With NHS waiting lists for crucial diagnostic tests remaining a significant concern, many UK residents are now looking for faster alternatives. At WeCovr, an FCA-authorised private medical insurance broker that has helped arrange cover for over 900,000 people, we provide transparent guidance on accessing private healthcare. This article demystifies the costs of private colonoscopies and explains how the right insurance can provide rapid access and peace of mind.
Transparent pricing for private colonoscopies and gastroscopies in the UK, helping patients bypass NHS waiting lists
A private colonoscopy or gastroscopy offers a swift and efficient route to diagnosis, investigation, and treatment, bypassing the lengthy waits that can cause significant anxiety. Understanding the costs involved is the first step towards making an informed decision about your health.
Prices for these procedures are not uniform; they vary based on the hospital, the consultant, and your location. However, a typical 'package price' or an itemised bill will generally include:
- Consultant's Fee: For the initial consultation and for performing the procedure itself.
- Hospital Fee: Covers the use of the endoscopy suite, nursing staff, and day-patient facilities.
- Anaesthetist's Fee: For administering and monitoring sedation.
- Histology Fee: An additional cost if biopsies are taken and need to be analysed by a pathologist.
Let's break down the estimated costs for 2026.
Private Colonoscopy & Gastroscopy Costs UK (2026 Estimates)
Paying for a procedure yourself, known as 'self-pay', provides immediate access. Below are estimated costs, which are crucial for budgeting if you don't have private medical insurance. London-based hospitals typically charge 15-25% more than those in other parts of the UK.
| Procedure | Initial Consultation | Procedure Cost (incl. hospital & anaesthetist) | Potential Biopsy Fee | Estimated Total Range |
|---|
| Colonoscopy | £200 - £350 | £1,800 - £2,500 | £200 - £400 | £2,200 - £3,250 |
| Gastroscopy | £200 - £350 | £1,500 - £2,200 | £200 - £400 | £1,900 - £2,950 |
| Combined | £250 - £400 | £2,800 - £3,800 | £300 - £500 | £3,350 - £4,700 |
Insider Tip: Always ask for a 'fixed-price package' if you are self-funding. This helps avoid unexpected bills. Ensure the package clearly states what is included, such as the initial consultation, the procedure, and one follow-up appointment. Crucially, check if the cost of removing polyps (polypectomy) and analysing them (histology) is included, as this is a common source of extra fees.
How Private Medical Insurance Covers Endoscopy Procedures
For the vast majority of people, private medical insurance (PMI) is the most affordable and effective way to access procedures like colonoscopies. Most comprehensive PMI policies in the UK cover diagnostic tests and procedures when they are medically necessary to investigate new symptoms.
However, it is absolutely vital to understand the core principle of UK private health cover:
PMI is designed to cover acute conditions that arise after you take out the policy. It does not cover pre-existing conditions or chronic conditions.
- Acute Condition: A disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery (e.g., appendicitis, joint pain leading to a hip replacement, or new digestive symptoms requiring a colonoscopy).
- Chronic Condition: A condition that is long-lasting and requires ongoing management but has no known cure (e.g., diabetes, asthma, Crohn's disease, or ulcerative colitis). PMI will not cover the routine monitoring or flare-ups of chronic illnesses.
- Pre-existing Condition: Any illness or symptom you have had in the years before your policy starts. Most policies exclude these for a set period, typically two years (see 'moratorium underwriting' below).
Real-Life Scenarios:
- Covered: David, 52, starts experiencing new and concerning bowel symptoms. His GP refers him to a gastroenterologist. He calls his PMI provider, who authorises the consultation and the recommended colonoscopy. The procedure reveals several benign polyps, which are removed. The entire pathway, from consultation to procedure and follow-up, is covered by his insurance, subject to his chosen excess.
- Not Covered: Maria, 48, has been diagnosed with ulcerative colitis for ten years. Her specialist recommends a routine annual colonoscopy to monitor the condition. Because ulcerative colitis is a pre-existing and chronic condition, this surveillance procedure will not be covered by her standard PMI policy.
Navigating the Private Healthcare Pathway: A Step-by-Step Guide
If you have private health insurance and need a colonoscopy, the process is straightforward and designed to be stress-free.
- Visit Your GP: This is the essential first step. You will need a referral letter from your GP explaining your symptoms and why a specialist opinion is needed. Insurers require this to confirm the investigation is medically justified.
- Contact Your Insurer for Pre-Authorisation: Before you book anything, call your insurer's claims or pre-authorisation line. Provide them with your GP referral details. They will confirm your cover is active and provide an authorisation number for the consultation.
- Choose Your Specialist and Hospital: Your insurer will provide a list of approved specialists and hospitals from their network. You can choose who and where you want to be treated, offering a level of choice not available on the NHS.
- Book Your Appointments: Once authorised, you book the consultation. If the specialist recommends a colonoscopy, you or their secretary will contact the insurer again for authorisation for the procedure itself.
- The Procedure and Billing: You attend your appointment at the private hospital. The hospital and the consultant will bill your insurance company directly. You are only responsible for paying the 'excess' on your policy.
- Pay Your Excess: The excess is a fixed amount you agree to pay towards any claim. For example, if your excess is £250 and the total cost of your claim is £2,500, you pay the first £250 and the insurer pays the remaining £2,250.
