Cost of a Colonoscopy with Biopsy Visit
in New Jersey
Reviewed by Momentary Medical Group West PC
New Jersey ranks among the top states for healthcare provider density, with over 6,600 active facilities offering colonoscopy with biopsy services across the state. Patients typically pay between $120 and $1,329 for a colonoscopy with biopsy, with a median out-of-pocket cost of $349. From Newark's academic medical centers to Shore region community hospitals, New Jersey offers extensive access to gastroenterology specialists throughout all 21 counties.
Average
$599
Median
$349
Lowest
$120
Highest
$1,329
Providers
6,606
4% above national average
Compare Similar Procedures
How does colonoscopy with biopsy 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 Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $151 | $404 | $1,496 | 6,545 |
| 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 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 Jersey
Healthcare costs in New Jersey run approximately 17% above national averages, reflecting the state's high cost of living and dense urban population centers. The concentration of major medical centers in northern New Jersey creates pricing pressures that ripple throughout the state's healthcare market.
Urban vs. Rural Provider Availability
New Jersey's small geographic footprint means most residents live within 30 minutes of major gastroenterology centers, but urban areas like Newark and Jersey City have significantly higher provider density than southwestern Pine Barrens regions. This concentration drives up costs in metro areas while creating access challenges in rural Cumberland and Salem counties.
Facility Type and Overhead Costs
Hospital-based outpatient colonoscopy centers typically charge 30-50% more than independent surgery centers due to higher overhead costs in New Jersey's expensive real estate market. Major health systems like RWJBarnabas Health and Hackensack Meridian Health operate numerous facilities with standardized pricing that often exceeds community-based alternatives.
Insurance Market Competition in New Jersey
Horizon Blue Cross Blue Shield maintains the largest market share among New Jersey insurers, followed by Aetna and UnitedHealthcare, creating moderate competition that prevents extreme rate variations. The state's insurance market concentration allows these major players to negotiate relatively uniform rates across provider networks.
Physician Supply and Demand in New Jersey
With over 6,600 providers offering colonoscopy with biopsy services, New Jersey has among the highest gastroenterologist-to-population ratios in the nation. This abundant supply helps keep wait times reasonable but doesn't necessarily translate to lower costs due to high practice overhead expenses and strong insurance reimbursement rates.
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 Jersey
What is the average cost of a Colonoscopy with Biopsy visit in New Jersey without insurance?
Does New Jersey Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy 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 with Biopsy visit in New Jersey?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in New Jersey?
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 |