Cost of a Colonoscopy with Biopsy Visit
in Iowa
Reviewed by Momentary Medical Group West PC
Iowa's healthcare costs run approximately 9% below national averages, reflecting the state's lower overhead and reduced urban density compared to coastal markets. Patients seeking a Colonoscopy with Biopsy in Iowa typically pay between $85 and $1,373, with a median out-of-pocket cost of $720. With 385 active Colonoscopy with Biopsy providers across the state, patients can browse all qualified specialists throughout Iowa's urban centers and rural communities.
Average
$726
Median
$720
Lowest
$85
Highest
$1,373
Providers
385
26% above national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Iowa?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $466 | $944 | 458 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $95 | $885 | $1,197 | 288 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $135 | $594 | $691 | 254 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $560 | $902 | 293 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $28 | $93 | 780 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $85 | $245 | $477 | 454 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $58 | $135 | $329 | 397 |
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 Iowa
Iowa's healthcare costs run 9% below national averages due to lower real estate and labor costs compared to urban coastal markets. The state's agricultural economy and stable population growth create predictable healthcare utilization patterns that help contain specialty care pricing.
Urban vs. Rural Provider Availability
Des Moines and Cedar Rapids concentrate most gastroenterology specialists, while rural Iowans may drive over an hour for Colonoscopy with Biopsy procedures. This geographic disparity creates higher costs in underserved areas where limited provider supply meets consistent demand from aging agricultural communities.
Facility Type and Overhead Costs
Hospital-owned outpatient clinics in Iowa's major health systems like UnityPoint and MercyOne typically charge premium rates compared to independent gastroenterology practices. Ambulatory surgery centers offer competitive pricing while maintaining accreditation standards, particularly in the Des Moines metropolitan area.
Insurance Market Competition in Iowa
Wellmark Blue Cross Blue Shield's dominant market position alongside UnitedHealthcare and Aetna creates moderate competition that keeps negotiated rates reasonable but not highly competitive. Rural areas often have fewer insurer options, potentially limiting patients' ability to shop for better coverage of specialty procedures.
Physician Supply and Demand in Iowa
With 385 active Colonoscopy with Biopsy providers serving Iowa's population, the state maintains adequate specialist availability in urban areas while facing shortages in rural counties. This supply-demand balance keeps pricing stable in metro areas but can drive up costs in underserved regions where patients have fewer provider options.
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 Iowa
What is the average cost of a Colonoscopy with Biopsy visit in Iowa without insurance?
Does Iowa Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Iowa?
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 Iowa?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Iowa?
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 |