Cost of a Colonoscopy with Biopsy Visit
in Idaho
Reviewed by Momentary Medical Group West PC
Idaho's rural healthcare landscape, with limited specialist density outside of Boise and Idaho Falls, creates unique cost dynamics for Colonoscopy with Biopsy procedures. Patients across the Gem State typically pay between $80 and $906 for these essential diagnostic services, with a median out-of-pocket cost of $272. With 186 active providers offering Colonoscopy with Biopsy services throughout Idaho, patients can browse all qualified specialists in the state to find the most affordable option for their specific insurance plan and geographic location.
Average
$419
Median
$272
Lowest
$80
Highest
$906
Providers
186
27% below national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Idaho?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $80 | $273 | $735 | 165 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $400 | $3,638 | 163 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $86 | $239 | $623 | 95 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $188 | $802 | 191 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $26 | $90 | 383 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $78 | $131 | $430 | 189 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $50 | $85 | $591 | 200 |
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 Idaho
Idaho's healthcare costs run approximately 3% below the national average, reflecting the state's lower cost of living and less competitive specialist market outside major population centers. The state's vast rural geography creates significant access challenges, with many patients traveling hours to reach qualified gastroenterologists in Boise, Coeur d'Alene, or Idaho Falls.
Urban vs. Rural Provider Availability
The majority of Idaho's Colonoscopy with Biopsy specialists practice in the Treasure Valley around Boise, with secondary concentrations in Coeur d'Alene and Idaho Falls. Rural residents in areas like southeastern Idaho or the Idaho Panhandle may face 2-3 hour drives to reach the nearest gastroenterologist, often resulting in higher total costs when factoring in travel and lodging expenses. Some rural hospitals partner with visiting specialists who perform procedures on specific days each month.
Facility Type and Overhead Costs
Idaho's healthcare market features a mix of independent gastroenterology practices and hospital-owned specialty clinics, with systems like Saint Alphonsus and Kootenai Health operating significant outpatient networks. Hospital-based facilities typically charge higher facility fees due to their overhead costs and regulatory requirements, while independent ambulatory surgery centers often offer more competitive pricing. The state's relatively new ambulatory surgery center regulations have encouraged development of cost-effective outpatient facilities.
Insurance Market Competition in Idaho
Regence BlueCross and PacificSource dominate Idaho's individual and small group markets, with limited competition from national carriers creating less pressure for aggressive rate negotiations. This concentrated market can result in higher negotiated rates compared to states with more insurer competition, though the effect is partially offset by Idaho's lower overall cost structure. Self-funded employer plans often achieve better rates by contracting directly with provider networks.
Physician Supply and Demand in Idaho
With 186 providers offering Colonoscopy with Biopsy services statewide, Idaho maintains adequate specialist coverage for its population, though geographic distribution remains uneven. The state's growing population, particularly in the Boise metro area, has increased demand for gastroenterology services faster than specialist supply has expanded. This supply-demand imbalance can result in longer wait times for non-urgent procedures and may support higher pricing in high-demand markets like Ada County.
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 Idaho
What is the average cost of a Colonoscopy with Biopsy visit in Idaho without insurance?
Does Idaho Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Idaho?
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 Idaho?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Idaho?
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 |