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Nevada

Cost of a Colonoscopy with Biopsy Visit
in Nevada

Reviewed by Momentary Medical Group West PC

Nevada's rapid population growth has spurred a 15% increase in gastroenterology practices over the past five years, particularly in the Las Vegas and Reno metropolitan areas. Colonoscopy with Biopsy procedures in Nevada typically range from $85 to $701 based on negotiated insurance rates, with most patients paying around $331 out-of-pocket depending on their coverage and deductible status. With over 2,781 active providers performing these procedures across the state, Nevada residents have substantial options when selecting a qualified gastroenterologist or colorectal surgeon for their Colonoscopy with Biopsy needs.

Average

$372

Median

$331

Lowest

$85

Highest

$701

Providers

2,781

National avg: $577Nevada: $372

36% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$204$295$5532,637
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$320$451$7402,572
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$197$228$4672,544
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$85$256$5712,691
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$29$852,914
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$85$219$3212,598
OB Ultrasound

Obstetric ultrasound, complete

76805$76$133$2212,649

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 Nevada

Nevada's healthcare costs run approximately 8% above the national average, driven by rapid population growth and limited specialist availability outside major metropolitan areas. The state's growing ambulatory surgery center market in Las Vegas has created competitive pricing pressure on traditional hospital-based endoscopy programs.

Urban vs. Rural Provider Availability

Las Vegas and Reno concentrate most of Nevada's gastroenterology specialists, while rural counties like Esmeralda and Mineral have no local providers. Patients in Elko, Ely, or Winnemucca often travel 200+ miles for Colonoscopy with Biopsy procedures, adding transportation costs. This geographic disparity creates a two-tier pricing system where rural patients may pay more despite lower regional cost of living.

Facility Type and Overhead Costs

Nevada's major health systems like Renown Health in Reno and Sunrise Health in Las Vegas operate hospital-based endoscopy centers with higher overhead costs. Independent ambulatory surgery centers have proliferated in Las Vegas, offering competitive pricing without hospital facility fees. Academic medical centers like UNR Med typically charge teaching hospital rates but may offer sliding-scale programs.

Insurance Market Competition in Nevada

Strong competition among UnitedHealthcare, Anthem, and Aetna has kept negotiated rates relatively competitive compared to single-insurer markets. Nevada's ACA marketplace includes multiple carrier options in urban areas, though rural counties may have limited choices. Self-funded employer plans often have the most favorable gastroenterology networks and lowest patient cost-sharing.

Physician Supply and Demand in Nevada

With 2,781 providers performing Colonoscopy with Biopsy procedures, Nevada has adequate specialist availability in urban areas but shortages in rural regions. The state's rapid population growth has strained gastroenterology capacity, particularly for routine screening colonoscopies. High demand allows established practices to maintain premium pricing, while newer physicians and ASCs compete on cost and convenience.

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 Nevada

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

Uninsured patients in Nevada typically pay between $85 and $701 for Colonoscopy with Biopsy procedures, with a median cost around $331 based on negotiated insurance rates. However, many providers offer cash-pay discounts of 20-40% for patients who pay upfront. Independent ambulatory surgery centers often provide more affordable options than hospital-based facilities, and some practices offer payment plans to make the procedure more manageable financially.

Does Nevada Medicaid cover Colonoscopy with Biopsy visits?

Yes, Nevada expanded Medicaid covers Colonoscopy with Biopsy procedures for eligible adults through managed care organizations like Anthem, Aetna, and UnitedHealthcare Community Plan. Coverage includes both screening and diagnostic colonoscopy with biopsy when medically necessary, though patients may need prior authorization for some procedures. Medicaid patients should expect longer wait times for appointments, particularly in rural areas, but have good access through major health systems in Las Vegas and Reno.

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

Compare prices between hospital-based endoscopy centers and independent ambulatory surgery centers, as the latter often charge 30-50% less for the same procedure. Many Nevada providers offer significant cash-pay discounts for uninsured patients, and community health centers in Las Vegas and Reno may provide sliding-scale pricing based on income. Consider traveling to smaller Nevada cities where overhead costs are lower, though factor in transportation expenses when calculating total cost.

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

Initial gastroenterology consultations typically cost more than follow-up visits due to the comprehensive evaluation required for new patients. However, the provided data focuses on the Colonoscopy with Biopsy procedure itself, which ranges from $85 to $701 with a median of $331 regardless of whether it's your first procedure with that provider. Follow-up surveillance colonoscopies generally have the same procedural costs, though the pre-procedure consultation may be shorter and less expensive.

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

Yes, Colonoscopy with Biopsy procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these tax-advantaged funds to pay for the procedure, related laboratory fees, and any required consultations. Keep all receipts for your records, as the IRS may request documentation. This can provide significant tax savings, especially for patients in high-deductible health plans who haven't yet met their annual deductible.

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

While the Colonoscopy with Biopsy procedure itself must be performed in person, many Nevada gastroenterologists offer telehealth consultations for pre-procedure planning and post-procedure follow-up. These virtual visits typically cost $150-250 compared to $300-400 for in-person consultations, reducing overall care costs. Nevada's telehealth regulations expanded during the pandemic, allowing more providers to offer remote consultations for appropriate cases. Some rural Nevada patients use telemedicine for initial evaluation before traveling to urban centers for the actual procedure.

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