Average Medicaid Colonoscopy Payments in Modesto, CA: $301.91
Avg. Paid
$301.91
Range
$0.00 – $512.33
Total Claims
2,086
Providers
11
Typical Payment Range
Typical Medicaid Colonoscopy payments fall between $122.78 and $319.24 per claim (median: $190.19). The top 10% of payments exceed $511.60.
Based on per-provider averages across all Medicaid claims in this category.
A colonoscopy examines the inside of the colon and rectum using a flexible tube with a camera. Used for cancer screening, polyp detection, and investigating digestive symptoms.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Colonoscopy in Modesto, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gaspar M Nazareno
1409 E Briggsmore Ave |
$37.05 | 12 | 12 |
|
Victorio Parayno Pidlaoan
1409 E Briggsmore Ave |
$35.48 | 13 | 12 |
|
Anthony Rex Victorio
4301 Northstar Way |
$58.98 | 29 | 29 |
|
Tanya Hoa Dam
1541 Florida Ave |
$243.40 | 67 | 67 |
|
Xiaohui Xiong
2625 Coffee Rd |
$0.00 | 96 | 96 |
|
Stanislaus Surgical Hospital Llc
1421 Oakdale Rd |
$512.33 | 137 | 135 |
|
Pardeep S Brar
803 Coffee Rd |
$395.20 | 159 | 159 |
|
Waleed Abdul Ibrahim
1541 Florida Ave |
$309.32 | 321 | 321 |
|
Keith A. Leibowitz
700 17Th St Ste 102 |
$309.06 | 340 | 340 |
|
Magdy Shoukry Elsakr
2336 Sylvan Ave |
$205.88 | 353 | 349 |
|
Sylvan Surgery Center, Llc
2336 Sylvan Ave |
$359.18 | 559 | 555 |
What to Expect: Colonoscopy
Preparation begins the day before with a clear liquid diet and bowel prep solution. The procedure takes 30-60 minutes under sedation. A thin flexible tube with a camera is inserted through the rectum to examine the colon. Polyps can be removed during the procedure. You'll need someone to drive you home. Most people return to normal activities the next day.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 45380 | Colonoscopy w/biopsy | $323.16 | 2,103,440 | 4,437 |
| 45385 | Colonoscopy w/snare removal | $355.05 | 1,176,164 | 3,169 |
| 45378 | Colonoscopy diagnostic | $334.64 | 1,008,174 | 2,650 |
| 45384 | Colonoscopy w/lesion removal | $269.48 | 41,902 | 124 |
| 45388 | Colonoscopy w/ablation | $204.19 | 8,754 | 32 |
| 45382 | Colonoscopy w/control bleed | $387.88 | 8,547 | 9 |
| 45381 | Colonoscopy w/submucosal inj | $184.31 | 5,092 | 46 |
| 45390 | Colonoscopy w/decompression | $318.08 | 2,951 | 23 |
| 45398 | Colonoscopy w/resection | $388.28 | 932 | 6 |
| 45379 | Colonoscopy w/foreign body | — | — | — |
| 45386 | Colonoscopy w/dilation | — | — | — |
| 45389 | Colonoscopy w/stent | — | — | — |
| 45391 | Colonoscopy w/endoscopic us | — | — | — |
| 45392 | Colonoscopy w/us guided inj | — | — | — |
| 45393 | Colonoscopy w/decompress volv | — | — | — |
| 45395 | Colonoscopy w/band ligation | — | — | — |
| 45397 | Colonoscopy w/transanal excis | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Colonoscopy cost in Modesto, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Colonoscopy in Modesto, CA is $301.91 per claim, based on 2,086 claims from 11 providers. Typical payments fall between $122.78 and $319.24. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Colonoscopy in Modesto, CA?
There are 11 Medicaid providers offering Colonoscopy related services in Modesto, CA according to public payment data.
What is the price range for Colonoscopy in Modesto, CA?
Medicaid reimbursement for Colonoscopy in Modesto, CA ranges from $0.00 to $512.33 per claim, with an average of $301.91. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Colonoscopy in Other Cities
New York, NY
Avg $480.84
109,933 claims · 79 providers
Brooklyn, NY
Avg $404.08
100,671 claims · 94 providers
Los Angeles, CA
Avg $204.62
69,220 claims · 63 providers
Bronx, NY
Avg $534.40
64,609 claims · 51 providers
Monterey Park, CA
Avg $190.53
57,916 claims · 15 providers
Flushing, NY
Avg $360.91
57,865 claims · 26 providers
Phoenix, AZ
Avg $268.06
49,941 claims · 40 providers
San Diego, CA
Avg $341.35
47,215 claims · 20 providers
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