Cost of a Colonoscopy with Biopsy Visit
in Tennessee
Reviewed by Momentary Medical Group West PC
Tennessee's healthcare costs run approximately 4% below the national average, making it more affordable for patients seeking specialized gastroenterology procedures. For a Colonoscopy with Biopsy visit in Tennessee, patients typically pay between $85 and $714, with a median negotiated rate of $314 based on insurance contracts with over 2,600 active providers across the state. Tennessee maintains a robust network of gastroenterologists and specialists offering colonoscopy services, allowing patients to browse providers in both urban centers like Nashville and Memphis as well as rural communities throughout the state.
Average
$371
Median
$314
Lowest
$85
Highest
$714
Providers
2,664
36% below national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Tennessee?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $90 | $288 | $582 | 2,610 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $90 | $399 | $796 | 2,520 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $101 | $223 | $473 | 2,452 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $200 | $604 | 2,698 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $18 | $85 | 2,824 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $64 | $165 | $340 | 2,797 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $48 | $104 | $189 | 2,512 |
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 Tennessee
Tennessee's healthcare costs run about 4% below the national average, reflecting the state's lower cost of living and competitive provider market. The state's mix of metropolitan areas like Nashville and Memphis alongside extensive rural regions creates distinct cost patterns for specialized procedures like colonoscopies.
Urban vs. Rural Provider Availability
Tennessee's major metropolitan areas concentrate most gastroenterology specialists, with Nashville, Memphis, Knoxville, and Chattanooga offering multiple provider options and competitive pricing. Rural counties across middle and east Tennessee often have limited specialist access, requiring patients to travel to urban centers and potentially face higher costs due to reduced competition.
Facility Type and Overhead Costs
Hospital-owned outpatient centers in Tennessee typically charge higher facility fees than independent gastroenterology practices, reflecting different overhead structures and billing practices. Major health systems like Vanderbilt University Medical Center, Methodist Le Bonheur Healthcare, and Ballad Health operate numerous facilities across the state with varying cost structures.
Insurance Market Competition in Tennessee
Tennessee's insurance market features moderate competition with BlueCross BlueShield of Tennessee holding significant market share alongside UnitedHealthcare and Cigna. This competitive environment has helped keep negotiated rates for procedures like Colonoscopy with Biopsy relatively stable, though provider networks can vary significantly between insurers.
Physician Supply and Demand in Tennessee
With over 2,600 providers offering colonoscopy services across Tennessee, the state maintains adequate specialist availability in urban areas while facing shortages in rural regions. This supply distribution affects both pricing and wait times, with metropolitan areas offering more competitive rates and faster appointment availability than underserved rural counties.
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 Tennessee
What is the average cost of a Colonoscopy with Biopsy visit in Tennessee without insurance?
Does Tennessee Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Tennessee?
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 Tennessee?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Tennessee?
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 |