Cost of a Colonoscopy with Biopsy Visit
in North Carolina
Reviewed by Momentary Medical Group West PC
North Carolina's expanding network of ambulatory surgery centers has created new cost-saving opportunities for patients needing diagnostic procedures across the state's diverse healthcare landscape. Patients seeking a Colonoscopy with Biopsy typically pay between $80 and $1,268, with a median out-of-pocket cost of $444 based on negotiated insurance rates. With over 2,500 active Colonoscopy with Biopsy providers throughout North Carolina, patients can browse options from the Research Triangle to the western mountains to find quality care that fits their budget.
Average
$597
Median
$444
Lowest
$80
Highest
$1,268
Providers
2,531
3% above national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in North Carolina?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $90 | $378 | $1,065 | 2,531 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $543 | $1,433 | 2,407 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $120 | $298 | $853 | 2,213 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $318 | $1,088 | 2,729 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $26 | $85 | 2,727 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $68 | $194 | $501 | 2,737 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $44 | $107 | $272 | 2,508 |
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 North Carolina
North Carolina's healthcare costs run approximately 2% below the national average, reflecting the state's lower cost of living compared to coastal states and major metropolitan areas. The growing ambulatory surgery center market has introduced competitive pressure that benefits patients seeking cost-effective procedural care.
Urban vs. Rural Provider Availability
The Charlotte and Raleigh-Durham metro areas concentrate most of North Carolina's gastroenterologists, while rural counties in the eastern coastal plain and western mountains face significant specialist shortages. Patients in underserved areas often travel 50+ miles for colonoscopy services, sometimes making same-day procedures impractical. This geographic disparity drives many rural residents to seek care in urban centers, where competition keeps prices more reasonable.
Facility Type and Overhead Costs
Hospital-based outpatient departments at major systems like Atrium Health and UNC Health charge higher facility fees than independent gastroenterology practices and surgery centers. North Carolina's certificate-of-need laws have historically limited ambulatory surgery center development, though recent regulatory changes have allowed more competition. Freestanding endoscopy centers typically offer the lowest total costs for routine colonoscopy procedures.
Insurance Market Competition in North Carolina
Blue Cross Blue Shield NC dominates the individual market with over 80% market share, while UnitedHealthcare and Aetna compete more aggressively in the employer group market. This concentration gives BCBS significant negotiating power with providers, generally resulting in lower negotiated rates. Rural areas often have limited insurer options, reducing competitive pressure on provider pricing.
Physician Supply and Demand in North Carolina
With over 2,500 active Colonoscopy with Biopsy providers statewide, North Carolina maintains adequate specialist availability in urban areas but faces shortages in rural regions. The state's growing population and aging demographics have increased demand for colonoscopy services, particularly preventive screening. Most gastroenterologists cluster around major medical centers, creating scheduling backlogs of 4-8 weeks in popular practice locations but shorter wait times for patients willing to travel.
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 North Carolina
What is the average cost of a Colonoscopy with Biopsy visit in North Carolina without insurance?
Does North Carolina Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in North Carolina?
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 North Carolina?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in North Carolina?
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 |