Cost of a Colonoscopy with Biopsy Visit
in New Mexico
Reviewed by Momentary Medical Group West PC
New Mexico's vast geography creates significant healthcare access challenges, with many rural communities relying on telemedicine and traveling long distances for specialized care. Patients seeking a Colonoscopy with Biopsy typically pay between $90 and $1,136, with a median out-of-pocket cost of $451 based on negotiated insurance rates across the state. With over 1,250 active Colonoscopy with Biopsy providers throughout New Mexico, patients have options to find quality care that fits their budget and location needs.
Average
$559
Median
$451
Lowest
$90
Highest
$1,136
Providers
1,250
3% below national average
Compare Similar Procedures
How does colonoscopy with biopsy compare to related procedures in New Mexico?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $168 | $384 | $954 | 1,258 |
| Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare | 45385 | $265 | $545 | $1,278 | 1,233 |
| 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 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 Mexico
Healthcare costs in New Mexico run approximately 3% below the national average, reflecting lower overall cost of living but also highlighting challenges with provider recruitment and retention in rural areas. The state's unique geographic challenges, with vast distances between population centers, create cost disparities between urban and frontier communities.
Urban vs. Rural Provider Availability
Albuquerque and Santa Fe concentrate most of New Mexico's gastroenterologists, creating travel requirements for rural patients that can add indirect costs to care. Rural counties like Hidalgo, Catron, and Harding have no local gastroenterology services, forcing residents to drive 2-3 hours for procedures. This geographic concentration allows urban providers to maintain higher procedure volumes but may limit competitive pricing pressure in underserved areas.
Facility Type and Overhead Costs
Presbyterian Healthcare Services and University of New Mexico Health dominate the hospital market, with their outpatient endoscopy centers typically charging higher facility fees than independent surgery centers. Smaller independent gastroenterology practices often partner with ambulatory surgery centers to offer more competitive pricing structures. Hospital-based procedures carry additional overhead costs related to academic medical centers and trauma center designations.
Insurance Market Competition in New Mexico
The insurance market features limited competition with BCBS NM, UHC, and Molina controlling most commercial and Medicaid managed care enrollment. This concentration can lead to stronger negotiated rates with major health systems but may limit options for patients seeking alternative coverage. The small market size makes it challenging for new insurers to enter, maintaining the status quo in negotiated rate structures.
Physician Supply and Demand in New Mexico
With over 1,250 active providers performing colonoscopy procedures, New Mexico maintains adequate specialist availability in urban areas but faces shortages in rural regions. This supply concentration in Albuquerque and Santa Fe creates longer wait times and potentially higher costs in metropolitan areas while leaving rural patients with limited local options. The University of New Mexico's gastroenterology residency program helps maintain physician supply, but rural recruitment remains challenging due to lifestyle and economic factors.
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 Mexico
What is the average cost of a Colonoscopy with Biopsy visit in New Mexico without insurance?
Does New Mexico Medicaid cover Colonoscopy with Biopsy visits?
How do I find an affordable Colonoscopy with Biopsy 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 with Biopsy visit in New Mexico?
How does telemedicine affect the cost of seeing a Colonoscopy with Biopsy in New Mexico?
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 |