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Minnesota

Cost of a Colonoscopy with Biopsy Visit
in Minnesota

Reviewed by Momentary Medical Group West PC

Minnesota's healthcare system, anchored by renowned institutions like Mayo Clinic and supported by expanded Medicaid coverage, provides extensive access to gastroenterology services across the state's urban centers and rural communities. Patients seeking a Colonoscopy with Biopsy in Minnesota typically encounter negotiated rates ranging from $85 to $1,970, with a median cost of $504 based on transparency data from major insurers. With 472 active providers offering these services statewide, Minnesota patients have substantial options for finding quality care that fits their budget and location preferences.

Average

$853

Median

$504

Lowest

$85

Highest

$1,970

Providers

472

National avg: $577Minnesota: $853

48% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$90$1,305$2,2551,824
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$80$602$1,954406
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$117$411$695368
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$90$2,396$2,3961,809
ECG / EKG

12-lead electrocardiogram with interpretation

93000$25$26$731,965
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$77$238$644567
OB Ultrasound

Obstetric ultrasound, complete

76805$68$68$1751,728

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 Minnesota

Healthcare costs in Minnesota run approximately 2% above national averages, reflecting the state's high-quality provider network and competitive insurance market. The concentration of world-class medical facilities like Mayo Clinic and the University of Minnesota Medical Center creates premium pricing in certain markets while driving overall quality standards higher.

Urban vs. Rural Provider Availability

The Twin Cities metropolitan area offers the highest concentration of gastroenterologists and ambulatory surgery centers, creating competitive pricing and shorter wait times. Rural regions like northern Minnesota and the Iron Range face provider shortages that can lead to higher costs and longer travel distances for specialized procedures. Rochester's medical district provides an exception with Mayo Clinic drawing patients from across the region.

Facility Type and Overhead Costs

Hospital-owned outpatient clinics, common within health systems like Allina Health and Fairview, typically charge higher facility fees than independent gastroenterology practices. Ambulatory surgery centers have gained popularity in Minnesota for their lower overhead costs and specialized focus on outpatient procedures. Academic medical centers like the University of Minnesota may have higher base rates but often provide cutting-edge technology and complex case expertise.

Insurance Market Competition in Minnesota

Strong competition among Blue Cross Blue Shield Minnesota, UnitedHealthcare, and HealthPartners has helped keep premium increases moderate while maintaining good provider networks. The state's robust individual marketplace offers multiple plan options with varying deductibles and specialist copays. Regional insurers like UCare and Medica add additional competition, particularly in rural markets where they maintain strong provider relationships.

Physician Supply and Demand in Minnesota

With 472 active providers offering colonoscopy with biopsy services, Minnesota maintains adequate gastroenterology capacity in most regions, though rural areas still face access challenges. The Twin Cities area has a healthy surplus of specialists, which helps moderate pricing and reduces wait times for non-urgent procedures. Mayo Clinic's presence in Rochester creates unique dynamics where world-renowned specialists command premium rates but also attract complex cases from across the region.

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 Minnesota

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

Uninsured patients in Minnesota can expect to pay between $85 and $1,970 for a colonoscopy with biopsy, with a median cost around $504 based on negotiated rate data. Many providers offer cash-pay discounts of 20-40% off standard rates, making the procedure more affordable for self-pay patients. Payment plans and sliding scale fees are commonly available at larger health systems throughout the state.

Does Minnesota Medicaid cover Colonoscopy with Biopsy visits?

Yes, Minnesota's expanded Medicaid program covers colonoscopy with biopsy procedures when medically necessary, with most recipients paying little to no out-of-pocket costs. Coverage includes both the procedure and pathology analysis of tissue samples. Patients should verify their provider accepts Medicaid and obtain any required prior authorizations before scheduling.

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

Compare costs between hospital outpatient departments and independent gastroenterology practices, as ambulatory surgery centers often offer lower rates. Ask about cash-pay discounts if you're uninsured, and consider community health centers that may offer sliding scale fees. Momentary Lab can help you compare actual costs from providers in your area and check your insurance coverage instantly.

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

Initial consultations typically involve comprehensive evaluation and cost more than follow-up visits, though the colonoscopy with biopsy procedure itself represents the largest cost component at $85-$1,970 in Minnesota. Follow-up visits for discussing biopsy results or ongoing management are usually brief office visits with lower associated costs. Your total expense depends on whether the procedure occurs during the initial visit or requires a separate appointment.

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

Yes, colonoscopy with biopsy procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes the physician fee, facility fee, anesthesia if used, and pathology costs for tissue analysis. Using pre-tax dollars can provide significant savings, especially for patients with high-deductible health plans.

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

While the colonoscopy procedure itself requires in-person care, initial consultations and follow-up visits can often be conducted via telemedicine in Minnesota at lower costs than office visits. Virtual appointments for discussing symptoms, reviewing test results, or post-procedure care typically range from $50-$150. Many Minnesota providers expanded telehealth options and insurers continue covering virtual visits for appropriate clinical situations.

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