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Oklahoma

Cost of a Colonoscopy with Biopsy Visit
in Oklahoma

Reviewed by Momentary Medical Group West PC

Oklahoma's healthcare costs run approximately 8% below national averages, reflecting the state's lower cost of living and competitive provider market across both metropolitan and rural areas. For a Colonoscopy with Biopsy visit, patients can expect significant price variation based on facility type and location, with negotiated rates ranging from $85 to $582 according to transparency data from major insurers. Oklahoma maintains over 1,720 active providers offering colonoscopy services, giving patients numerous options to find quality care that fits their budget and geographic needs.

Average

$251

Median

$85

Lowest

$85

Highest

$582

Providers

1,720

National avg: $577Oklahoma: $251

57% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$85$218$6061,764
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$85$85$6461,687
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$85$184$5211,316
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$85$137$5691,728
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$29$851,843
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$60$116$3562,130
OB Ultrasound

Obstetric ultrasound, complete

76805$42$87$1751,732

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 Oklahoma

Oklahoma's healthcare costs run approximately 8% below national averages, driven by lower operational costs and less concentrated urban markets compared to coastal states. The state's economy, heavily influenced by energy and agriculture sectors, creates distinct regional variations in both provider availability and patient demographics that directly impact healthcare pricing.

Urban vs. Rural Provider Availability

Oklahoma's vast rural landscape creates significant disparities in gastroenterology access, with most Colonoscopy with Biopsy specialists concentrated in Oklahoma City, Tulsa, and a few regional medical hubs. Rural patients often face longer travel distances and higher effective costs when factoring in transportation and time off work. This geographic concentration allows urban providers to maintain higher volumes but also creates competitive pricing pressure in metropolitan markets.

Facility Type and Overhead Costs

Hospital-based outpatient clinics in Oklahoma, particularly those affiliated with major health systems like Integris Health, OU Health, and Saint Francis, typically charge higher facility fees due to overhead costs and regulatory compliance requirements. Independent gastroenterology practices and ambulatory surgery centers often offer more competitive pricing for Colonoscopy with Biopsy procedures while maintaining similar quality standards. The choice of facility type can significantly impact total out-of-pocket costs even when using the same physician.

Insurance Market Competition in Oklahoma

Oklahoma's insurance market features moderate competition with Blue Cross Blue Shield Oklahoma holding significant market share, followed by UnitedHealthCare and CommunityCare serving different segments and regions. Rural areas often have limited insurer options, reducing competitive pressure on negotiated rates and potentially leading to higher costs for patients. The state's decision not to expand Medicaid also creates a larger uninsured population, affecting how providers price their services and offer charity care programs.

Physician Supply and Demand in Oklahoma

With over 1,720 providers offering colonoscopy services throughout Oklahoma, the state maintains reasonable access to these procedures, though geographic distribution remains uneven. This provider supply suggests adequate capacity in urban areas but potential shortages in rural regions, creating price variations based on local market dynamics. The concentration of specialists in major metropolitan areas helps keep wait times reasonable and provides patients with multiple options for cost comparison and quality considerations.

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 Oklahoma

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

Based on transparency data from major insurers, Colonoscopy with Biopsy procedures in Oklahoma range from $85 to $582, with significant variation depending on facility type and geographic location. Self-pay patients should expect costs in this range, though many providers offer cash-pay discounts of 20-40% off standard rates. Independent practices and ambulatory surgery centers typically offer lower prices than hospital-based facilities for uninsured patients.

Does Oklahoma Medicaid cover Colonoscopy with Biopsy visits?

Oklahoma Medicaid covers medically necessary Colonoscopy with Biopsy visits for eligible recipients, but the state has not expanded Medicaid, limiting coverage to very low-income families, pregnant women, and disabled individuals. Most working adults are ineligible for Oklahoma Medicaid regardless of income level, leaving many in a coverage gap. Those who qualify should obtain prior authorization and use participating providers to avoid claim denials.

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

Compare prices between independent gastroenterology practices and hospital-based clinics, as independent facilities often offer lower costs. Ask about cash-pay discounts if you're uninsured or have a high-deductible plan, and consider community health centers or federally qualified health centers that offer sliding scale fees. Use Momentary Lab to compare actual costs across providers and verify your insurance coverage before scheduling.

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

Initial consultations typically involve comprehensive evaluation and procedure scheduling, while follow-up visits focus on results discussion and ongoing care planning. The colonoscopy procedure itself represents the major cost component, with professional fees for the gastroenterologist and facility fees varying based on complexity and biopsy requirements. Most insurance plans cover follow-up visits at the same specialist copay rate as initial visits.

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

Yes, Colonoscopy with Biopsy procedures qualify as eligible medical expenses for both Health Savings Account (HSA) and Flexible Spending Account (FSA) funds. This includes the procedure cost, physician fees, facility charges, and pathology fees for biopsy analysis. Using pre-tax dollars through these accounts can provide significant savings, especially for patients with high-deductible health plans or those paying out-of-pocket.

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

While the actual colonoscopy procedure requires in-person care, telemedicine consultations can reduce costs for initial evaluations, pre-procedure planning, and follow-up care in Oklahoma. Many gastroenterology practices offer virtual consultations for discussing symptoms, reviewing results, or planning treatment, typically at lower costs than office visits. This can be particularly beneficial for rural Oklahoma patients who face travel challenges to reach specialist care in urban centers.

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