Cost of a Colonoscopy with Biopsy Visit
in Colorado
Reviewed by Momentary Medical Group West PC
Colorado's high-altitude location and outdoor lifestyle contribute to unique healthcare needs, with the state maintaining approximately 7% higher medical costs than the national average. For a Colonoscopy with Biopsy procedure, Colorado patients typically pay between $85 and $969, with a median out-of-pocket cost of $344. With over 1,596 active Colonoscopy with Biopsy providers across the state, patients can browse extensive options throughout Colorado's urban centers and mountain communities.
Average
$466
Median
$344
Lowest
$85
Highest
$969
Providers
1,596
19% below national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Colorado?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $309 | $760 | 1,571 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $85 | $467 | $1,282 | 1,413 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $117 | $243 | $627 | 1,345 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $236 | $829 | 1,652 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $16 | $26 | $85 | 1,878 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $77 | $169 | $428 | 1,528 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $51 | $104 | $275 | 1,580 |
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 Colorado
Colorado's healthcare costs run approximately 7% above the national average, reflecting the state's growing population and concentration of medical services along the Front Range corridor. The competitive ambulatory surgery center market in Denver helps moderate procedure costs compared to hospital-based alternatives.
Urban vs. Rural Provider Availability
Denver, Colorado Springs, and Fort Collins concentrate most of Colorado's gastroenterology specialists, creating competitive pricing in these metro areas. Rural communities in the Eastern Plains and Western Slope often require patients to travel significant distances for specialized procedures, with limited provider options potentially leading to higher costs. Mountain resort communities like Vail and Aspen maintain high-cost medical markets due to elevated operating expenses.
Facility Type and Overhead Costs
Hospital-owned outpatient clinics affiliated with UCHealth, SCL Health, or Presbyterian/Saint Joseph typically charge higher facility fees than independent ambulatory surgery centers. Colorado's numerous independent gastroenterology practices often provide more competitive cash-pay options and flexible payment arrangements. Ambulatory surgery centers specializing in endoscopic procedures can offer significant cost savings while maintaining quality standards.
Insurance Market Competition in Colorado
UnitedHealthcare, Anthem, and Kaiser Permanente dominate Colorado's insurance landscape, creating competitive negotiated rates with providers. The state's relatively competitive market helps keep specialist costs more reasonable than monopolistic insurance environments. Regional insurers like Rocky Mountain Health Plans provide additional options in certain Colorado markets, particularly in rural and western regions.
Physician Supply and Demand in Colorado
With over 1,596 active Colonoscopy with Biopsy providers, Colorado maintains adequate specialist supply in urban areas, helping moderate pricing through competition. The state's growing population and aging demographics continue to increase demand for gastroenterology services. Rural areas face ongoing specialist shortages, potentially leading to longer wait times and higher costs for patients who cannot travel to metropolitan 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 Colorado
What is the average cost of a Colonoscopy with Biopsy visit in Colorado without insurance?
Does Colorado Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Colorado?
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 Colorado?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Colorado?
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 |