Procedures › Cost Guide

How Much Does a Colonoscopy Cost?

Preventive vs. diagnostic pricing and how to avoid surprise bills.

Reviewed 2026-04-06 · Pricing data year 2026 · 133 providers analyzed

Medicare pays $165 for this procedure

If your bill is more than 3× this rate, you may be significantly overcharged.

Average cost by facility type

Hospital

133 providers reporting

$2,902

$335 – $13,712

Tip: Surgery centers often charge 30–60% less than hospitals for the same procedure.

How to save on Diagnostic colonoscopy

  • Preventive colonoscopies are 100% covered by insurance with no copay (ACA mandate).
  • If a polyp is removed, billing may switch from preventive to diagnostic — ask in advance.
  • Ambulatory surgery centers (ASCs) charge 30–50% less than hospitals.
  • The anesthesiologist often bills separately. Confirm they’re in-network.
  • Ask for a bundled quote covering facility, physician, and anesthesia fees.

Average cost by state (lowest first)

GA $1,004
FL $1,094
WI $1,771
NE $2,253
CA $2,979
TN $3,087
TX $4,175
IA $4,549
MI $4,790
SD $6,196
MN $6,662
AZ $9,410

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Prices are based on hospital price transparency data and Medicare fee schedules. Actual costs vary by location, insurance, and provider. Not medical or financial advice. Last updated March 2026.