Cost of a Colonoscopy with Biopsy Visit
in South Dakota
Reviewed by Momentary Medical Group West PC
South Dakota's largely rural healthcare landscape creates unique cost dynamics for specialized procedures, with 66 active providers offering Colonoscopy with Biopsy services across the state. Patients typically pay between $80 and $1,035 for a Colonoscopy with Biopsy procedure, with a median out-of-pocket cost of $389. Browse all Colonoscopy with Biopsy providers in South Dakota to compare costs and find the right specialist for your needs.
Average
$501
Median
$389
Lowest
$80
Highest
$1,035
Providers
66
13% below national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in South Dakota?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $345 | $2,255 | 79 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $491 | $1,090 | 61 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $103 | $275 | $691 | 52 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $332 | $2,396 | 77 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $26 | $26 | $26 | 328 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $67 | $169 | $460 | 73 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $68 | $68 | $117 | 309 |
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 Dakota
South Dakota's healthcare costs run approximately 3% above the national average despite the state's rural character, reflecting limited provider competition and higher operational costs in less populated areas. The state's geographic challenges create significant cost variations between urban centers like Sioux Falls and remote rural communities where specialist access is limited.
Urban vs. Rural Provider Availability
Most of South Dakota's 66 Colonoscopy with Biopsy providers are concentrated in Sioux Falls, Rapid City, and Aberdeen, creating access challenges for patients in rural counties. Rural residents often face higher total costs due to travel expenses and may pay premium rates at the few available local facilities. Some patients choose to travel to regional medical centers for better pricing and more experienced specialists.
Facility Type and Overhead Costs
Hospital-based outpatient clinics, particularly those affiliated with Sanford Health and Avera Health systems, typically charge facility fees that can double the total procedure cost compared to independent practices. These major health systems dominate South Dakota's healthcare landscape, giving them significant pricing power in many markets. Ambulatory surgery centers often provide a middle-ground option with lower overhead costs than hospitals but more comprehensive services than basic clinics.
Insurance Market Competition in South Dakota
The concentration of market share among Wellmark Blue Cross Blue Shield, Sanford Health Plan, and UnitedHealthcare limits competitive pressure on pricing negotiations. This relatively consolidated market can result in higher negotiated rates compared to states with more insurance competition. Rural areas have even fewer insurer options, sometimes leaving residents with only one or two viable choices for coverage.
Physician Supply and Demand in South Dakota
With 66 active providers serving the entire state's population of approximately 900,000, South Dakota has moderate specialist availability that varies dramatically by region. This supply constraint in rural areas allows providers to maintain higher pricing while urban areas have more competitive rates. Wait times for non-urgent procedures can extend several weeks in popular practices, giving patients incentive to consider less busy providers who may offer more competitive pricing.
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 Dakota
What is the average cost of a Colonoscopy with Biopsy visit in South Dakota without insurance?
Does South Dakota Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in South 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 South Dakota?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in South 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 |