结肠镜检查费用是多少？
A colonoscopy is a procedure that allows a doctor to examine the inner lining of the large intestine using a thin, flexible tube with a camera. It is commonly used for colorectal cancer screening and to investigate digestive symptoms.
无保险
$2,750
有保险
$825
Medicare
$630
全国平均
$2,000
By Elena Bellini, MPH, Health Policy & Management · Last reviewed 2026-04-16 ·
Sources: CMS Medicare Provider Utilization and Payment Data 2025 · Methodology · Editorial standards 概览
A colonoscopy is an endoscopic examination of the colon and the terminal portion of the small intestine using a flexible fiberoptic camera. It is the gold-standard screening test for colorectal cancer — the second-leading cause of cancer death in the United States — and also the principal diagnostic tool for evaluating chronic diarrhea, iron-deficiency anemia, inflammatory bowel disease, and unexplained abdominal symptoms. The procedure itself takes 20–40 minutes under conscious sedation or monitored anesthesia. Bowel preparation the day before is the most arduous part for most patients. The U.S. Preventive Services Task Force recommends routine screening colonoscopies starting at age 45 for average-risk adults, repeated every 10 years if no polyps are found. The total billed amount typically includes separate charges for the gastroenterologist, the facility, the anesthesiologist, and — if polyps are removed — a pathology fee.
影响费用的因素
- Screening vs diagnostic: a preventive screening colonoscopy is covered in full by most ACA-compliant plans; a diagnostic colonoscopy (for symptoms or follow-up) is subject to cost-sharing.
- Polypectomy during the procedure: removal of polyps changes the CPT code and can convert a screening procedure into a diagnostic one for billing purposes, triggering cost-sharing.
- Site of service: ambulatory surgery centers typically bill 30–50% less than hospital outpatient departments.
- Anesthesia: propofol administered by a dedicated anesthesiologist adds cost versus conscious sedation delivered by the gastroenterologist.
- Pathology fees: every polyp submitted adds a separate pathology CPT charge.
- In-network status of the anesthesiologist and pathologist, who are sometimes out-of-network even at an in-network facility (protected by the No Surprises Act).
省钱攻略
- Confirm that the appointment is coded as preventive screening if you qualify — federal rules require no cost-sharing for screening colonoscopies under ACA plans, including when polyps are incidentally removed.
- Ask the facility whether an ambulatory surgery center is available rather than hospital outpatient.
- Verify the anesthesiologist and pathologist are in-network before the procedure.
- For self-pay patients, request the Good Faith Estimate and ask whether conscious sedation is available as a lower-cost anesthesia option.
- If you are offered virtual (CT) colonography or a FIT/Cologuard stool test, ask which is most appropriate clinically — these alternatives can be substantially cheaper but have different sensitivity profiles.
- Obtain all bills (facility, gastroenterologist, anesthesia, pathology) and reconcile against the Explanation of Benefits; coding errors are common.
保险及承保说明
Under the Affordable Care Act, screening colonoscopies (including bowel prep medications and polyp removal during a screening procedure) are covered with no cost-sharing by most commercial plans, Medicare, and Medicaid expansion programs. A HHS clarification closed the 'surprise polyp bill' loophole for most patients. Diagnostic colonoscopies — performed for symptoms or as surveillance after prior polyps — are covered but subject to deductible, copay, and coinsurance. Medicare covers screening colonoscopy every 10 years for average-risk patients (every 2 years for high-risk) at no cost-sharing. Always confirm with your plan whether the appointment is being coded as screening or diagnostic before the procedure.
Data sources for this page
Cost figures on this page are compiled from the following sources, triangulated per the rules in our methodology:
- CMS Medicare Provider Utilization and Payment Data 2025 — primary CMS reference used as the Medicare-rate anchor.
- Hospital Price Transparency machine-readable files (HPT MRFs) from a sample of major hospitals in each state, per the federal Hospital Price Transparency rule.
- Transparency in Coverage payer in-network rate files for commercial-rate cross-validation.
