Cost of a Colonoscopy with Biopsy Visit
in South Carolina
Reviewed by Momentary Medical Group West PC
South Carolina's healthcare costs run approximately 1% below national averages, benefiting patients seeking specialized gastroenterology procedures. For a Colonoscopy with Biopsy, patients typically pay between $80 and $782, with a median out-of-pocket cost of $306 based on negotiated insurance rates. With over 1,333 active Colonoscopy with Biopsy providers across the state, patients have substantial options from Charleston's Medical University system to Greenville's expanding healthcare network.
Average
$389
Median
$306
Lowest
$80
Highest
$782
Providers
1,333
33% below national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in South Carolina?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $90 | $304 | $695 | 1,131 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $414 | $936 | 1,265 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $109 | $243 | $564 | 1,048 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $211 | $627 | 1,357 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $21 | $88 | 1,517 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $62 | $137 | $364 | 1,356 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $43 | $90 | $221 | 1,332 |
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 South Carolina
South Carolina's healthcare costs run approximately 1% below national averages, reflecting the state's lower cost of living compared to coastal metropolitan areas. The state's mix of rural counties and growing urban centers like Charleston and Greenville creates distinct regional pricing patterns for specialized procedures.
Urban vs. Rural Provider Availability
The Charleston-North Charleston-Summerville metropolitan area and Greenville-Anderson-Mauldin region contain the highest concentration of gastroenterology specialists, creating more competitive pricing. Rural counties in the Pee Dee and lower coastal regions often have limited specialist availability, requiring patients to travel to larger cities for colonoscopy procedures. This geographic disparity can affect both access and pricing, with some rural hospitals charging premium rates due to limited local competition.
Facility Type and Overhead Costs
Major health systems like MUSC Health in Charleston and Prisma Health in the Midlands operate hospital-based endoscopy centers with higher overhead costs than independent surgery centers. Ambulatory surgery centers have expanded rapidly in South Carolina's urban markets, offering competitive pricing for routine colonoscopy procedures. Hospital-owned facilities often charge separate physician and facility fees, while independent centers may offer bundled pricing.
Insurance Market Competition in South Carolina
The state's insurance market is moderately competitive with BCBS SC holding significant market share alongside national players UHC and Aetna. This concentration gives major insurers substantial negotiating power with providers, helping keep rates relatively stable. The lack of Medicaid expansion limits market dynamics in the lower-income segment, reducing competitive pressure in some provider markets.
Physician Supply and Demand in South Carolina
With over 1,333 active providers performing colonoscopies with biopsies, South Carolina maintains adequate specialist availability relative to its population of 5.2 million residents. This healthy supply helps prevent the pricing premiums seen in physician shortage areas, though distribution remains uneven between urban and rural regions. Moderate competition among providers in metropolitan areas creates opportunities for patients to compare costs and find more affordable options.
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 South Carolina
What is the average cost of a Colonoscopy with Biopsy visit in South Carolina without insurance?
Does South Carolina Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in South 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 South Carolina?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in South 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 |