Cost of a Colonoscopy with Biopsy Visit
in Ohio
Reviewed by Momentary Medical Group West PC
Ohio's healthcare market benefits from Medicaid expansion and strong competition among Medical Mutual, Anthem, and UHC, helping keep specialist costs roughly 2% below national averages. Patients seeking a Colonoscopy with Biopsy typically pay between $85 and $709, with a median out-of-pocket cost of $319 across Ohio's 4,738 active providers. The state's mix of major health systems in cities like Cleveland and Cincinnati alongside independent practices in smaller communities creates varied pricing options for patients throughout Ohio.
Average
$371
Median
$319
Lowest
$85
Highest
$709
Providers
4,738
36% below national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Ohio?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $326 | $565 | 4,648 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $191 | $407 | $751 | 4,236 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $77 | $195 | $474 | 4,445 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $220 | $621 | 4,786 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $11 | $19 | $85 | 6,459 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $52 | $132 | $351 | 5,273 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $32 | $87 | $211 | 4,369 |
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 Ohio
Ohio's healthcare costs run approximately 2% below national averages, reflecting the state's moderate cost of living and competitive insurance market. The state's mix of urban medical centers and rural communities creates distinct pricing patterns, with the growing ambulatory surgery center market helping to moderate costs statewide.
Urban vs. Rural Provider Availability
Ohio's major metropolitan areas including Columbus, Cleveland, and Cincinnati have high concentrations of gastroenterologists, creating competitive pricing for Colonoscopy with Biopsy procedures. Rural counties in southeastern and northwestern Ohio often have fewer specialists, requiring patients to travel to regional centers but sometimes offering lower facility fees due to reduced overhead costs.
Facility Type and Overhead Costs
Hospital-based endoscopy centers affiliated with major health systems like Cleveland Clinic, Ohio State, and Cincinnati Children's typically charge higher facility fees than independent ambulatory surgery centers. Ohio's growing network of specialized gastroenterology practices with their own endoscopy suites often provides a middle-ground option between hospital and standalone ASC pricing.
Insurance Market Competition in Ohio
The competition between Medical Mutual of Ohio, Anthem Blue Cross Blue Shield, and UnitedHealthcare creates relatively favorable negotiated rates for specialist procedures across the state. Ohio's insurance market is moderately concentrated compared to other states, allowing for some competitive pricing pressure while maintaining network adequacy for patients in both urban and rural areas.
Physician Supply and Demand in Ohio
With 4,738 providers performing Colonoscopy with Biopsy procedures across Ohio, the state maintains adequate specialist availability relative to its population of 11.8 million residents. This healthy supply-to-demand ratio helps prevent the price inflation seen in specialist-shortage states, while established referral patterns between primary care and gastroenterology practices help maintain efficient care coordination and reasonable wait times.
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 Ohio
What is the average cost of a Colonoscopy with Biopsy visit in Ohio without insurance?
Does Ohio Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Ohio?
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 Ohio?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Ohio?
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 |