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Wyoming

Cost of a Colonoscopy with Biopsy Visit
in Wyoming

Reviewed by Momentary Medical Group West PC

Wyoming's sparse population of 580,000 residents relies on just 185 active Colonoscopy with Biopsy providers spread across the state's vast rural landscape. Patients typically pay between $217 and $1,313 for a Colonoscopy with Biopsy procedure, with a median cost of $442 based on negotiated insurance rates. These costs run approximately 10% higher than national averages, reflecting Wyoming's unique challenges in delivering specialized care across remote communities and small cities throughout the state.

Average

$657

Median

$442

Lowest

$217

Highest

$1,313

Providers

185

National avg: $577Wyoming: $657

14% above national average

Compare Similar Procedures

How does colonoscopy with biopsy compare to related procedures in Wyoming?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$158$375$1,057184
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$332$553$1,540178
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$161$288$864176
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$173$322$1,151184
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$28$80194
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$94$219$604184
OB Ultrasound

Obstetric ultrasound, complete

76805$51$143$331184

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 45380Colonoscopy 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 Wyoming

Wyoming's healthcare costs run approximately 8% above national averages due to the state's challenging geography and low population density that limits provider competition. The Equality State's 98,000 square miles support fewer than 600,000 residents, creating unique economic pressures on healthcare delivery that drive up specialized procedure costs.

Urban vs. Rural Provider Availability

Most of Wyoming's gastroenterologists practice in Cheyenne, Casper, and Jackson, leaving residents in counties like Niobrara or Weston with limited local options for Colonoscopy with Biopsy procedures. Rural patients often face 2-3 hour drives to reach specialized care, with some choosing to travel to Denver or Salt Lake City for procedures. This geographic concentration allows urban providers to command higher rates while rural areas rely heavily on visiting specialists or telemedicine consultations.

Facility Type and Overhead Costs

Hospital systems like Banner Health and Wyoming Medical Center dominate the state's gastroenterology market, often charging facility fees that independent practices cannot. These large health systems benefit from economies of scale but pass along higher administrative costs and capital expenses to patients. Smaller independent practices in Wyoming typically offer more competitive pricing but may have limited evening or weekend availability for procedures.

Insurance Market Competition in Wyoming

Blue Cross Blue Shield of Wyoming holds significant market share alongside national carriers like UnitedHealthcare and Cigna, creating moderate insurer competition that affects negotiated rates. The state's small population limits the leverage insurers have with specialty providers, often resulting in higher negotiated rates than seen in larger markets. Wyoming's lack of state-specific regulations on insurance rate setting allows carriers more flexibility in pricing specialized procedures like colonoscopy with biopsy.

Physician Supply and Demand in Wyoming

With 185 active providers performing colonoscopy with biopsy procedures across Wyoming, the state maintains adequate capacity for its small population, though geographic distribution remains uneven. This provider-to-population ratio is actually favorable compared to many rural states, helping moderate costs in areas with sufficient competition. However, recruitment challenges due to Wyoming's remote location and harsh winters can create temporary shortages that drive up pricing in certain regions.

JP

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.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Colonoscopy with Biopsy Costs in Wyoming

What is the average cost of a Colonoscopy with Biopsy visit in Wyoming without insurance?

Uninsured patients in Wyoming typically pay between $217 and $1,313 for a colonoscopy with biopsy, with a median cost of $442 based on negotiated insurance rates. Self-pay patients often receive discounts of 20-40% when paying at the time of service. Many Wyoming providers offer payment plans to help manage these costs, particularly for patients in rural areas with limited financial resources.

Does Wyoming Medicaid cover Colonoscopy with Biopsy visits?

Traditional Wyoming Medicaid covers medically necessary colonoscopy with biopsy procedures for eligible beneficiaries, but the state has not expanded Medicaid, severely limiting adult coverage. Eligibility is restricted to specific categories like pregnant women, children, elderly, and disabled individuals with very low income limits. Working adults without children typically cannot qualify for Wyoming Medicaid regardless of income level.

How do I find an affordable Colonoscopy with Biopsy near me in Wyoming?

