How Much Does a Colonoscopy Cost in the U.S. in 2025?
The average cost of a colonoscopy in the U.S. without insurance is $2,362, while with insurance, it can decrease to approximately $920. The actual costs vary based on the type of medical facility, insurance plan, procedure type, and additional services.
A colonoscopy is a key diagnostic tool for early detection of polyps and colorectal cancer. With over 15 million procedures performed annually in the U.S., it remains one of the most common, yet also one of the most costly medical tests.
This report analyzes the average cost of colonoscopy across U.S. hospitals, comparing expenses for patients with and without insurance.
*All data is aggregated from the AllClinics platform.
What Factors Influence the Cost of a Colonoscopy?
The price of a colonoscopy varies significantly depending on multiple factors, including the type of facility, location, and whether additional procedures are performed. The key factors influencing the cost include the following:
Medical facility type: Hospital outpatient departments generally charge significantly higher prices than ambulatory surgery centers or physician offices, largely due to higher overhead costs, regulatory requirements, and additional facility fees.
Location: Costs vary by state and city, tending to be lower in smaller or rural communities compared to larger metropolitan areas.
Procedure type: A screening colonoscopy is often fully covered under most U.S. insurance plans as part of preventive care under the Affordable Care Act (ACA). Diagnostic colonoscopies performed because of symptoms are usually not considered preventive and are often subject to copayments or coinsurance.
Insurance provider: Each insurance company negotiates its own reimbursement rates with hospitals. As a result, the same colonoscopy at the same facility may have very different prices depending on the insurer.
Additional procedures: Additional procedures, such as polyp removal, biopsy, or anesthesia services, can substantially increase the total cost of a colonoscopy.
How Much Does a Colonoscopy Cost with Insurance?
The average cost of a colonoscopy with insurance is approximately $920, with prices ranging from $400 to $1,000, based on data from 230 U.S. hospitals.*
*The insured price represents the median across multiple insurance plans that cover the procedure; actual costs may vary depending on the insurance provider.
How Much Does a Colonoscopy Cost without Insurance?
The average cost of a colonoscopy without insurance is $2,362, with prices ranging from $700 to $4,800, based on data from 230 U.S. hospitals. These findings indicate that insurance coverage can lower the cost of a colonoscopy by over 50%.
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