Cost of a Colonoscopy Visit
in New Mexico
Reviewed by Momentary Medical Group West PC
New Mexico's expansive geography creates significant healthcare access challenges, with some residents driving over 100 miles to reach specialized care. Colonoscopy visits in the state typically cost between $168 and $954, with a median out-of-pocket cost of $384 based on negotiated insurance rates. The state maintains over 1,250 active providers offering colonoscopy services across urban centers and rural communities, allowing patients to browse all providers in New Mexico to find the most affordable option.
Average
$502
Median
$384
Lowest
$168
Highest
$954
Providers
1,258
3% below national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in New Mexico?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $90 | $450 | $1,136 | 1,250 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $265 | $545 | $1,278 | 1,233 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $141 | $308 | $724 | 1,194 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $90 | $347 | $834 | 1,281 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $15 | $28 | $83 | 1,322 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $80 | $211 | $440 | 1,305 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $48 | $106 | $292 | 1,270 |
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 Mexico
New Mexico's healthcare costs run approximately 3% below the national average, reflecting lower overall cost of living but also limited provider competition in rural areas. The state's vast geography creates access challenges, with some patients traveling hundreds of miles for specialized gastroenterology care.
Urban vs. Rural Provider Availability
Albuquerque and Santa Fe concentrate most of New Mexico's gastroenterology specialists, while rural counties often have no local providers. Patients in areas like the Four Corners region or southeastern plains may face higher travel costs that effectively increase their total healthcare expenses. Telemedicine consultations have become more common for follow-up visits, though initial procedures still require in-person care.
Facility Type and Overhead Costs
Presbyterian Healthcare Services and University of New Mexico Health system dominate the hospital-based gastroenterology market, typically charging higher facility fees than independent practices. Ambulatory surgery centers often provide colonoscopy procedures at lower costs than hospital outpatient departments. Independent gastroenterology groups like Digestive Disease Associates maintain multiple locations but may have more competitive pricing structures.
Insurance Market Competition in New Mexico
The state's insurance market has limited competition with BCBS NM holding significant market share, followed by UHC and Molina Healthcare. This concentration can result in less aggressive rate negotiations with providers compared to more competitive markets. Presbyterian Health Plan, as a local nonprofit insurer, often has unique rate structures and provider relationships that differ from national carriers.
Physician Supply and Demand in New Mexico
New Mexico has approximately 1,250 providers offering colonoscopy services, creating adequate supply in urban areas but significant gaps in rural regions. The state ranks below national averages for gastroenterologist-to-population ratios, particularly outside the Albuquerque metropolitan area. This supply constraint can lead to longer wait times and potentially higher costs in underserved areas, though urban competition helps moderate pricing.
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 Mexico
What is the average cost of a Colonoscopy visit in New Mexico without insurance?
Does New Mexico Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in New Mexico?
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 Mexico?
How does telemedicine affect the cost of seeing a Colonoscopy in New Mexico?
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 |