- State All-Payer Claims Database (APCD) summaries where published (Colorado, New Hampshire, Massachusetts, Minnesota, Maine, Utah, Vermont, Rhode Island, Washington, Oregon).
Last reviewed 2026-04-16. See editorial standards for our fact-checking process and correction policy.
Range: $2,000 to $3,780 · 50 states shown
各州费用
| 州 | 无保险 | 有保险 | Medicare |
|---|---|---|---|
| Mississippi | $2,000 | $600 | $460 |
| Arkansas | $2,060 | $618 | $473 |
| West Virginia | $2,060 | $618 | $473 |
| Oklahoma | $2,100 | $630 | $483 |
| Alabama | $2,130 | $639 | $488 |
| Kentucky | $2,320 | $696 | $533 |
| Louisiana | $2,370 | $711 | $545 |
| Iowa | $2,400 | $720 | $552 |
| New Mexico | $2,400 | $720 | $552 |
| South Carolina | $2,400 | $720 | $552 |
| South Dakota | $2,400 | $720 | $552 |
| Kansas | $2,430 | $729 | $558 |
| North Dakota | $2,430 | $729 | $558 |
| Idaho | $2,470 | $741 | $567 |
| Nebraska | $2,470 | $741 | $567 |
| Tennessee | $2,480 | $744 | $570 |
| Indiana | $2,560 | $768 | $588 |
| Missouri | $2,560 | $768 | $588 |
| Utah | $2,560 | $768 | $588 |
| Wyoming | $2,560 | $768 | $588 |
| Georgia | $2,590 | $777 | $595 |
| North Carolina | $2,590 | $777 | $595 |
| Michigan | $2,620 | $786 | $602 |
| Montana | $2,620 | $786 | $602 |
| Arizona | $2,680 | $804 | $616 |
| Ohio | $2,710 | $813 | $623 |
| Wisconsin | $2,710 | $813 | $623 |
| Maine | $2,720 | $816 | $625 |
| Texas | $2,750 | $825 | $632 |
| Florida | $2,800 | $840 | $644 |
| Minnesota | $2,800 | $840 | $644 |
| Illinois | $2,830 | $849 | $650 |
| Pennsylvania | $2,830 | $849 | $650 |
| Delaware | $2,870 | $861 | $659 |
| Nevada | $2,870 | $861 | $659 |
| Vermont | $2,870 | $861 | $659 |
| Virginia | $2,870 | $861 | $659 |
| Colorado | $2,920 | $876 | $671 |
| New Hampshire | $2,920 | $876 | $671 |
| Oregon | $2,950 | $885 | $678 |
| Maryland | $3,030 | $909 | $696 |
| Rhode Island | $3,080 | $924 | $707 |
| Washington | $3,080 | $924 | $707 |
| Connecticut | $3,300 | $990 | $759 |
| New Jersey | $3,300 | $990 | $759 |
| California | $3,630 | $1,089 | $833 |
| Massachusetts | $3,660 | $1,098 | $841 |
| Alaska | $3,710 | $1,113 | $851 |
| New York | $3,740 | $1,122 | $859 |
| Hawaii | $3,780 | $1,134 | $868 |
常见问题
没有保险时结肠镜检查费用是多少？
在美国，结肠镜检查无保险的平均费用为 $2,750。各州费用差异较大。
保险是否覆盖结肠镜检查？
大多数医疗保险计划在医疗需要时覆盖结肠镜检查。有保险时，平均自付费用为 $825。
Medicare 是否覆盖结肠镜检查？
Medicare Part B 通常在医生开具处方后覆盖结肠镜检查。Medicare 批准的平均金额为 $630。
由 Elena Bellini 审核 · 最后审核：2026-04-16
数据来源：CMS Medicare Provider Utilization and Payment Data 2025。最后更新：2026-03-01。本信息仅供教育参考，不构成医疗建议。 本网站仅供参考，不构成医疗建议。请始终咨询合格的医疗专业人士。