Cost of a Colonoscopy Polyp Removal Visit
in New Mexico
Reviewed by Momentary Medical Group West PC
New Mexico's healthcare landscape reflects significant regional disparities, with rural counties facing provider shortages while urban centers like Albuquerque concentrate specialized care. Patients seeking Colonoscopy Polyp Removal typically pay between $265 and $1,278, with a median out-of-pocket cost of $545 based on negotiated insurance rates. New Mexico has over 1,233 active Colonoscopy Polyp Removal providers, offering patients multiple options to browse providers throughout the state.
Average
$696
Median
$545
Lowest
$265
Highest
$1,278
Providers
1,233
7% below national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in New Mexico?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $168 | $384 | $954 | 1,258 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $90 | $450 | $1,136 | 1,250 |
| 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 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 Mexico
New Mexico's healthcare costs run approximately 3% below the national average, reflecting the state's lower cost of living and rural demographics. However, the concentration of specialists in urban areas creates significant access challenges for patients in remote counties, sometimes forcing longer travel distances and higher associated costs.
Urban vs. Rural Provider Availability
Most gastroenterology specialists cluster in Albuquerque, Santa Fe, and Las Cruces, leaving vast rural areas underserved. Patients in southeastern New Mexico or the Four Corners region may need to travel 2-3 hours for specialized care. This geographic concentration allows urban providers to command higher rates while rural patients face additional travel and lodging expenses.
Facility Type and Overhead Costs
Presbyterian Healthcare Services and University of New Mexico Health System dominate the hospital-based market, with their employed physicians typically charging higher rates than independent gastroenterologists. Ambulatory surgery centers in Albuquerque and Santa Fe offer competitive pricing alternatives to hospital outpatient departments. Independent practices often have lower overhead costs, which can translate to more affordable self-pay options.
Insurance Market Competition in New Mexico
Limited insurer competition between BCBS NM, UHC, and Molina means less pressure on negotiated rates compared to more competitive markets. BCBS NM holds significant market share, particularly in rural areas where other insurers have limited networks. This concentration can result in higher premiums but sometimes better provider access in underserved regions.
Physician Supply and Demand in New Mexico
With over 1,233 active Colonoscopy Polyp Removal providers, New Mexico appears to have adequate specialist supply relative to its population of 2.1 million residents. However, geographic distribution remains uneven, with waiting times longer in rural areas despite lower population density. The state's aging population is increasing demand for colonoscopy services, potentially tightening availability and supporting higher pricing in some markets.
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 Mexico
What is the average cost of a Colonoscopy Polyp Removal visit in New Mexico without insurance?
Does New Mexico Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal 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 Polyp Removal visit in New Mexico?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in New Mexico?
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 |