Last updated: March 2026
How Much Does Colonoscopy Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Screening Colonoscopy | $2,000 – $4,000 | $0 – $0 |
| Diagnostic Colonoscopy | $2,000 – $5,000 | $200 – $500 |
| With Polyp Removal | $2,500 – $5,500 | $0 – $500 |
| Virtual Colonoscopy (CT) | $500 – $2,000 | $200 – $500 |
CPT/ADA Code: 45378
What Affects the Cost
- Facility type (freestanding center vs. hospital — hospitals cost 2-3x more)
- Geographic location
- Complexity of the visit or test
- Whether additional tests or procedures are needed
- In-network vs. out-of-network provider
- Time of day (emergency/after-hours may cost more)
Insurance Coverage
Typical coverage: Screening at $0 (ACA preventive) for age 45+; diagnostic has cost-sharing
Most diagnostic tests and urgent care visits are covered when medically necessary with a doctor's order. You'll pay your deductible first, then coinsurance (typically 20-40%). Preventive screenings are covered at $0 under the ACA. Always use in-network providers to avoid surprise bills.
How to Save Money
- Freestanding facilities cost 50-70% less than hospital-based
- Ask for cash-pay pricing upfront — often 40-60% less than billed rate
- Compare prices on MDsave.com or Healthcare Bluebook
- Use urgent care instead of ER for non-emergencies (save $1,000+)
- Telehealth visits cost $50-$100 for many conditions
- Check if the service qualifies as preventive care ($0 with insurance)
Related Procedures & Costs
Frequently Asked Questions
Yes — the ACA requires $0 cost for screening colonoscopies starting at age 45. Even if polyps are found and removed, it should still be covered as screening.
Every 10 years starting at 45 for average risk. More frequently if polyps are found or you have risk factors.
$2,000-$5,000 at a hospital, $1,000-$3,000 at an ambulatory surgery center. Cash-pay packages are sometimes available.