Cost of a Colonoscopy with Biopsy Visit
in Connecticut
Reviewed by Momentary Medical Group West PC
Connecticut's healthcare market runs approximately 14% above national averages, reflecting the state's concentration of academic medical centers and specialty practices along the I-95 corridor. Patients seeking a Colonoscopy with Biopsy typically pay between $85 and $2,117, with a median out-of-pocket cost of $475 across 445 active providers statewide. Browse all Colonoscopy with Biopsy providers in Connecticut to compare costs and find the right specialist for your needs.
Average
$892
Median
$475
Lowest
$85
Highest
$2,117
Providers
445
55% above national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Connecticut?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $90 | $323 | $1,830 | 426 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $213 | $525 | $2,338 | 437 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $118 | $301 | $683 | 414 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $402 | $1,647 | 461 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $63 | $93 | 1,940 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $64 | $127 | $677 | 1,444 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $45 | $70 | $328 | 895 |
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 Connecticut
Connecticut healthcare costs run approximately 14% above national levels, driven by the state's concentration of academic medical centers, high physician salaries, and proximity to expensive metropolitan markets. The compact geography creates intense competition among specialty practices while supporting premium pricing for advanced procedures.
Urban vs. Rural Provider Availability
Most gastroenterology specialists cluster along the I-95 corridor from Stamford to New Haven, with additional concentrations around Hartford and Waterbury. Rural counties in eastern and northwestern Connecticut have fewer options, often requiring patients to travel 30-45 minutes for specialized colonoscopy services. This geographic disparity can affect both access and pricing, with urban practices charging premium rates.
Facility Type and Overhead Costs
Hospital-owned practices dominate Connecticut's gastroenterology landscape, with Yale-New Haven, Hartford Healthcare, and Trinity Health operating major endoscopy centers. These systems typically charge higher facility fees compared to independent practices but offer integrated electronic records and coordinated care. Ambulatory surgery centers provide a middle ground with lower overhead than hospitals but more advanced equipment than office-based procedures.
Insurance Market Competition in Connecticut
Anthem, Cigna, and UHC compete vigorously for Connecticut's group and individual insurance markets, creating relatively strong negotiated rate competition. The state's small size allows these major insurers to build comprehensive provider networks without the geographic challenges seen in larger states. However, limited competition in certain regions can lead to higher negotiated rates for specialized procedures like colonoscopy with biopsy.
Physician Supply and Demand in Connecticut
With 445 active providers offering colonoscopy with biopsy services, Connecticut maintains good specialist availability relative to its population of 3.6 million residents. This healthy supply helps moderate pricing pressure compared to shortage areas, though demand remains high due to aging demographics and increased colorectal cancer screening awareness. Wait times for routine procedures typically range from 2-6 weeks depending on location and provider preference.
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 Connecticut
What is the average cost of a Colonoscopy with Biopsy visit in Connecticut without insurance?
Does Connecticut Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Connecticut?
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 Connecticut?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Connecticut?
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 |