Cost of a Colonoscopy with Biopsy Visit
in Nebraska
Reviewed by Momentary Medical Group West PC
Nebraska's Medicaid expansion in 2020 has improved access to specialized gastrointestinal care across the state's predominantly rural landscape. Patients seeking a Colonoscopy with Biopsy visit typically encounter negotiated rates ranging from $281 to $1,040, with a median cost of $904 based on transparency data from over 2,100 active providers. The state's concentration of specialists in Omaha and Lincoln creates cost variations, though Nebraska maintains pricing approximately 1% below national averages for these procedures.
Average
$742
Median
$904
Lowest
$281
Highest
$1,040
Providers
2,198
28% above national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Nebraska?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $265 | $701 | $815 | 2,194 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $360 | $946 | $1,090 | 2,193 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $176 | $594 | $691 | 2,182 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $195 | $791 | $902 | 2,207 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $14 | $37 | 2,654 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $101 | $283 | $477 | 2,203 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $82 | $117 | $329 | 2,648 |
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 Nebraska
Nebraska's healthcare costs run approximately 1% below national averages, reflecting the state's lower cost of living and competitive rural provider markets. The concentration of specialists in Omaha and Lincoln creates a hub-and-spoke model that influences pricing across the state's 93 counties.
Urban vs. Rural Provider Availability
The Omaha and Lincoln metro areas contain the majority of Nebraska's gastroenterology specialists, while rural counties often rely on visiting specialists or telemedicine consultations. This geographic concentration creates cost premiums in metro areas but also generates competition that can benefit patients. Rural patients may face higher travel costs but often find more competitive procedure pricing at regional medical centers.
Facility Type and Overhead Costs
Nebraska Medicine and CHI Health operate the state's largest health systems, with hospital-based outpatient centers typically charging higher facility fees than independent practices. Independent gastroenterology groups maintain a strong presence in both Omaha and Lincoln, providing competitive alternatives to health system-owned practices. Rural critical access hospitals may offer basic endoscopy services at lower facility costs due to federal reimbursement advantages.
Insurance Market Competition in Nebraska
BCBS Nebraska's dominant market position provides significant negotiating leverage with providers, often resulting in favorable rates for members. UHC and Aetna compete primarily in the employer-sponsored market, creating some price competition for commercially insured patients. The relatively consolidated insurer market means fewer payer options but potentially more predictable coverage policies across the state.
Physician Supply and Demand in Nebraska
With over 2,100 active providers offering colonoscopy with biopsy services, Nebraska maintains adequate specialist availability relative to its 1.9 million residents. This provider supply helps control costs and reduces wait times, particularly in urban areas where multiple practices compete for patients. Rural areas still experience some access challenges, though telemedicine consultations have improved initial evaluation availability.
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 Nebraska
What is the average cost of a Colonoscopy with Biopsy visit in Nebraska without insurance?
Does Nebraska Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Nebraska?
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 Nebraska?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Nebraska?
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 |