Cost of a Colonoscopy with Biopsy Visit
in Montana
Reviewed by Momentary Medical Group West PC
Montana's vast geography creates significant healthcare access challenges, with rural counties often served by just one or two specialists for hundreds of miles. Colonoscopy with Biopsy patients in Montana typically work with a network of 315 active providers across the state, though costs can vary dramatically based on location and facility type. Montana residents can browse all available Colonoscopy with Biopsy providers to find the most accessible and affordable options in their region.
Average
$235
Median
$80
Lowest
$80
Highest
$545
Providers
315
59% below national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Montana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $80 | $80 | $538 | 319 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $80 | $3,638 | 307 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $90 | $231 | $581 | 40 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $80 | $523 | 327 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $14 | $80 | 367 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $80 | $80 | $269 | 318 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $51 | $68 | $991 | 354 |
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 Montana
Healthcare costs in Montana run approximately 4% above national averages, driven largely by the state's challenging geography and limited provider competition in rural markets. The vast distances between population centers create unique cost pressures as specialists often serve territories spanning multiple counties.
Urban vs. Rural Provider Availability
Billings and Missoula concentrate most of Montana's Colonoscopy with Biopsy specialists, while rural counties often have no local options, forcing patients to travel significant distances for care. This geographic disparity creates higher effective costs for rural patients when factoring in travel time and lodging expenses. Some rural hospitals partner with visiting specialists who provide periodic clinics, though scheduling flexibility remains limited.
Facility Type and Overhead Costs
Billings Clinic, Providence Health, and smaller regional health systems operate most endoscopy centers across Montana, with hospital-based facilities typically charging higher rates than independent gastroenterology practices. Rural critical access hospitals may refer complex cases to urban centers, creating additional coordination costs. Independent ambulatory surgery centers offer competitive pricing but have limited geographic presence outside major cities.
Insurance Market Competition in Montana
Blue Cross Blue Shield of Montana holds significant market share statewide, while PacificSource and UnitedHealthcare provide competition primarily in urban areas. Limited insurer competition in rural counties reduces negotiating leverage for lower rates, contributing to higher baseline costs. The state's small population spread across vast geography makes it challenging for new insurers to enter the market economically.
Physician Supply and Demand in Montana
With 315 active Colonoscopy with Biopsy providers serving nearly one million residents, Montana maintains adequate specialist availability in aggregate, though distribution heavily favors urban areas. Rural physician shortages create longer wait times and higher demand pressure on available providers, supporting premium pricing in underserved regions. The state's medical workforce challenges are compounded by difficulty recruiting specialists to remote locations with limited infrastructure support.
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 Montana
What is the average cost of a Colonoscopy with Biopsy visit in Montana without insurance?
Does Montana Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Montana?
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 Montana?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Montana?
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 |