What a Screening Colonoscopy Actually Costs in Connecticut

For most insured patients, screening colonoscopy is covered as preventive care, often with no out-of-pocket cost. Here is exactly how that works, and where the exceptions can happen.

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The short answer

If you have insurance, screening colonoscopy is usually covered as preventive care, with no copay, coinsurance, or deductible for eligible patients. That is required for most commercial plans under the Affordable Care Act. Medicare Part B covers screening colonoscopy as preventive at the eligible interval when billed correctly. If you do not have insurance, talk to us before booking. We can walk through your options.

Why screening colonoscopy is usually covered

In-network with most major plans

Connecticut GI works with most major commercial plans in Connecticut, plus Medicare and most Medicare Advantage plans.

Plan rules vary

Coverage rules differ by plan and by situation. To confirm your specific benefits, call your insurance using the number on the back of your card.

Uninsured patients

If you do not have insurance or have a high-deductible plan, talk to us before booking. We can walk through your options.

A few situations to know about

Most patients with insurance pay nothing for a screening colonoscopy. A small number of situations can change how the procedure is billed:

If you are coming in because of symptoms (for example, persistent bleeding), the procedure is billed as diagnostic, not screening. Diagnostic colonoscopy is coded and billed differently.
If you have had polyps in the past, your follow-up may be billed as surveillance rather than screening. Some plans treat these the same. Some do not. Confirm with your insurance.

Cost FAQ

Is screening colonoscopy really $0 with insurance?

For most insured patients at average risk, yes. There is no copay, coinsurance, or deductible for eligible screenings. The Affordable Care Act requires most commercial plans to cover screening colonoscopy as preventive care with no cost-sharing. Confirm your specific plan with your insurance carrier.

What about Medicare?

Medicare Part B covers screening colonoscopy as preventive at the eligible interval, with no copay or deductible when billed correctly. Medicare Advantage plans generally follow the same rule, although specifics vary. Confirm your specific plan with your carrier.

What if I do not have insurance?

Talk to us before booking. We can walk through your options. We would rather have an honest conversation up front than have you avoid screening because of cost.

Most insured patients pay nothing for screening colonoscopy.

See what is available near you. Request an appointment today.