Cost of a Colonoscopy with Biopsy Visit
in New Hampshire
Reviewed by Momentary Medical Group West PC
New Hampshire's concentrated healthcare market, dominated by major health systems like Dartmouth-Hitchcock and Catholic Medical Center, creates a unique pricing landscape for specialized procedures. Colonoscopy with Biopsy visits in the Granite State typically range from $433 to $1,234, with most patients paying around $819 out-of-pocket based on negotiated insurance rates. With over 3,600 active Colonoscopy with Biopsy providers across New Hampshire's hospitals and ambulatory surgery centers, patients have multiple options to compare costs and find quality care throughout the state.
Average
$829
Median
$819
Lowest
$433
Highest
$1,234
Providers
3,682
44% above national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in New Hampshire?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $204 | $553 | $956 | 3,681 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $457 | $855 | $1,285 | 3,676 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $288 | $541 | $813 | 3,661 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $341 | $720 | $1,085 | 3,694 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $17 | $31 | $60 | 3,706 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $78 | $247 | $519 | 3,695 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $57 | $129 | $317 | 3,685 |
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 45380 — Colonoscopy with biopsy). 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 45380 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 45380 (Colonoscopy with biopsy), as mandated by the CMS Price Transparency Rule.
What CPT 45380 covers: the provider's professional fee for colonoscopy with biopsy. 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 with Biopsy Visit Costs Vary Across New Hampshire
New Hampshire's healthcare costs run approximately 11% above the national average, driven by the state's limited provider competition and proximity to expensive Boston-area medical markets. The Granite State's small population spread across rural and urban areas creates unique pricing pressures for specialized services like Colonoscopy with Biopsy procedures.
Urban vs. Rural Provider Availability
The majority of New Hampshire's gastroenterology specialists practice in the Manchester-Nashua corridor and around Dartmouth-Hitchcock in Lebanon, creating cost disparities for rural residents who may need to travel significant distances. Rural communities like Berlin, Lancaster, and Claremont have limited local options, often requiring patients to seek care at larger medical centers with higher overhead costs. This geographic concentration means rural patients may face both higher procedure costs and additional travel expenses.
Facility Type and Overhead Costs
Hospital-owned outpatient departments at facilities like Elliot Hospital and Southern New Hampshire Medical Center typically charge facility fees that are 2-3 times higher than independent ambulatory surgery centers. Many of New Hampshire's major health systems have been acquiring independent gastroenterology practices, which can drive up procedure costs due to hospital overhead and billing practices. Freestanding endoscopy centers, while less common in New Hampshire, often provide the most cost-effective option for routine procedures.
Insurance Market Competition in New Hampshire
New Hampshire's insurance market is heavily concentrated among Anthem, Harvard Pilgrim, and Cigna, with limited competition that can result in less aggressive rate negotiations with providers. This market concentration means fewer options for consumers and potentially higher negotiated rates compared to states with more competitive insurance markets. The dominance of these three insurers also creates situations where certain high-volume providers may have significant leverage in rate negotiations.
Physician Supply and Demand in New Hampshire
With over 3,600 active providers performing Colonoscopy with Biopsy procedures, New Hampshire appears to have adequate supply relative to its population of 1.4 million residents. However, many of these providers are concentrated around major medical centers, creating effective shortages in rural areas that can drive up costs and extend wait times. The state's proximity to Massachusetts also means some patients opt to seek care in Boston, while Massachusetts residents may cross the border for potentially lower-cost procedures in New Hampshire.
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 with Biopsy Costs in New Hampshire
What is the average cost of a Colonoscopy with Biopsy visit in New Hampshire without insurance?
Does New Hampshire Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy near me in New Hampshire?
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 with Biopsy visit in New Hampshire?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in New Hampshire?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 45380)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $5,357 | $1,938 |
| 2 | New York Range: $241 – $2,117 | $948 |
| 3 | Massachusetts Range: $80 – $2,117 | $932 |
| 4 | Rhode Island Range: $80 – $2,117 | $910 |
| 5 | Connecticut Range: $85 – $2,117 | $892 |
| 6 | Delaware Range: $80 – $2,117 | $858 |
| 7 | Pennsylvania Range: $80 – $2,117 | $857 |
| 8 | Minnesota Range: $85 – $1,970 | $853 |
| 9 | New Hampshire Range: $433 – $1,234 | $829 |
| 10 | Nebraska Range: $281 – $1,040 | $742 |
| 11 | Iowa Range: $85 – $1,373 | $726 |
| 12 | California Range: $80 – $1,785 | $724 |
| 13 | Maine Range: $456 – $887 | $714 |
| 14 | Wyoming Range: $217 – $1,313 | $657 |
| 15 | Vermont Range: $317 – $1,042 | $632 |
| 16 | Georgia Range: $85 – $1,250 | $620 |
| 17 | New Jersey Range: $120 – $1,329 | $599 |
| 18 | North Carolina Range: $80 – $1,268 | $597 |
| 19 | North Dakota Range: $80 – $1,268 | $594 |
| 20 | District of Columbia Range: $98 – $1,143 | $580 |
| 21 | West Virginia Range: $85 – $1,329 | $574 |
| 22 | New Mexico Range: $90 – $1,136 | $559 |
| 23 | Illinois Range: $80 – $1,147 | $556 |
| 24 | Washington Range: $80 – $1,143 | $536 |
| 25 | Utah Range: $80 – $944 | $520 |
| 26 | Missouri Range: $188 – $815 | $512 |
| 27 | South Dakota Range: $80 – $1,035 | $501 |
| 28 | Maryland Range: $175 – $919 | $489 |
| 29 | Oregon Range: $80 – $1,070 | $486 |
| 30 | Hawaii Range: $80 – $969 | $467 |
| 31 | Colorado Range: $85 – $969 | $466 |
| 32 | Indiana Range: $80 – $937 | $461 |
| 33 | Mississippi Range: $162 – $850 | $454 |
| 34 | Michigan Range: $80 – $887 | $453 |
| 35 | Kentucky Range: $80 – $917 | $439 |
| 36 | Virginia Range: $98 – $830 | $423 |
| 37 | Louisiana Range: $85 – $804 | $422 |
| 38 | Idaho Range: $80 – $906 | $419 |
| 39 | Arkansas Range: $85 – $815 | $416 |
| 40 | Alabama Range: $80 – $762 | $405 |
| 41 | Texas Range: $85 – $772 | $396 |
| 42 | South Carolina Range: $80 – $782 | $389 |
| 43 | Kansas Range: $188 – $646 | $387 |
| 44 | Nevada Range: $85 – $701 | $372 |
| 45 | Ohio Range: $85 – $709 | $371 |
| 46 | Tennessee Range: $85 – $714 | $371 |
| 47 | Alaska Range: $80 – $837 | $332 |
| 48 | Arizona Range: $85 – $567 | $295 |
| 49 | Florida Range: $35 – $770 | $287 |
| 50 | Oklahoma Range: $85 – $582 | $251 |
| 51 | Montana Range: $80 – $545 | $235 |