Cost of a Colonoscopy Polyp Removal Visit
in New Jersey
Reviewed by Momentary Medical Group West PC
New Jersey's dense network of academic medical centers and specialist practices creates a competitive market for gastroenterology services, with over 6,500 active providers offering Colonoscopy Polyp Removal procedures statewide. Based on negotiated insurance rates, patients typically pay between $150.90 and $1,496.05 for this procedure, with a median cost of $403.92. The Garden State's robust healthcare infrastructure means patients have extensive options when selecting a Colonoscopy Polyp Removal provider across both urban centers like Newark and Princeton, and suburban communities throughout the state.
Average
$684
Median
$404
Lowest
$151
Highest
$1,496
Providers
6,545
9% below national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in New Jersey?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $110 | $289 | $1,117 | 6,562 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $120 | $349 | $1,329 | 6,606 |
| 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 45385 — Colonoscopy with removal of polyps by snare). 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 45385 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 45385 (Colonoscopy with removal of polyps by snare), as mandated by the CMS Price Transparency Rule.
What CPT 45385 covers: the provider's professional fee for colonoscopy with polyp removal. 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 Polyp Removal 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 dense population corridor from New York City to Philadelphia creates intense demand for specialist services while supporting a robust network of competing providers.
Urban vs. Rural Provider Availability
The majority of New Jersey's gastroenterologists practice in the densely populated northeast corridor, with fewer options available in the rural Pine Barrens region and southwestern counties. Urban areas like Newark, Jersey City, and Princeton offer multiple competing practices within short distances, while rural patients may need to travel 30-45 minutes to reach specialist care. This geographic distribution creates cost variations, with rural providers sometimes charging premium rates due to limited competition.
Facility Type and Overhead Costs
New Jersey's healthcare landscape includes major academic centers like Rutgers Robert Wood Johnson Medical School and regional health systems such as RWJBarnabas Health and Hackensack Meridian Health. Hospital-owned outpatient centers typically charge higher rates than independent gastroenterology practices due to facility fees and administrative overhead. The state's high commercial real estate costs also contribute to elevated practice expenses that get passed through to patients.
Insurance Market Competition in New Jersey
Horizon Blue Cross Blue Shield maintains the largest market share in New Jersey, followed by Aetna and UnitedHealthcare, creating moderate competition among insurers. This market concentration allows insurers to negotiate favorable rates with most providers, though some premium practices remain out-of-network with certain plans. The competitive landscape helps keep negotiated rates reasonable compared to less competitive markets in other states.
Physician Supply and Demand in New Jersey
With over 6,500 providers performing colonoscopy polyp removal procedures, New Jersey maintains good specialist availability relative to its population density. This robust supply helps moderate pricing pressure and reduces wait times compared to underserved markets, though demand remains high due to the state's aging population and proximity to New York City. The concentration of medical schools and residency programs helps maintain steady provider recruitment to the state.
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 Polyp Removal Costs in New Jersey
What is the average cost of a Colonoscopy Polyp Removal visit in New Jersey without insurance?
Does New Jersey Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal 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 Polyp Removal visit in New Jersey?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in New Jersey?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 45385)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $81 – $5,357 | $2,018 |
| 2 | Washington Range: $80 – $3,638 | $1,402 |
| 3 | Oregon Range: $80 – $3,638 | $1,391 |
| 4 | Idaho Range: $80 – $3,638 | $1,373 |
| 5 | Alaska Range: $80 – $3,638 | $1,266 |
| 6 | Montana Range: $80 – $3,638 | $1,266 |
| 7 | Massachusetts Range: $80 – $2,338 | $1,051 |
| 8 | New York Range: $276 – $2,338 | $1,041 |
| 9 | Rhode Island Range: $80 – $2,338 | $1,031 |
| 10 | Connecticut Range: $213 – $2,338 | $1,026 |
| 11 | North Dakota Range: $80 – $2,334 | $976 |
| 12 | Pennsylvania Range: $80 – $2,338 | $962 |
| 13 | Delaware Range: $80 – $2,338 | $958 |
| 14 | Minnesota Range: $80 – $1,954 | $879 |
| 15 | New Hampshire Range: $457 – $1,285 | $866 |
| 16 | Wyoming Range: $332 – $1,540 | $808 |
| 17 | Nebraska Range: $360 – $1,090 | $799 |
| 18 | Hawaii Range: $80 – $1,785 | $773 |
| 19 | Maine Range: $494 – $926 | $763 |
| 20 | California Range: $30 – $1,785 | $756 |
| 21 | Iowa Range: $95 – $1,197 | $726 |
| 22 | District of Columbia Range: $212 – $1,372 | $726 |
| 23 | Georgia Range: $225 – $1,310 | $723 |
| 24 | New Mexico Range: $265 – $1,278 | $696 |
| 25 | North Carolina Range: $80 – $1,433 | $685 |
| 26 | New Jersey Range: $151 – $1,496 | $684 |
| 27 | West Virginia Range: $98 – $1,538 | $682 |
| 28 | Vermont Range: $333 – $1,096 | $661 |
| 29 | Utah Range: $80 – $1,090 | $630 |
| 30 | Colorado Range: $85 – $1,282 | $611 |
| 31 | Indiana Range: $80 – $1,197 | $596 |
| 32 | Kentucky Range: $202 – $1,136 | $586 |
| 33 | Missouri Range: $239 – $853 | $564 |
| 34 | South Dakota Range: $80 – $1,090 | $553 |
| 35 | Maryland Range: $226 – $1,002 | $550 |
| 36 | Michigan Range: $80 – $1,088 | $545 |
| 37 | Illinois Range: $220 – $944 | $542 |
| 38 | Louisiana Range: $197 – $918 | $514 |
| 39 | Mississippi Range: $209 – $963 | $514 |
| 40 | Nevada Range: $320 – $740 | $504 |
| 41 | South Carolina Range: $80 – $936 | $477 |
| 42 | Virginia Range: $98 – $916 | $471 |
| 43 | Arkansas Range: $85 – $853 | $464 |
| 44 | Alabama Range: $80 – $870 | $454 |
| 45 | Texas Range: $90 – $866 | $453 |
| 46 | Kansas Range: $239 – $713 | $451 |
| 47 | Ohio Range: $191 – $751 | $450 |
| 48 | Arizona Range: $213 – $715 | $432 |
| 49 | Tennessee Range: $90 – $796 | $428 |
| 50 | Florida Range: $35 – $815 | $302 |
| 51 | Oklahoma Range: $85 – $646 | $272 |