Cost of a Colonoscopy with Biopsy Visit
in Texas
Reviewed by Momentary Medical Group West PC
Texas ranks among the top states for colorectal cancer screening rates, yet significant cost barriers remain for diagnostic procedures requiring tissue sampling. A Colonoscopy with Biopsy in Texas typically costs between $85 and $772, with most patients paying around $332 out-of-pocket based on negotiated insurance rates. The Lone Star State maintains over 11,600 active providers offering these specialized diagnostic services across its vast geography, from bustling metropolitan areas to rural counties where access can be more limited.
Average
$396
Median
$332
Lowest
$85
Highest
$772
Providers
11,638
31% below national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Texas?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $291 | $634 | 10,832 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $90 | $402 | $866 | 10,759 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $90 | $230 | $508 | 10,361 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $230 | $649 | 12,607 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $25 | $90 | 14,138 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $64 | $155 | $418 | 12,962 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $46 | $96 | $237 | 11,056 |
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 Texas
Texas gastroenterology costs run approximately 4% below national averages, reflecting the state's lower overall healthcare spending and competitive provider market. The state's massive geographic footprint creates dramatic cost variations between dense urban corridors and sparsely populated rural regions.
Urban vs. Rural Provider Availability
Major Texas metros like Houston, Dallas, Austin, and San Antonio concentrate most gastroenterology specialists, creating competitive pricing in these areas. Rural counties often lack local endoscopy capabilities, forcing patients to travel significant distances and sometimes pay premium rates for limited options.
Facility Type and Overhead Costs
Hospital-based outpatient departments in Texas typically charge 40-60% more than independent ambulatory surgery centers for the same colonoscopy with biopsy procedure. Major health systems like Houston Methodist, Baylor Scott & White, and Memorial Hermann operate extensive networks that can offer economies of scale.
Insurance Market Competition in Texas
The presence of multiple major insurers including UnitedHealthcare, Blue Cross Blue Shield of Texas, Aetna, and Cigna creates competitive negotiated rates across the state. This robust competition helps keep procedure costs relatively moderate compared to states with limited insurer options.
Physician Supply and Demand in Texas
With over 11,600 providers offering colonoscopy with biopsy services, Texas maintains adequate specialist supply in metropolitan areas but faces shortages in rural regions. This geographic mismatch creates longer wait times and higher costs in underserved areas while keeping urban prices competitive.
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 Texas
What is the average cost of a Colonoscopy with Biopsy visit in Texas without insurance?
Does Texas Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Texas?
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 Texas?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Texas?
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 |