Cost of a Colonoscopy Visit
in New Jersey
Reviewed by Momentary Medical Group West PC
New Jersey's dense network of academic medical centers and suburban specialty practices creates a competitive environment for gastroenterology services across the state. Colonoscopy patients in New Jersey typically face a wide range of costs, with negotiated rates spanning from $110 to over $1,100 depending on the facility and insurance plan. The Garden State supports over 6,500 active providers offering colonoscopy services, giving patients extensive options when browsing all providers in New Jersey.
Average
$505
Median
$289
Lowest
$110
Highest
$1,117
Providers
6,562
2% below national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in New Jersey?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $120 | $349 | $1,329 | 6,606 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $151 | $404 | $1,496 | 6,545 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $74 | $229 | $758 | 6,513 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $83 | $275 | $1,165 | 6,615 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $13 | $25 | $68 | 7,374 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $60 | $164 | $490 | 6,620 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $35 | $83 | $244 | 7,282 |
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 Jersey
New Jersey's healthcare costs run approximately 17% above the national average, reflecting the state's high cost of living and concentration of academic medical centers. The densely populated corridor between New York and Philadelphia creates unique market dynamics that influence gastroenterology pricing throughout the region.
Urban vs. Rural Provider Availability
New Jersey's compact size means most residents have reasonable access to gastroenterology services, though northern counties near New York City tend to have higher provider density. The Pine Barrens region and southern agricultural areas have fewer specialists, potentially requiring longer travel times but sometimes offering lower costs. Suburban markets in central New Jersey often provide the best balance of access and competitive pricing.
Facility Type and Overhead Costs
Large health systems like RWJBarnabas Health, Atlantic Health System, and Hackensack Meridian dominate the New Jersey market, often charging higher facility fees than independent practices. Hospital-based outpatient departments typically cost more than freestanding ambulatory surgery centers for the same colonoscopy procedure. Academic medical centers affiliated with Rutgers or other universities may have additional overhead costs reflected in their pricing.
Insurance Market Competition in New Jersey
Horizon Blue Cross Blue Shield maintains the largest market share in New Jersey, followed by Aetna and UnitedHealthcare in a moderately competitive environment. This concentration gives major insurers significant negotiating power with providers, though competition remains sufficient to prevent excessive rate increases. Smaller regional plans and self-insured employers may have less favorable negotiated rates with gastroenterology practices.
Physician Supply and Demand in New Jersey
With over 6,500 providers offering colonoscopy services, New Jersey has robust specialist availability relative to its population size. This healthy supply helps moderate pricing pressure and typically results in reasonable wait times for routine procedures. The state's proximity to major medical schools ensures a steady pipeline of gastroenterology specialists, maintaining competitive market conditions.
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 Jersey
What is the average cost of a Colonoscopy visit in New Jersey without insurance?
Does New Jersey Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in New Jersey?
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 Jersey?
How does telemedicine affect the cost of seeing a Colonoscopy in New Jersey?
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 |