Cost of a Colonoscopy with Biopsy Visit
in Michigan
Reviewed by Momentary Medical Group West PC
Michigan's healthcare market features approximately 3% lower costs than the national average, making it a relatively affordable state for specialized procedures. Colonoscopy with Biopsy patients typically pay between $80 and $887, with a median out-of-pocket cost around $393 based on negotiated insurance rates. With over 2,200 active providers across the state, Michigan offers extensive access to qualified specialists from Detroit's major medical centers to rural practices in the Upper Peninsula.
Average
$453
Median
$393
Lowest
$80
Highest
$887
Providers
2,214
22% below national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Michigan?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $92 | $327 | $768 | 1,803 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $467 | $1,088 | 2,038 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $121 | $274 | $572 | 1,673 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $259 | $685 | 2,142 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $15 | $21 | $95 | 2,698 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $67 | $166 | $405 | 2,196 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $42 | $88 | $216 | 2,133 |
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 Michigan
Michigan's healthcare costs run approximately 3% below the national average, reflecting the state's moderate cost of living and competitive insurance market. The state's mix of urban medical centers in Detroit, Grand Rapids, and Ann Arbor alongside extensive rural areas creates significant cost variations across regions.
Urban vs. Rural Provider Availability
Metro Detroit and Grand Rapids offer the highest concentration of gastroenterologists, creating competitive pricing, while rural areas like the Upper Peninsula may have limited specialist access requiring longer travel times. Many rural Michigan residents travel to regional centers like Traverse City or Kalamazoo for specialized procedures. Telehealth options have expanded access for initial consultations, though procedures still require in-person visits.
Facility Type and Overhead Costs
University of Michigan Health, Spectrum Health, and Henry Ford Health System operate major hospital-based outpatient clinics that typically charge higher facility fees compared to independent gastroenterology practices. Many Michigan specialists have moved to hospital employment models, which can increase patient costs due to facility fee structures. Ambulatory surgery centers often provide the most cost-effective option for routine procedures.
Insurance Market Competition in Michigan
Blue Cross Blue Shield Michigan holds significant market share but faces competition from UnitedHealthcare, Aetna, and regional plans like Priority Health and McLaren Health Plan. This moderate competition helps maintain reasonable negotiated rates compared to states with insurance monopolies. Medicaid expansion has also increased insurer participation in government programs.
Physician Supply and Demand in Michigan
With over 2,200 active Colonoscopy with Biopsy providers serving 10 million residents, Michigan has reasonable specialist availability compared to national averages. The concentration of providers in academic medical centers like University of Michigan and Michigan State University helps train new specialists. However, rural counties still experience provider shortages, leading to longer wait times and potentially higher costs in underserved areas.
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 Michigan
What is the average cost of a Colonoscopy with Biopsy visit in Michigan without insurance?
Does Michigan Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Michigan?
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 Michigan?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Michigan?
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 |