373
San Mateo$80$373$1,055
Castro Valley$82$373$373
Burlingame$80$373$373
San Pablo$300$373$390
Los Gatos$80$373$664
Los Altos$80$373$2,117
Richmond$360$373$373
Fairfield$85$373$927
Hayward$241$373$373
Lafayette$339$373$373
Pinole$227$373$543
Emeryville$197$373$378
Fresno$80$364$941
Clovis$364$364$364
Thousand Oaks$80$361$1,785
Visalia$80$361$617
Mountain View$80$356$377
Roseville$80$356$604
Salinas$77$356$887
Walnut Creek$242$339$418
Concord$339$339$373
San Ramon$210$339$755
Brentwood$339$339$373
Pleasant Hill$184$339$373
Pleasanton$80$339$935
Danville$274$339$373
Martinez$85$339$373
Antioch$223$339$383
Downey$85$339$709
Redwood City$80$316$727
Santa Rosa$154$308$713
Fullerton$80$308$308
San Diego$80$308$1,785
Mission Viejo$80$308$308
Napa$154$308$713
Eureka$154$308$308
Yorba Linda$80$308$308
Petaluma$154$308$713
Huntington Beach$77$308$492
Brea$80$308$308
Victorville$154$308$350
La Jolla$33$308$2,067
Pomona$80$308$652
Sylmar$80$308$1,785
Duarte$64$308$1,785
Apple Valley$80$308$367
Santa Cruz$85$308$1,249
Diamond Bar$154$308$437
Rancho Mirage$80$308$1,854
Fortuna$154$308$308
Hesperia$154$308$315
Redding$80$308$710
San Clemente$69$308$312
Chico$80$308$437
Lancaster$82$308$973
Cerritos$80$308$604
Healdsburg$146$308$713
Oxnard$80$269$1,731
Loma Linda$80$251$1,785
Van Nuys$80$229$1,785
Long Beach$25$154$1,785
Newport Beach$25$154$604
San Jose$80$154$499
Santa Ana$25$154$462
Anaheim$25$154$492
Whittier$35$154$744
Laguna Niguel$25$154$308
Colton$25$154$438
Garden Grove$25$154$592
West Covina$80$154$492
Westminster$33$154$336
Upland$25$154$604
Corona$25$93$1,194
Madera$80$90$510
Fountain Valley$25$85$751
Santa Barbara$80$85$1,785
Laguna Hills$25$85$380
Santa Maria$80$85$749
Vista$80$85$1,720
Stanford$80$80$1,043
Irvine$25$80$331
Modesto (this city)$80$80$339
Riverside$25$80$604
Palm Springs$80$80$308
San Luis Obispo$80$80$663
Costa Mesa$25$80$492
Tustin$25$80$487
Los Alamitos$25$80$1,218
Turlock$80$80$864
Menlo Park$80$80$1,301

Costs reflect self-pay estimates based on insurer-negotiated rates. Insured patients may pay significantly less depending on plan type, deductible status, and network tier.

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$85$85$6475,883
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$30$453$1,7859,290
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$80$85$5986,177
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$196$1,35216,316
ECG / EKG

12-lead electrocardiogram with interpretation

93000$16$49$8822,603
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$79$101$58617,572
OB Ultrasound

Obstetric ultrasound, complete

76805$52$90$2877,619
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 Modesto

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

Without insurance, Colonoscopy with Biopsy visits in Modesto range from $80 to $339, with a median cost of $80. However, provider availability in Modesto is currently limited, so many patients travel to nearby cities where costs may vary. Self-pay patients should contact providers directly to discuss payment plans and potential discounts.

How much more does a new patient consultation cost compared to a follow-up in Modesto?

While specific new patient pricing data is not available for Modesto, follow-up visits (CPT 99214) show a median cost of $80. New patient consultations typically cost 20-40% more than follow-ups due to the additional time required for initial evaluation. Given limited local provider availability, patients should verify pricing when scheduling with specialists in nearby cities.

Are there lower-cost Colonoscopy with Biopsy options in cities near Modesto?

San Jose offers the most affordable nearby option with a median cost of $154, only $74 above Modesto's rate. Stockton ($383 median) and Fremont ($373 median) are significantly more expensive alternatives. The 53-mile drive to San Jose may be worthwhile for patients seeking both cost savings and broader provider selection.

How do I find a highly rated, affordable Colonoscopy with Biopsy in Modesto?

With 0 active providers currently listed in Modesto, patients need to expand their search to nearby cities like San Jose, Stockton, or Fremont. Look for specialists who accept your insurance plan and have strong patient satisfaction ratings. Our provider database filters results by both cost and quality metrics to help you identify the best value options.

What should I expect to pay for a Colonoscopy with Biopsy visit in Modesto with insurance?

With insurance, your out-of-pocket costs depend on your specific plan's copay, coinsurance, and deductible structure. The $80 to $339 range represents what insurers have negotiated to pay providers, but your portion may be significantly lower. Contact your insurance company to verify your gastroenterology benefits and any referral requirements before scheduling.

How many Colonoscopy with Biopsys are currently practicing in Modesto?

Current data shows 0 active Colonoscopy with Biopsy providers specifically in Modesto. This includes both individual practitioners and group practices, indicating patients typically need to seek care in neighboring cities. Nearby options include 23 providers in Stockton and 69 providers in San Jose, offering more selection for scheduling and specialist matching.

Find an Affordable Colonoscopy with Biopsy in Modesto — Powered by AI

Need personalized cost estimates for your Colonoscopy with Biopsy visit in Modesto? Our AI-powered tool analyzes your insurance benefits and local provider rates to give you accurate, city-specific pricing information. Get your custom cost breakdown and find the most affordable specialists near you.

Colonoscopy with Biopsy in Other California Cities
View all California colonoscopy with biopsy costs
JP

Jayant Panwar

CEO & Healthcare Data Analyst, Momentary Labs

Last updated: April 4, 2026

About This Data

Cost data sourced from Transparency in Coverage (TiC) machine-readable files published by UnitedHealthcare as required by the CMS Price Transparency Rule. These are actual negotiated rates between insurers and providers — not estimates.

Prices shown are for Colonoscopy with biopsy (CPT 45380) in Modesto, California.

Actual out-of-pocket costs depend on your insurance plan, deductible, coinsurance, and services received. This is not medical advice.

About this page

Data source: UnitedHealthcare Transparency in Coverage machine-readable files, CPT 45380, Modesto, California providers. Rates represent in-network negotiated amounts and may vary by plan type.

Editorial policy: Momentary Labs does not accept payment from providers, hospitals, or insurers to influence cost rankings or editorial content. Read our full editorial policy.

Corrections: If you believe any cost figure or clinical information on this page is inaccurate, please report it here. We review all submissions within 5 business days.