Average Medicaid Colonoscopy Payments
Typical Medicaid Colonoscopy reimbursement across 1,732 cities
Avg. Medicaid Paid
$332.74
Price Range
$0.00 – $2,381
Total Claims
4.1M
Cities
1732
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.
About This Procedure
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.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Castro Valley, CA | $611.34 | $611.34 – $611.34 | 101 | 1 |
| Fort Kent, ME | $254.59 | $254.59 – $254.59 | 102 | 1 |
| Goshen, NY | $316.54 | $258.59 – $381.74 | 102 | 2 |
| Trenton, NJ | $785.84 | $175.17 – $1,025 | 102 | 3 |
| Chelsea, MI | $500.89 | $500.89 – $500.89 | 102 | 1 |
| Niskayana, NY | $697.79 | $697.79 – $697.79 | 102 | 1 |
| Kirkland, WA | $30.79 | $8.55 – $184.78 | 103 | 2 |
| Springfield, MO | $354.11 | $352.91 – $363.32 | 104 | 2 |
| Sugar Land, TX | $150.20 | $150.20 – $150.20 | 105 | 1 |
| Blacksburg, VA | $581.15 | $581.15 – $581.15 | 105 | 1 |
| Hazelwood, MO | $187.66 | $187.66 – $187.66 | 107 | 1 |
| Rochester, NH | $641.09 | $641.09 – $641.09 | 107 | 1 |
| Clermont, FL | $112.77 | $112.77 – $112.77 | 108 | 1 |
| Clearlake, CA | $167.07 | $79.49 – $310.20 | 108 | 2 |
| Lake City, FL | $132.35 | $59.76 – $198.79 | 108 | 3 |
| Cayey, PR | $100.31 | $100.31 – $100.31 | 108 | 1 |
| Kapolei, HI | $454.75 | $325.73 – $470.88 | 108 | 2 |
| Harris, NY | $1,406 | $1,406 – $1,406 | 108 | 1 |
| Macon, GA | $205.16 | $205.16 – $205.16 | 110 | 1 |
| Austin, TX | $87.57 | $73.24 – $124.55 | 111 | 2 |
| Mason City, IA | $183.98 | $153.90 – $273.14 | 111 | 2 |
| Bolingbrook, IL | $237.91 | $222.22 – $240.94 | 111 | 2 |
| Melbourne, FL | $88.63 | $76.73 – $117.11 | 112 | 2 |
| Wilmington, DE | $459.74 | $459.74 – $459.74 | 112 | 1 |
| Manitowoc, WI | $153.01 | $143.76 – $217.78 | 112 | 2 |
| Fairfield, OH | $371.90 | $166.68 – $490.40 | 112 | 2 |
| Ocean, NJ | $76.03 | $76.03 – $76.03 | 113 | 1 |
| Santa Cruz, CA | $335.40 | $30.93 – $788.73 | 114 | 4 |
| Weirton, WV | $164.86 | $164.86 – $164.86 | 114 | 1 |
| Wyomissing, PA | $308.44 | $251.00 – $403.58 | 115 | 3 |
| Riverside, IL | $134.51 | $127.80 – $140.66 | 115 | 2 |
| Duluth, MN | $284.99 | $154.46 – $577.87 | 116 | 6 |
| Rockaway Park, NY | $229.04 | $229.04 – $229.04 | 117 | 1 |
| Bethlehem, PA | $279.74 | $279.74 – $279.74 | 118 | 1 |
| Summerville, SC | $172.66 | $169.33 – $194.99 | 119 | 3 |
| Millburn, NJ | $129.90 | $117.72 – $155.84 | 119 | 2 |
| Madison, IN | $316.06 | $316.06 – $316.06 | 119 | 1 |
| Bryan, OH | $290.56 | $236.31 – $304.83 | 120 | 2 |
| Big Stone Gap, VA | $863.18 | $863.18 – $863.18 | 121 | 1 |
| Round Rock, TX | $62.23 | $62.23 – $62.23 | 122 | 1 |
| Opelousas, LA | $208.24 | $181.24 – $244.33 | 122 | 3 |
| Fishers, IN | $646.52 | $646.52 – $646.52 | 122 | 1 |
| Minot, ND | $282.80 | $282.80 – $282.80 | 123 | 1 |
| West Plains, MO | $363.68 | $351.60 – $380.41 | 124 | 2 |
| Holmdel, NJ | $925.38 | $836.67 – $1,105 | 124 | 2 |
| Woodbridge, VA | $509.41 | $406.63 – $550.98 | 125 | 2 |
| Hillsboro, OR | $510.79 | $424.27 – $551.03 | 126 | 2 |
| Gastonia, NC | $367.82 | $176.82 – $389.79 | 126 | 2 |
| Garfield Heights, OH | $605.02 | $605.02 – $605.02 | 126 | 1 |
| Georgetown, SC | $0.00 | $0.00 – $0.00 | 126 | 1 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| 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 averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.