Colonoscopy With Biopsy Cost in Tennessee

Colonoscopy and biopsy

CPT 45380

Tennessee Average Cost (2026)

-8.0% vs national avg

Average across 1 Medicare locality in Tennessee

Tennessee (Office)
$441.62
Non-facility rate
Tennessee (Hospital)
$166.85
Facility rate
Private Insurance Est.
$574 - $883
130-200% of Medicare
Self-Pay / Cash Est.
$353 - $662
80-150% of Medicare

National Average

Office Rate$479.97
Hospital Rate$177.69

State Ranking

Tennessee rank#7 of 49 (least expensive)
Cheapest stateArkansas ($423.81)
Most expensiveAlaska ($554.38)

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About Colonoscopy With Biopsy Costs in Tennessee

The average Medicare reimbursement for colonoscopy with biopsy in Tennessee is $441.62 for an office setting and $166.85 in a hospital. This is about 8% lower than the national average of $479.97.

Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in Tennessee, that would be roughly $88 for an office visit or $33 in a hospital setting.

Private insurance plans in Tennessee typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $574 and $883.

Without insurance, you may be able to negotiate a cash discount. Many providers in Tennessee will reduce their fees by 20% to 40% for self-pay patients. Always ask about cash pricing before scheduling your procedure.

Ways to Save on Colonoscopy With Biopsy

Compare Insurance Plans

Uninsured? Comparing marketplace plans in Tennessee could save you thousands on procedures like this.

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Try Telehealth First

Many consultations can be done virtually for $50-100, saving hundreds vs an in-person visit.

Book on Sesame Care

Save on Prescriptions

If this procedure leads to a prescription, check discount cards for up to 80% savings.

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Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts and may not reflect actual charges. Private insurance and self-pay estimates are approximations based on industry averages.