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Louisiana

Cost of a Colonoscopy with Biopsy Visit
in Louisiana

Reviewed by Momentary Medical Group West PC

Louisiana's healthcare landscape features significant cost variation across its diverse geography, with rural parishes often facing different pricing structures than urban centers like New Orleans and Baton Rouge. Patients seeking a Colonoscopy with Biopsy in Louisiana typically encounter negotiated insurance rates ranging from $85 to $804, with a median cost of $376. The state maintains 943 active providers offering these services, giving patients multiple options for both preventive screening and diagnostic procedures throughout Louisiana's 64 parishes.

Average

$422

Median

$376

Lowest

$85

Highest

$804

Providers

943

National avg: $577Louisiana: $422

27% below national average

Compare Similar Procedures

How does colonoscopy with biopsy compare to related procedures in Louisiana?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$116$314$670946
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$197$429$918894
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$96$229$484879
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$85$274$634954
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$16$903,354
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$57$148$342961
OB Ultrasound

Obstetric ultrasound, complete

76805$38$68$1591,206

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 45380Colonoscopy 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 Louisiana

Healthcare costs in Louisiana run approximately 1% above the national average, influenced by the state's unique mix of urban medical centers and rural healthcare challenges. The concentration of major health systems in cities like New Orleans and Baton Rouge creates pricing disparities with more remote parishes.

Urban vs. Rural Provider Availability

Louisiana's gastroenterology specialists cluster heavily in metropolitan areas like New Orleans, Baton Rouge, and Shreveport, while rural parishes often have limited access. Patients in rural areas may travel significant distances to reach specialists, potentially facing higher total costs when factoring in time and travel expenses. This geographic concentration allows urban providers to maintain higher volume practices, sometimes leading to more competitive pricing.

Facility Type and Overhead Costs

Hospital-owned practices affiliated with major Louisiana health systems like Ochsner Health and LCMC Health often carry higher overhead costs reflected in their pricing. Independent gastroenterology practices typically offer more competitive rates but may have limited hours or fewer support services. Ambulatory surgery centers throughout Louisiana generally provide cost-effective options for routine colonoscopies compared to hospital outpatient departments.

Insurance Market Competition in Louisiana

The Louisiana insurance market features BCBS Louisiana as the dominant player, followed by UHC and Aetna, creating a moderately competitive environment. This concentration means fewer negotiated rate variations compared to states with more insurers, but can result in stronger negotiating power for the major carriers. The lack of Medicaid expansion reduces overall market competition and limits options for lower-income residents.

Physician Supply and Demand in Louisiana

With 943 active providers offering Colonoscopy with Biopsy services, Louisiana maintains reasonable specialist availability relative to its population of 4.6 million residents. This supply helps prevent significant price inflation due to scarcity, though wait times can still vary between urban and rural areas. The concentration of medical training programs in New Orleans helps maintain steady specialist recruitment to the state.

JP

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.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Colonoscopy with Biopsy Costs in Louisiana

What is the average cost of a Colonoscopy with Biopsy visit in Louisiana without insurance?

Uninsured patients in Louisiana face negotiated rates ranging from $85 to $804, with a median cost of $376 for the procedure itself. However, self-pay patients often qualify for discounts of 10-30% when paying upfront. Additional costs may include facility fees, pathology charges for biopsy analysis, and anesthesia services, which can significantly increase the total bill.

Does Louisiana Medicaid cover Colonoscopy with Biopsy visits?

Louisiana Medicaid covers medically necessary Colonoscopy with Biopsy procedures for eligible recipients, but the state has not expanded Medicaid eligibility. Coverage is limited to traditional Medicaid categories including pregnant women, children, elderly, and disabled adults. Eligible patients typically have minimal out-of-pocket costs, though prior authorization may be required for some procedures.

How do I find an affordable Colonoscopy with Biopsy near me in Louisiana?

