Cost of a Colonoscopy with Biopsy Visit
in Florida
Reviewed by Momentary Medical Group West PC
Florida hosts one of the nation's largest ambulatory surgery center markets, creating competitive options for Colonoscopy with Biopsy procedures across the state. Based on negotiated insurance rates, patients typically pay between $35 and $770 out-of-pocket for a Colonoscopy with Biopsy visit, with most procedures falling around the $55 median cost. Florida maintains over 5,400 active providers offering these specialized services, giving patients numerous options from Miami-Dade to the Panhandle.
Average
$287
Median
$55
Lowest
$35
Highest
$770
Providers
5,449
50% below national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Florida?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $35 | $55 | $604 | 5,123 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $35 | $55 | $815 | 4,958 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $35 | $55 | $496 | 4,488 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $35 | $55 | $659 | 5,570 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $16 | $40 | $80 | 5,759 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $60 | $161 | $460 | 4,125 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $35 | $60 | $192 | 5,349 |
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 Florida
Florida's healthcare costs run approximately 2% above the national average, driven by the state's large retiree population and concentration of high-cost metropolitan markets in South Florida. The state's massive ambulatory surgery center network creates unique competitive dynamics that can benefit patients seeking cost-effective Colonoscopy with Biopsy procedures.
Urban vs. Rural Provider Availability
Florida's geography creates stark contrasts between provider-rich areas like Miami-Dade, Broward, and Orange counties versus underserved rural regions in the Panhandle and South Central Florida. Metropolitan areas offer numerous Colonoscopy with Biopsy options but at premium prices, while rural patients may face longer travel distances but potentially lower procedure costs.
Facility Type and Overhead Costs
Florida's robust ambulatory surgery center market provides cost-effective alternatives to hospital-based outpatient departments for Colonoscopy with Biopsy procedures. Major health systems like HCA Florida, AdventHealth, and Baptist Health operate extensive networks, but their hospital-affiliated facilities typically charge more than independent gastroenterology practices or dedicated endoscopy centers.
Insurance Market Competition in Florida
The Florida market features moderate competition among UnitedHealthcare, Blue Cross Blue Shield Florida, and Aetna, though regional variations exist with some insurers dominating specific markets. This competitive landscape helps keep negotiated rates reasonable compared to less competitive states, benefiting patients with lower out-of-pocket costs for specialist procedures.
Physician Supply and Demand in Florida
With over 5,400 active Colonoscopy with Biopsy providers statewide, Florida maintains adequate specialist availability relative to its large population, though distribution favors urban areas. This robust supply helps moderate pricing pressure and reduces wait times, particularly in major metropolitan markets where patients have numerous provider options within reasonable driving distances.
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 Florida
What is the average cost of a Colonoscopy with Biopsy visit in Florida without insurance?
Does Florida Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Florida?
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 Florida?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Florida?
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 |