Cost of a Colonoscopy with Biopsy Visit
in Missouri
Reviewed by Momentary Medical Group West PC
Missouri's healthcare costs run approximately 5% below the national average, making it one of the more affordable states for specialized medical procedures. A Colonoscopy with Biopsy in Missouri typically costs between $188 and $815, with a median negotiated rate of $534 based on insurance company contracts with providers. With over 5,395 active Colonoscopy with Biopsy providers throughout the state, patients have extensive options when browsing all providers in Missouri.
Average
$512
Median
$534
Lowest
$188
Highest
$815
Providers
5,395
11% below national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Missouri?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $174 | $444 | $634 | 5,324 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $239 | $600 | $853 | 5,306 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $115 | $411 | $535 | 5,368 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $130 | $467 | $712 | 5,404 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $16 | $24 | $358 | 6,421 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $79 | $222 | $449 | 5,452 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $46 | $101 | $165 | 5,390 |
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 Missouri
Missouri's healthcare costs run about 5% below the national average, reflecting the state's lower cost of living and moderate regulatory environment. The state's healthcare delivery system spans from major academic medical centers in St. Louis and Kansas City to critical access hospitals serving rural counties.
Urban vs. Rural Provider Availability
Missouri's population concentration in the St. Louis and Kansas City metropolitan areas creates a stark contrast with rural counties that often lack gastroenterology specialists. Patients in rural areas may need to travel 50+ miles for colonoscopy services, while urban residents can choose from dozens of providers. This geographic disparity affects both access and pricing, with rural facilities sometimes charging less but offering fewer appointment options.
Facility Type and Overhead Costs
Major health systems like BJC HealthCare, Mercy Health, and Saint Luke's Health System operate large outpatient endoscopy centers with higher overhead costs but advanced equipment. Independent gastroenterology practices typically offer more competitive pricing and personalized service. Academic medical centers like Washington University and University of Missouri provide specialized care but may charge teaching hospital rates.
Insurance Market Competition in Missouri
The presence of Anthem, UnitedHealthcare, and Cigna creates moderate competition in Missouri's insurance market, leading to reasonable negotiated rates for specialist procedures. However, some rural areas have limited insurer options, which can reduce competitive pressure on pricing. The state's decision not to expand Medicaid has maintained a larger uninsured population, affecting provider payment mix and pricing strategies.
Physician Supply and Demand in Missouri
With 5,395 active providers offering colonoscopy with biopsy services, Missouri appears to have adequate specialist availability relative to its population of 6.2 million residents. This provider density helps keep prices competitive and reduces wait times for non-urgent procedures. However, distribution favors urban areas, creating longer travel distances and potentially higher costs for rural patients seeking care.
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 Missouri
What is the average cost of a Colonoscopy with Biopsy visit in Missouri without insurance?
Does Missouri Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Missouri?
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 Missouri?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Missouri?
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 |