Compare costs between hospital-owned clinics and independent gastroenterology practices, as independents often charge lower facility fees. Ask about self-pay discounts if you're uninsured or have a high-deductible plan, and consider procedures at community hospitals rather than major medical centers. Some patients find savings by scheduling procedures in smaller Wyoming cities rather than Cheyenne or Casper, though travel costs should be factored in.

What is the difference in cost between an initial consultation and a follow-up visit?

While specific consultation costs weren't provided in our data, colonoscopy with biopsy procedures (CPT 45380) range from $217 to $1,313 with a median of $442 in Wyoming. Initial consultations with gastroenterologists typically cost more than follow-up visits due to the comprehensive nature of the first appointment. Follow-up visits for discussing biopsy results or ongoing care generally involve lower costs, though some may require additional procedures that increase the total expense.

Can I use an HSA or FSA to pay for a Colonoscopy with Biopsy visit in Wyoming?

Yes, colonoscopy with biopsy procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these pre-tax funds to pay for the procedure, related consultation fees, and associated costs like anesthesia or pathology services. Keep all receipts and documentation, as these accounts may require proof that the procedure was medically necessary rather than purely cosmetic.

How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in Wyoming?

While the actual colonoscopy with biopsy procedure must be performed in person, telemedicine consultations can reduce overall costs by eliminating initial travel to distant specialists for Wyoming residents. Many gastroenterologists now offer virtual follow-up appointments to discuss biopsy results or adjust treatment plans, saving patients time and travel expenses. Some insurers cover telehealth visits at the same rate as in-person consultations, though others may have different copay structures for virtual care.

Click a state to compare costs

Average Visit Cost

$235
$1,938

Office visit (CPT 45380)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$5,357
$1,938
2New York
Range: $241$2,117
$948
3Massachusetts
Range: $80$2,117
$932
4Rhode Island
Range: $80$2,117
$910
5Connecticut
Range: $85$2,117
$892
6Delaware
Range: $80$2,117
$858
7Pennsylvania
Range: $80$2,117
$857
8Minnesota
Range: $85$1,970
$853
9New Hampshire
Range: $433$1,234
$829
10Nebraska
Range: $281$1,040
$742
11Iowa
Range: $85$1,373
$726
12California
Range: $80$1,785
$724
13Maine
Range: $456$887
$714
14Wyoming
Range: $217$1,313
$657
15Vermont
Range: $317$1,042
$632
16Georgia
Range: $85$1,250
$620
17New Jersey
Range: $120$1,329
$599
18North Carolina
Range: $80$1,268
$597
19North Dakota
Range: $80$1,268
$594
20District of Columbia
Range: $98$1,143
$580
21West Virginia
Range: $85$1,329
$574
22New Mexico
Range: $90$1,136
$559
23Illinois
Range: $80$1,147
$556
24Washington
Range: $80$1,143
$536
25Utah
Range: $80$944
$520
26Missouri
Range: $188$815
$512
27South Dakota
Range: $80$1,035
$501
28Maryland
Range: $175$919
$489
29Oregon
Range: $80$1,070
$486
30Hawaii
Range: $80$969
$467
31Colorado
Range: $85$969
$466
32Indiana
Range: $80$937
$461
33Mississippi
Range: $162$850
$454
34Michigan
Range: $80$887
$453
35Kentucky
Range: $80$917
$439
36Virginia
Range: $98$830
$423
37Louisiana
Range: $85$804
$422
38Idaho
Range: $80$906
$419
39Arkansas
Range: $85$815
$416
40Alabama
Range: $80$762
$405
41Texas
Range: $85$772
$396
42South Carolina
Range: $80$782
$389
43Kansas
Range: $188$646
$387
44Nevada
Range: $85$701
$372
45Ohio
Range: $85$709
$371
46Tennessee
Range: $85$714
$371
47Alaska
Range: $80$837
$332
48Arizona
Range: $85$567
$295
49Florida
Range: $35$770
$287
50Oklahoma
Range: $85$582
$251
51Montana
Range: $80$545
$235
Colonoscopy with Biopsy in Other States