Cost of a Colonoscopy with Biopsy Visit
in Georgia
Reviewed by Momentary Medical Group West PC
Georgia's healthcare costs remain approximately 1% below national averages, yet Colonoscopy with Biopsy visit prices vary dramatically across the state's diverse medical landscape. Patients typically pay between $85 and $1,250, with a median out-of-pocket cost of $525 for these specialized procedures. Georgia maintains over 3,100 active Colonoscopy with Biopsy providers throughout metropolitan Atlanta, Augusta, Savannah, and rural communities, giving patients extensive options when browsing all providers in Georgia.
Average
$620
Median
$525
Lowest
$85
Highest
$1,250
Providers
3,159
7% above national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Georgia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $90 | $448 | $982 | 3,108 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $225 | $632 | $1,310 | 2,968 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $119 | $350 | $830 | 2,875 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $396 | $1,084 | 3,187 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $29 | $93 | 3,676 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $68 | $206 | $653 | 3,205 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $50 | $118 | $319 | 3,173 |
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 Georgia
Georgia's healthcare costs run approximately 1% below national averages, reflecting the state's moderate cost of living and competitive provider market spanning from Atlanta's medical district to rural communities along the Alabama border. The state's diverse geography creates significant cost variations between urban medical centers and smaller community hospitals serving agricultural regions.
Urban vs. Rural Provider Availability
Metropolitan Atlanta and Augusta concentrate most specialized gastroenterology practices, while rural counties in south Georgia often require patients to travel significant distances for Colonoscopy with Biopsy procedures. This geographic disparity drives higher costs in underserved areas where limited provider competition allows facilities to maintain premium pricing structures.
Facility Type and Overhead Costs
Hospital-based outpatient departments affiliated with major systems like Piedmont Healthcare and Emory Healthcare typically charge facility fees that independent surgery centers avoid, adding 20-40% to total procedure costs. Georgia's growing ambulatory surgery center market offers cost-effective alternatives, particularly in suburban Atlanta communities where real estate costs remain manageable.
Insurance Market Competition in Georgia
Strong competition among Anthem, UnitedHealthcare, and Cigna has resulted in competitive negotiated rates with most Georgia providers, keeping costs relatively stable compared to less competitive markets. However, rural areas with fewer insurer options may experience higher rates due to limited leverage in contract negotiations with dominant regional health systems.
Physician Supply and Demand in Georgia
With over 3,100 active Colonoscopy with Biopsy providers statewide, Georgia maintains adequate specialist availability in urban areas while rural regions continue experiencing shortages that extend wait times. This abundant supply in metropolitan markets helps moderate pricing through competition, while undersupplied rural areas may command premium rates for specialized procedures requiring tissue analysis.
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 Georgia
What is the average cost of a Colonoscopy with Biopsy visit in Georgia without insurance?
Does Georgia Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Georgia?
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 Georgia?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Georgia?
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 |