Cost of a Colonoscopy Visit
in New Hampshire
Reviewed by Momentary Medical Group West PC
New Hampshire's healthcare landscape combines rural accessibility challenges with concentrated urban provider networks, particularly affecting specialized gastroenterology services. Colonoscopy visits across the state typically range from $204 to $956, with a median cost of $553 based on negotiated insurance rates. With over 3,600 active Colonoscopy providers serving New Hampshire residents, patients have substantial options when selecting care that fits their budget and location preferences.
Average
$571
Median
$553
Lowest
$204
Highest
$956
Providers
3,681
11% above national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in New Hampshire?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $433 | $819 | $1,234 | 3,682 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $457 | $855 | $1,285 | 3,676 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $288 | $541 | $813 | 3,661 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $341 | $720 | $1,085 | 3,694 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $17 | $31 | $60 | 3,706 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $78 | $247 | $519 | 3,695 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $57 | $129 | $317 | 3,685 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 45378 — Diagnostic colonoscopy, flexible). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 45378 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 45378 (Diagnostic colonoscopy, flexible), as mandated by the CMS Price Transparency Rule.
What CPT 45378 covers: the provider's professional fee for colonoscopy. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Why Colonoscopy Visit Costs Vary Across New Hampshire
New Hampshire's healthcare costs run approximately 11% above the national average, reflecting the state's higher cost of living and concentrated provider markets in urban areas like Manchester and Nashua. The state's relatively small population spread across both rural and urban areas creates unique pricing dynamics for specialized services like gastroenterology.
Urban vs. Rural Provider Availability
The majority of New Hampshire's gastroenterologists practice in the Manchester-Nashua corridor and around Dartmouth-Hitchcock in Lebanon, creating access challenges for residents in the North Country and western regions. Rural patients often face higher costs due to limited local options and the need to travel to urban centers for procedures. This geographic concentration allows urban providers to maintain higher pricing due to reduced competition.
Facility Type and Overhead Costs
Dartmouth-Hitchcock Medical Center and Catholic Medical Center dominate New Hampshire's hospital landscape, with their outpatient gastroenterology services typically charging facility fees that independent practices avoid. Ambulatory surgery centers have emerged as cost-effective alternatives for routine colonoscopies, offering 20-40% savings compared to hospital-based procedures. The state's smaller independent gastroenterology practices often provide more competitive pricing due to lower overhead expenses.
Insurance Market Competition in New Hampshire
Anthem BCBS holds the largest market share in New Hampshire, followed by Harvard Pilgrim and Cigna, creating moderate insurer competition that keeps negotiated rates somewhat competitive. The state's relatively small market size means fewer plan options compared to larger states, potentially limiting patients' ability to shop for better coverage. These major insurers have established different networks and fee schedules, creating significant cost variations for the same procedure depending on your specific plan.
Physician Supply and Demand in New Hampshire
With over 3,600 providers available for colonoscopy services, New Hampshire maintains adequate specialist access relative to its population size, though distribution favors urban areas. This reasonable supply-to-demand ratio helps moderate pricing compared to states with severe gastroenterologist shortages. However, the concentration of specialists in major medical centers can create bottlenecks for routine procedures, potentially affecting both wait times and pricing flexibility.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Colonoscopy Costs in New Hampshire
What is the average cost of a Colonoscopy visit in New Hampshire without insurance?
Does New Hampshire Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in New Hampshire?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Colonoscopy visit in New Hampshire?
How does telemedicine affect the cost of seeing a Colonoscopy in New Hampshire?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 45378)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $4,430 | $1,595 |
| 2 | North Dakota Range: $165 – $2,255 | $1,558 |
| 3 | Minnesota Range: $90 – $2,255 | $1,217 |
| 4 | South Dakota Range: $85 – $2,255 | $895 |
| 5 | Massachusetts Range: $113 – $1,830 | $815 |
| 6 | Rhode Island Range: $91 – $1,830 | $781 |
| 7 | Connecticut Range: $90 – $1,830 | $748 |
| 8 | Delaware Range: $95 – $1,830 | $747 |
| 9 | Pennsylvania Range: $85 – $1,830 | $746 |
| 10 | New York Range: $101 – $1,830 | $743 |
| 11 | West Virginia Range: $85 – $1,395 | $612 |
| 12 | Nebraska Range: $265 – $815 | $594 |
| 13 | New Hampshire Range: $204 – $956 | $571 |
| 14 | Wyoming Range: $158 – $1,057 | $530 |
| 15 | North Carolina Range: $90 – $1,065 | $511 |
| 16 | Georgia Range: $90 – $982 | $507 |
| 17 | New Jersey Range: $110 – $1,117 | $505 |
| 18 | New Mexico Range: $168 – $954 | $502 |
| 19 | Iowa Range: $85 – $944 | $498 |
| 20 | Maine Range: $220 – $674 | $485 |
| 21 | Illinois Range: $85 – $901 | $443 |
| 22 | Utah Range: $85 – $741 | $441 |
| 23 | District of Columbia Range: $126 – $815 | $437 |
| 24 | Indiana Range: $81 – $835 | $425 |
| 25 | Vermont Range: $106 – $801 | $418 |
| 26 | Missouri Range: $174 – $634 | $417 |
| 27 | Washington Range: $80 – $856 | $411 |
| 28 | Oregon Range: $80 – $836 | $408 |
| 29 | Kentucky Range: $85 – $814 | $408 |
| 30 | Maryland Range: $162 – $712 | $396 |
| 31 | Michigan Range: $92 – $768 | $395 |
| 32 | Colorado Range: $85 – $760 | $385 |
| 33 | Hawaii Range: $85 – $757 | $385 |
| 34 | Mississippi Range: $151 – $719 | $381 |
| 35 | Alabama Range: $147 – $649 | $373 |
| 36 | Virginia Range: $124 – $682 | $368 |
| 37 | Louisiana Range: $116 – $670 | $366 |
| 38 | South Carolina Range: $90 – $695 | $363 |
| 39 | Idaho Range: $80 – $735 | $363 |
| 40 | Nevada Range: $204 – $553 | $351 |
| 41 | Arkansas Range: $85 – $634 | $345 |
| 42 | Texas Range: $85 – $634 | $336 |
| 43 | Kansas Range: $174 – $530 | $331 |
| 44 | Ohio Range: $85 – $565 | $325 |
| 45 | Tennessee Range: $90 – $582 | $320 |
| 46 | Oklahoma Range: $85 – $606 | $303 |
| 47 | Arizona Range: $155 – $472 | $300 |
| 48 | California Range: $85 – $647 | $272 |
| 49 | Alaska Range: $80 – $648 | $269 |
| 50 | Montana Range: $80 – $538 | $233 |
| 51 | Florida Range: $35 – $604 | $231 |