Compare costs between hospital-based practices and independent gastroenterology clinics, as independent practices often offer more competitive pricing. Ask about self-pay discounts, payment plans, and sliding scale fees based on income. Community health centers and federally qualified health centers throughout Louisiana may offer reduced-cost options for uninsured or underinsured patients.

What is the difference in cost between an initial consultation and a follow-up visit?

While specific consultation pricing varies, initial gastroenterology consultations typically cost more than follow-up visits due to comprehensive evaluation requirements. The Colonoscopy with Biopsy procedure itself ranges from $85 to $804 in Louisiana with a median of $376, regardless of whether it's performed after an initial consultation or follow-up visit. Some providers offer package pricing that includes consultation and procedure costs.

Can I use an HSA or FSA to pay for a Colonoscopy with Biopsy visit in Louisiana?

Yes, Colonoscopy with Biopsy procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these tax-advantaged funds to pay deductibles, copays, and coinsurance related to the procedure. Keep receipts and documentation for tax purposes, and remember that HSA funds roll over annually while FSA funds typically have use-or-lose provisions.

How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Louisiana?

While the actual colonoscopy procedure requires in-person care, initial consultations and follow-up appointments can often be conducted via telemedicine at reduced costs. Louisiana providers increasingly offer virtual consultations for discussing symptoms, reviewing test results, and planning treatment approaches. Telemedicine visits typically cost 20-40% less than in-person consultations and can reduce travel expenses for patients in rural parishes.

Click a state to compare costs

Average Visit Cost

$235
$1,938

Office visit (CPT 45380)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$5,357
$1,938
2New York
Range: $241$2,117
$948
3Massachusetts
Range: $80$2,117
$932
4Rhode Island
Range: $80$2,117
$910
5Connecticut
Range: $85$2,117
$892
6Delaware
Range: $80$2,117
$858
7Pennsylvania
Range: $80$2,117
$857
8Minnesota
Range: $85$1,970
$853
9New Hampshire
Range: $433$1,234
$829
10Nebraska
Range: $281$1,040
$742
11Iowa
Range: $85$1,373
$726
12California
Range: $80$1,785
$724
13Maine
Range: $456$887
$714
14Wyoming
Range: $217$1,313
$657
15Vermont
Range: $317$1,042
$632
16Georgia
Range: $85$1,250
$620
17New Jersey
Range: $120$1,329
$599
18North Carolina
Range: $80$1,268
$597
19North Dakota
Range: $80$1,268
$594
20District of Columbia
Range: $98$1,143
$580
21West Virginia
Range: $85$1,329
$574
22New Mexico
Range: $90$1,136
$559
23Illinois
Range: $80$1,147
$556
24Washington
Range: $80$1,143
$536
25Utah
Range: $80$944
$520
26Missouri
Range: $188$815
$512
27South Dakota
Range: $80$1,035
$501
28Maryland
Range: $175$919
$489
29Oregon
Range: $80$1,070
$486
30Hawaii
Range: $80$969
$467
31Colorado
Range: $85$969
$466
32Indiana
Range: $80$937
$461
33Mississippi
Range: $162$850
$454
34Michigan
Range: $80$887
$453
35Kentucky
Range: $80$917
$439
36Virginia
Range: $98$830
$423
37Louisiana
Range: $85$804
$422
38Idaho
Range: $80$906
$419
39Arkansas
Range: $85$815
$416
40Alabama
Range: $80$762
$405
41Texas
Range: $85$772
$396
42South Carolina
Range: $80$782
$389
43Kansas
Range: $188$646
$387
44Nevada
Range: $85$701
$372
45Ohio
Range: $85$709
$371
46Tennessee
Range: $85$714
$371
47Alaska
Range: $80$837
$332
48Arizona
Range: $85$567
$295
49Florida
Range: $35$770
$287
50Oklahoma
Range: $85$582
$251
51Montana
Range: $80$545
$235
Colonoscopy with Biopsy in Other States