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Colonoscopy, Diagnostic

New Hampshire rates for HCPCS 45378

A flexible, camera-tipped tube is guided through the rectum and around the full length of the colon up to where it connects with the small intestine, letting the doctor examine the lining for polyps, inflammation, or other abnormalities. This is the base diagnostic exam; if a polyp is removed or a biopsy taken during the same visit, that is billed as a different, related procedure instead. It's typically done under sedation and is the standard screening and diagnostic colonoscopy.

Rates data updated July 2026.

How much does Colonoscopy, Diagnostic cost?

$1,308

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $1,308 for this procedure. That total is two separate charges: $417 to the doctor who performs it, and $891 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$417$263 to $575
Facility feeThe hospital or surgery center$891$417 to $2,951

How much rates vary

Facilitymedian $891 · 10th to 90th $229 to $6,026Professionalmedian $417 · 10th to 90th $204 to $813
$200$500$1K$2K$5K$10Kfacility $891professional $417

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$891.25
Typical High
$6,025.60
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$407.38
Median
$407.38
Typical High
$724.44
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$66.07
Median
$147.91
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$398.11
Typical High
$776.25
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$44.67
Median
$89.13
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$190.55
Typical High
$537.03
Ambetter
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$42.66
Median
$75.86
Typical High
$181.97
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$489.78
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$83.18
Median
$208.93
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$436.52
Typical High
$831.76
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$3,890.45
Typical High
$8,709.64
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$436.52
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,890.45
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$436.52
Typical High
$954.99
United
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$125.89
Median
$346.74
Typical High
$1,318.26
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$165.96
Typical High
$416.87

Where New Hampshire sits

The same service costs 6.1 times more in New Jersey than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

New Hampshire· 43rd of 51

$1,308

$417 physician + $891 facility

NJ $5,452MT $892

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.