Colonoscopy cost without insurance
The median cash price for Colonoscopy is $1,804.00 across 1,480 US hospitals that publish a self-pay price. Most hospitals (the middle 80%) charge between $634.46 and $3,992.00.
A colonoscopy examines the whole colon with a flexible camera, and one procedure usually produces several bills: the facility, the gastroenterologist, anesthesia, and pathology if tissue is removed. The key price detail is that a planned exam can become a biopsy (45380) or polyp removal (45385) during the procedure, which changes the code and adds a pathology charge.
Collected Nov 10, 2026 One price per hospital, from each hospital's own price file
Colonoscopy prices by type
45378 is a diagnostic colonoscopy with nothing removed and is used in the state table; 45380 adds biopsies and 45385 adds polyp removal with a snare. G0121 and G0105 are Medicare screening codes for average-risk and high-risk patients, 45330 is a flexible sigmoidoscopy of the lower colon only, and 82274 is the at-home stool test (FIT).
| Procedure | Hospitals | Middle 80% | Median | Medicare |
|---|---|---|---|---|
| Colonoscopy Colonoscopy, diagnostic · code 45378 | 1,480 | $634.46–$3,992.00 | $1,804.00 | $950.10median 1.9× |
| Colonoscopy with biopsy Colonoscopy with tissue sample · code 45380 | 1,434 | $682.55–$4,865.33 | $1,929.60 | $1,222.56median 1.6× |
| Colonoscopy with polyp removal Colonoscopy with polyp removal · code 45385 | 1,383 | $759.46–$4,900.00 | $2,098.00 | $1,222.56median 1.7× |
| Screening colonoscopy Screening colonoscopy for a person at average risk (Medicare code) · code G0121 | 1,154 | $556.50–$3,665.96 | $1,659.35 | $950.10median 1.7× |
| High-risk screening colonoscopy Screening colonoscopy, high risk of colorectal cancer (Medicare code) · code G0105 | 1,162 | $547.09–$3,655.41 | $1,676.50 | $950.10median 1.8× |
| Sigmoidoscopy Flexible sigmoidoscopy, diagnostic (lower colon only) · code 45330 | 1,502 | $361.53–$3,461.27 | $1,203.93 | $950.10median 1.3× |
| FIT stool test Stool test for hidden blood by immunoassay (FIT) · code 82274 | 2,400 | $17.17–$134.97 | $53.60 | $15.92median 3.4× |
| Stool blood test (FOBT) Stool test for hidden blood (guaiac FOBT) · code 82270 | 2,670 | $6.93–$88.72 | $26.43 | $4.38median 6.0× |
What the hospital price covers
The hospital price is usually the facility fee. The gastroenterologist, the anesthesia and the lab exam of any polyp removed bill separately.
“Most charge” is the middle 80% of hospitals (10th to 90th percentile), so one mistyped line in a hospital file cannot stretch it. Each hospital counts once, at its lowest outpatient cash price for the code. “Medicare” is Medicare's 2026 national base rate for the same service outside a hospital stay, including the patient's share (the hospital outpatient, lab or hospital clinic rate); “median 3×” means the median cash price is three times that rate.
Colonoscopy: median by state
States with at least 5 hospitals, cheapest median first. Pick a state for its colonoscopy prices and cheapest hospitals.
- Puerto Rico$471.05
- Louisiana$820.85
- Mississippi$984.70
- Michigan$1,063.88
- Arkansas$1,177.22
- New Jersey$1,216.56
- Kansas$1,258.00
- Tennessee$1,261.31
- Maine$1,263.75
- West Virginia$1,266.50
- New Hampshire$1,279.39
- Minnesota$1,339.99
- New Mexico$1,385.20
- Virginia$1,415.00
- North Carolina$1,431.00
- Oklahoma$1,480.96
- Hawaii$1,483.35
- Nevada$1,491.55
- Pennsylvania$1,500.00
- Texas$1,541.44
- Alaska$1,620.84
- Missouri$1,683.35
- Wisconsin$1,741.38
- Iowa$1,744.84
- North Dakota$1,788.00
- Montana$1,794.00
- Washington$1,932.48
- New York$1,945.66
- Nebraska$1,996.21
- Wyoming$2,009.25
- Alabama$2,014.35
- Colorado$2,018.88
- Indiana$2,024.97
- California$2,080.00
- Oregon$2,103.75
- South Dakota$2,144.00
- Arizona$2,275.83
- Massachusetts$2,276.50
- Illinois$2,401.65
- Idaho$2,509.00
- Ohio$2,726.10
- South Carolina$2,991.00
- Florida$3,018.67
- Kentucky$3,074.40
- Rhode Island$3,102.47
- Vermont$3,114.00
- Connecticut$3,225.00
- Georgia$3,968.25
Colonoscopy: median by metro area
Metro areas with at least 10 hospitals.
- Atlanta, GA$3,992.00
- Boston, MA$2,097.00
- Chicago, IL$2,089.06
- Cincinnati, OH$4,740.18
- Cleveland, OH$2,664.30
- Columbus, OH$2,875.60
- Dallas, TX$1,899.00
- Duluth, MN$1,821.60
- Houston, TX$1,468.16
- Los Angeles, CA$1,197.16
- Miami, FL$3,407.95
- Minneapolis, MN$1,207.82
- New Orleans, LA$716.32
- New York, NY$1,216.56
- Pittsburgh, PA$1,500.00
- Portland, OR$2,103.75
- Riverside, CA$2,080.00
- San Francisco, CA$3,679.20
Paying cash: what to do
- Ask for a self-pay quote that covers the facility, the gastroenterologist and anesthesia, and ask which of them bill separately.
- Ask for prices for 45380 and 45385 as well, since no one knows in advance whether a biopsy or polyp removal will be needed.
- Ambulatory surgery centers often charge less than hospital outpatient departments for the same colonoscopy, so ask the gastroenterologist where they perform it.
Questions
How much does colonoscopy cost without insurance?
The median hospital cash price for Colonoscopy (code 45378) is $1,804.00 across 1,480 US hospitals that publish a self-pay price; most charge $634.46 to $3,992.00. By state, the median runs from $471.05 in Puerto Rico to $3,968.25 in Georgia. The hospital price is usually the facility fee. The gastroenterologist, the anesthesia and the lab exam of any polyp removed bill separately.
How much does a colonoscopy cost without insurance?
The total is the facility fee in the table plus the gastroenterologist, anesthesia and, if tissue is removed, pathology; the bowel-prep medicine is bought separately at a pharmacy. Ask each provider for its self-pay price, or ask whether a bundled cash package is offered.
Why was my screening colonoscopy billed as a different code?
If a polyp is removed or a biopsy is taken, the procedure is billed under a different code. Under federal rules most private plans must cover a screening colonoscopy without cost-sharing, including polyp removal during it and a follow-up colonoscopy after a positive stool test.
Is a stool test an alternative to a colonoscopy?
For people at average risk without symptoms, a yearly FIT (82274) is one of the screening options guidelines accept, and it is a lab test done with a kit at home. A positive result needs a follow-up colonoscopy, and a stool test does not suit people with symptoms or high risk, so ask a clinician which option fits.