Cost of a Colonoscopy Visit
in New York
Reviewed by Momentary Medical Group West PC
New York's complex healthcare market drives colonoscopy costs approximately 22% above national averages, with patients typically paying between $101 and $1,830 based on facility type and insurance coverage. The state's 30,995 active colonoscopy providers create competitive options across metropolitan and rural regions, though costs vary significantly between hospital-owned facilities and independent practices. Patients can browse all colonoscopy providers throughout New York to compare pricing and find the most cost-effective care for their screening or diagnostic needs.
Average
$743
Median
$298
Lowest
$101
Highest
$1,830
Providers
30,995
44% above national average
Compare Similar Procedures
How does colonoscopy compare to related procedures in New York?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $241 | $488 | $2,117 | 31,059 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $276 | $507 | $2,338 | 30,991 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $159 | $274 | $771 | 30,910 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $166 | $417 | $1,647 | 31,089 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $10 | $16 | $63 | 32,178 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $51 | $171 | $895 | 31,068 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $36 | $112 | $328 | 31,848 |
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 York
New York's healthcare costs run approximately 22% above national averages, driven by the state's high concentration of academic medical centers, elevated real estate costs, and complex regulatory environment. The dominance of large health systems like NewYork-Presbyterian, Mount Sinai, and NYU Langone creates market power that influences pricing across both metropolitan and rural regions.
Urban vs. Rural Provider Availability
New York City's five boroughs contain the majority of the state's gastroenterology specialists, while upstate regions including the North Country and Southern Tier face provider shortages that can extend wait times. This geographic disparity often forces rural patients to travel significant distances for specialized care, though it may also create opportunities for lower-cost procedures at community hospitals.
Facility Type and Overhead Costs
Hospital-owned endoscopy centers dominate the New York market, particularly in Manhattan where real estate and staffing costs drive premium pricing for colonoscopy procedures. Independent ambulatory surgery centers in outer boroughs and upstate locations often provide identical services at lower costs due to reduced overhead expenses and streamlined operations.
Insurance Market Competition in New York
The state's major insurers Empire BCBS, UHC, Aetna, and Cigna negotiate varying rates with different provider networks, creating significant cost differences for identical procedures depending on plan selection. New York's state-regulated marketplace and robust Medicaid program add complexity to pricing negotiations, with some providers offering preferential rates to maintain access to these patient populations.
Physician Supply and Demand in New York
With 30,995 active colonoscopy providers statewide, New York maintains relatively strong specialist availability compared to national averages, though distribution favors metropolitan areas. This provider density creates competitive pricing pressure in urban markets while potentially limiting options and extending wait times in rural regions where fewer specialists serve larger geographic areas.
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 York
What is the average cost of a Colonoscopy visit in New York without insurance?
Does New York Medicaid cover Colonoscopy visits?
How do I find an affordable Colonoscopy near me in New York?
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 York?
How does telemedicine affect the cost of seeing a Colonoscopy in New York?
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 |