Choosing the Right Private Health Insurance Policy for You
Not all PMI policies are created equal. To ensure you're covered for diagnostics like colonoscopies, you need a policy with adequate outpatient cover.
Here’s what to look for when comparing options:
| Feature | What to Look For | WeCovr Adviser Tip |
|---|
| Outpatient Cover | Ensure your policy includes cover for specialist consultations and diagnostic tests. Some basic policies only cover you once you are admitted to a hospital bed (in-patient). For a colonoscopy, you need comprehensive outpatient cover. | Opt for a policy with at least £1,000-£1,500 in outpatient cover, or ideally, a 'full cover' option. This ensures the entire diagnostic journey is likely to be covered. |
| Underwriting Type | Choose between Moratorium (no medical questionnaire, automatically excludes conditions from the last 5 years) or Full Medical Underwriting (you declare your history, and exclusions are specified upfront). | Moratorium underwriting is the most popular choice in the UK. It's simpler and quicker. After two consecutive years on the policy without symptoms or treatment for a condition, it may become eligible for cover. |
| Hospital List | Policies offer different tiers of hospitals (e.g., Local, National, London). A more extensive list costs more. | Unless you live or work near central London's exclusive hospitals (e.g., The Lister, The London Clinic), a national list is often sufficient and more cost-effective. |
| Excess Level | You can choose an excess from £0 to £1,000+. A higher excess significantly lowers your monthly premium. | Choosing a manageable excess of £250 or £500 is a smart way to reduce your premium. You only pay it once per policy year, per person, regardless of how many claims you make. |
| Cancer Cover | Check the level of cancer cover. Most policies offer extensive cover for diagnosis and treatment, often including access to drugs not yet approved on the NHS. | This is one of the most valuable parts of any PMI policy. Ensure it covers advanced therapies and provides ongoing support. |
Navigating these options can be complex. An expert broker like WeCovr compares the UK's leading insurers—such as Bupa, AXA Health, and Vitality—to find a policy that matches your specific needs and budget, at no cost to you.
What If My Private Colonoscopy Finds Something?
This is a primary concern for anyone undergoing an investigation. Here’s how private medical insurance provides a seamless journey from diagnosis to treatment.
If Benign Polyps or a Treatable Condition Are Found:
The consultant will typically remove any polyps during the colonoscopy itself (a polypectomy). The tissue is sent for analysis (histology). Your PMI policy will cover the cost of this and any follow-up consultation needed to discuss the results and next steps.
If a Cancer Diagnosis Is Made:
This is where private medical insurance demonstrates its profound value. If a colonoscopy leads to a cancer diagnosis, your policy’s cancer cover is triggered. This typically provides:
- Rapid access to treatment: No waiting for NHS oncology services.
- Full cover for treatments: Including surgery, chemotherapy, and radiotherapy.
- Access to advanced drugs: Many policies provide cover for cutting-edge cancer drugs and therapies that may not be available on the NHS due to cost or NICE approval delays.
- Choice of specialist: You can be treated by a leading oncologist at a specialist cancer centre.
- Support services: Including palliative care, home nursing, and mental health support.
At any stage, you retain the right to transfer your care back to the NHS if you wish. The flexibility is entirely yours.
WeCovr: Added Value for Your Health and Wellbeing
When you arrange your private medical insurance through WeCovr, you get more than just expert, FCA-regulated advice. Our clients also benefit from:
- Complimentary Access to CalorieHero: All clients receive free access to our AI-powered calorie and nutrition tracking app, helping you manage your health proactively.
- Exclusive Discounts: When you take out a PMI or Life Insurance policy with us, you can receive discounts on other essential protection products.
- Exceptional Service: We pride ourselves on high customer satisfaction, guiding you through the comparison, application, and claims process with clarity and care.
Ready to bypass the waiting lists and secure peace of mind? The first step is understanding your options.
Take control of your health journey today. Get a free, no-obligation quote from WeCovr, and let our independent experts find the perfect private health cover for your needs.
Do I need a GP referral for a private colonoscopy in the UK?
Generally, yes. If you are using private medical insurance, a GP referral is almost always required to validate that the procedure is medically necessary. This is a standard part of the claims process. If you are self-funding, some private clinics offer direct-access colonoscopies without a GP letter, but it is always best practice to consult your GP first.
Will my private medical insurance premium go up after a claim?
It might. Most UK private medical insurance policies operate with a No Claims Discount (NCD), similar to car insurance. Making a claim will typically reduce your NCD level, which can lead to a higher premium at renewal. However, the increase is usually far less than the cost of the private treatment you received. Conversely, if you don't claim, your NCD will increase, helping to keep your premiums down.
What is the difference between a colonoscopy and a gastroscopy?
Both are types of endoscopy, but they examine different parts of the digestive system. A colonoscopy uses a flexible camera to examine the large intestine (colon) and is inserted via the rectum. A gastroscopy (or upper endoscopy) uses a similar camera to examine the oesophagus, stomach, and the first part of the small intestine, and is inserted via the mouth.
Can I get private health insurance if I already have a condition like IBS or Diverticulitis?
Yes, you can still get private health insurance, but the policy will exclude that specific pre-existing condition and any related symptoms or treatments. If you choose 'moratorium' underwriting, this exclusion is automatic. If you remain free of symptoms, treatment, or advice for that condition for two continuous years after your policy starts, the exclusion may be lifted by the insurer.