Cost of a Colonoscopy with Biopsy Visit
in North Dakota
Reviewed by Momentary Medical Group West PC
North Dakota's healthcare landscape reflects both urban concentration and rural challenges, with costs running approximately 4% above national averages despite the state's Medicaid expansion efforts. Patients seeking a Colonoscopy with Biopsy in North Dakota typically encounter negotiated rates ranging from $80 to $1,268, with a median cost of $434 based on transparency data from over 55 active providers. The Peace Garden State maintains a diverse network of specialists across its major metropolitan areas and rural communities, allowing patients to browse providers statewide while comparing both cost and geographic accessibility.
Average
$594
Median
$434
Lowest
$80
Highest
$1,268
Providers
55
3% above national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in North Dakota?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $165 | $2,255 | $2,255 | 473 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $515 | $2,334 | 52 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $118 | $348 | $853 | 42 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $181 | $2,396 | $2,396 | 470 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $26 | $26 | $26 | 253 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $75 | $183 | $619 | 67 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $68 | $68 | $157 | 236 |
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 Dakota
North Dakota's healthcare costs run approximately 4% above national averages, reflecting the state's rural geography and limited provider competition in specialized services. The concentration of advanced gastroenterology services in Fargo and Bismarck creates travel requirements for rural patients while supporting higher procedure volumes at urban centers.
Urban vs. Rural Provider Availability
The majority of North Dakota's colonoscopy specialists practice within the Fargo-Moorhead metropolitan area and Bismarck-Mandan region, creating significant travel distances for patients in the western oil fields and northeastern agricultural areas. Rural patients often face higher total costs when factoring in travel and lodging expenses, though some providers offer discounted rates to offset geographic barriers.
Facility Type and Overhead Costs
Sanford Health and Essentia Health systems operate most hospital-based endoscopy centers in North Dakota, while independent gastroenterology groups maintain outpatient facilities primarily in urban markets. Hospital-affiliated centers typically charge facility fees that can double the total procedure cost compared to freestanding endoscopy centers.
Insurance Market Competition in North Dakota
The limited presence of major national insurers beyond BCBS North Dakota, Sanford Health Plan, and UHC creates a concentrated market with less rate competition than more populous states. This insurer concentration can result in similar negotiated rates across providers but may limit patient choice in coverage options and network flexibility.
Physician Supply and Demand in North Dakota
With 55 active providers offering colonoscopy with biopsy services across the state, North Dakota maintains adequate specialist availability relative to its population, though geographic distribution heavily favors urban areas. The adequate provider supply helps control pricing in metropolitan markets, while rural access limitations can create premium pricing for specialized services in underserved regions.
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 Dakota
What is the average cost of a Colonoscopy with Biopsy visit in North Dakota without insurance?
Does North Dakota Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in North Dakota?
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 Dakota?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in North Dakota?
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 |