Cost of a Colonoscopy with Biopsy Visit
in Indiana
Reviewed by Momentary Medical Group West PC
Indiana's growing ambulatory surgery center (ASC) market provides patients with multiple options for colonoscopy with biopsy procedures across the state. Patients typically pay between $80 and $937, with a median out-of-pocket cost of $365 for this procedure. With 390 active providers offering colonoscopy with biopsy services throughout Indiana, patients have access to competitive pricing whether they're in urban centers like Indianapolis or smaller communities across the state.
Average
$461
Median
$365
Lowest
$80
Highest
$937
Providers
390
20% below national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Indiana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $81 | $359 | $835 | 374 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $512 | $1,197 | 351 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $90 | $304 | $691 | 296 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $308 | $810 | 411 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $28 | $88 | 781 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $65 | $170 | $436 | 417 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $45 | $101 | $280 | 381 |
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 Indiana
Indiana's healthcare costs run approximately 6% below national averages, reflecting the state's lower cost of living and competitive ASC market. The growing number of independent endoscopy centers has increased price competition, particularly in metropolitan areas like Indianapolis and Fort Wayne.
Urban vs. Rural Provider Availability
Indiana's major metropolitan areas like Indianapolis, Fort Wayne, and Evansville have multiple gastroenterology options and ASCs, creating competitive pricing. Rural counties often have limited specialist access, requiring patients to travel to regional medical centers or rely on visiting physicians. This geographic disparity can affect both wait times and procedure costs across the state.
Facility Type and Overhead Costs
Indiana's major health systems like Indiana University Health, Community Health Network, and Parkview Health operate hospital-based endoscopy centers with higher overhead costs. Independent ASCs and physician-owned facilities typically offer lower facility fees due to reduced administrative costs and more efficient operations. The state's growing ASC market has intensified competition in urban areas.
Insurance Market Competition in Indiana
Anthem Blue Cross Blue Shield holds the largest market share in Indiana, followed by UnitedHealthcare and MDwise, creating moderate insurer competition. The concentration of market power among these three carriers affects negotiated rates with providers. Some rural areas have limited insurer options, which can result in higher negotiated rates due to reduced competition.
Physician Supply and Demand in Indiana
With 390 active providers offering colonoscopy with biopsy services, Indiana has reasonable specialist availability relative to its population of 6.8 million residents. This supply level helps maintain competitive pricing and reasonable wait times in most areas. However, some rural regions still experience gastroenterologist shortages, potentially affecting access and scheduling flexibility.
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 Indiana
What is the average cost of a Colonoscopy with Biopsy visit in Indiana without insurance?
Does Indiana Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Indiana?
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 Indiana?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Indiana?
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 |