Cost of a Colonoscopy with Biopsy Visit
in Utah
Reviewed by Momentary Medical Group West PC
Utah's integrated healthcare model, anchored by systems like Intermountain Healthcare and University of Utah Health, creates unique pricing dynamics for specialized procedures. Patients seeking a Colonoscopy with Biopsy typically pay between $80 and $944, with a median out-of-pocket cost of $537 based on negotiated insurance rates. With 432 active providers across the state, Utah offers substantial access to gastroenterology services from the Wasatch Front to rural communities.
Average
$520
Median
$537
Lowest
$80
Highest
$944
Providers
432
10% below national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in Utah?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $499 | $741 | 423 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $80 | $722 | $1,090 | 362 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $98 | $491 | $627 | 329 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $80 | $384 | $820 | 441 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $14 | $26 | $88 | 464 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $80 | $202 | $340 | 425 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $51 | $143 | $241 | 409 |
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 Utah
Utah's healthcare costs run approximately 2% below national averages, reflecting the state's efficient integrated delivery systems and lower overall cost of living compared to coastal markets. The dominance of large health systems like Intermountain Healthcare creates economies of scale that help moderate procedure pricing across the state.
Urban vs. Rural Provider Availability
Most of Utah's gastroenterologists practice along the Wasatch Front from Ogden to Provo, creating cost competition in urban areas while limiting options in rural regions. Patients in southeastern Utah or the rural west may need to travel to Salt Lake City or St. George for specialized procedures. This geographic concentration means rural patients often face higher total costs when factoring in travel and lodging expenses.
Facility Type and Overhead Costs
Hospital-owned practices like those within Intermountain Healthcare or University of Utah Health typically charge facility fees on top of physician charges, increasing total procedure costs. Independent gastroenterology practices and ambulatory surgery centers often provide the same services at lower rates due to reduced overhead. Utah's certificate-of-need laws historically limited competition among surgery centers, though recent changes have increased options for patients.
Insurance Market Competition in Utah
SelectHealth, BCBS Utah, and UnitedHealthcare dominate Utah's market, with SelectHealth particularly strong due to its integration with Intermountain Healthcare. This moderate competition helps negotiate reasonable rates compared to monopolistic markets, though patients may find fewer plan options than in larger states. The concentration of market power among a few insurers can limit negotiating leverage for independent physicians.
Physician Supply and Demand in Utah
With 432 providers performing colonoscopy with biopsy procedures, Utah maintains adequate gastroenterology capacity relative to its population of 3.4 million residents. This healthy provider supply helps prevent the artificial scarcity pricing seen in physician shortage areas. However, demand continues growing as Utah's population ages and screening guidelines expand, potentially tightening capacity in coming years.
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 Utah
What is the average cost of a Colonoscopy with Biopsy visit in Utah without insurance?
Does Utah Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in Utah?
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 Utah?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Utah?
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 |