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Cost of colon biopsy by state

The following estimated costs are based on cash prices that providers have historically charged on average for colon biopsy and will vary depending on where the service is done. The prices do not include the anesthesia, imaging, and other doctor visit fees that normally accompany colon biopsy.

StateName Average Cash Price
$1,418
$1,919
$1,605
$1,406
$1,761
$1,550
$1,696
$1,648
$1,634
$1,557
$1,459
$1,476
$1,434
$1,628
$1,485
$1,350
$1,398
$1,430
$1,587
$1,434
$1,688
$1,739
$1,602
$1,803
$1,442
$1,425
$1,483
$1,449
$1,531
$1,536
$1,860
$1,414
$1,751
$1,405
$1,561
$1,461
$1,563
$1,595
$1,646
$1,754
$1,497
$1,395
$1,407
$1,521
$1,585
$1,556
$1,513
$1,688
$1,514
$1,598
$1,556

During a colonoscopy, your doctor inserts a small, flexible tube into your digestive tract through the rectum. A small camera on the end of the tube allows the doctor to see the inside of your colon. The entire procedure takes about 30-60 minutes. If your doctor notices any polyps, the procedure may take longer so they can remove the polyps.

A colonoscopy can be done for several reasons. Starting at age 50, everyone should get a colonoscopy every 10 years. This is a screening procedure used to identify or even prevent colon cancer and typically covered by medical insurance.

Your doctor might recommend a colonoscopy if you are having gastrointestinal concerns such as bleeding, chronic diarrhea, or chronic constipation. This can help your doctor identify the cause of your problems and offer treatment solutions.

Although few people look forward to the procedure, the process is done under mild sedation and pain medication to keep patients comfortable. You may be aware of pressure or a mild urge to go to the bathroom but should not experience pain.  

During the procedure, air is pumped into the colon to expand it and increase visibility. Because of this, you may experience some bloating and gas for a few hours after the procedure. Walking can help relieve this type of discomfort. 

The procedure itself usually only takes 30 to 60 minutes. You will likely spend time before the procedure talking to your doctor and receiving the anesthetic. After the procedure is over, you will need to recover for at least an hour or so before being discharged. Because of the lingering effects of the procedural medications, you will need someone to drive you home and stay with you for 12 to 24 hours. 

When you have had a polyp removed during a colonoscopy, a little extra caution is needed the first few days. You may notice a small amount of blood with your first bowel movement afterward. Small amounts are normal, but if there is a lot of blood or blood clots, you will need to notify your doctor immediately. Also seek medical attention if you have persistent abdominal pain or begin to run a fever.

It would also be prudent to stay away from hard-to-digest or very fibrous foods, foods with husks or seeds, or foods that are spicy for a few days.

Your doctor will schedule a post-procedure appointment with you to discuss your results. This typically occurs within 2 to 3 weeks after the procedure but will vary from location to location.

Immediately after your procedure, your doctor will let you know if a biopsy occurred or if he found any serious abnormalities. If a biopsy was performed, that does not necessarily mean you have cancer. A large percentage (the majority) of polyps are benign!

If your polyp comes back from pathology as “neoplastic,” that means that it has either pre-cancerous or cancerous cells. Your doctor will advise you about the next steps and involve an oncologist. Because of this possibility, it is a good idea to have a trusted friend or family member with you at the appointment. If you receive a lot of new information, it is helpful to have someone else listening and asking questions.

* Savings estimate based on a study of more than 1 billion claims comparing self-pay (or cash pay) prices of a frequency-weighted market basket of procedures to insurer-negotiated rates for the same. Claims were collected between July 2017 and July 2019. R.Lawrence Van Horn, Arthur Laffer, Robert L.Metcalf. 2019. The Transformative Potential for Price Transparency in Healthcare: Benefits for Consumers and Providers. Health Management Policy and Innovation, Volume 4, Issue 3.

Sidecar Health offers and administers a variety of plans including ACA compliant and excepted benefit plans. Coverage and plan options may vary or may not be available in all states.

Your actual costs may be higher or lower than these cost estimates. Check with your provider and health plan details to confirm the costs that you may be charged for a service or procedure.You are responsible for costs that are not covered and for getting any pre-authorizations or referrals required by your health plan. Neither payments nor benefits are guaranteed. Provider data, including price data, provided in part by Turquoise Health.

The site is not a substitute for medical or healthcare advice and does not serve as a recommendation for a particular provider or type of medical or healthcare.