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 |
|---|---|---|---|---|
| Cleveland, MS | $118.19 | $41.56 – $264.24 | 126 | 3 |
| Stafford Springs, CT | $659.77 | $659.77 – $659.77 | 126 | 1 |
| Bartonsville, PA | $297.95 | $297.95 – $297.95 | 126 | 1 |
| Elkhart, IN | $744.18 | $48.55 – $851.69 | 127 | 2 |
| Murrells Inlet, SC | $30.46 | $0.00 – $122.31 | 127 | 3 |
| N Hollywood, CA | $0.00 | $0.00 – $0.00 | 127 | 1 |
| Laurinburg, NC | $207.22 | $197.43 – $293.79 | 128 | 2 |
| Valley Stream, NY | $341.30 | $212.57 – $391.67 | 128 | 2 |
| Clifton Springs, NY | $627.12 | $168.67 – $732.92 | 128 | 2 |
| Cedar Knolls, NJ | $405.00 | $405.00 – $405.00 | 129 | 1 |
| Manorville, NY | $348.05 | $348.05 – $348.05 | 129 | 1 |
| St Augustine, FL | $141.70 | $141.70 – $141.70 | 131 | 1 |
| East Brunswick, NJ | $190.41 | $190.41 – $190.41 | 131 | 1 |
| Needham, MA | $1,275 | $1,275 – $1,275 | 131 | 1 |
| Mechanicsburg, PA | $99.83 | $99.83 – $99.83 | 132 | 1 |
| Lancaster, SC | $61.45 | $33.20 – $102.02 | 134 | 2 |
| Babylon, NY | $172.13 | $172.13 – $172.13 | 134 | 1 |
| Bardstown, KY | $273.72 | $273.72 – $273.72 | 134 | 1 |
| West Des Moines, IA | $338.59 | $338.59 – $338.59 | 137 | 1 |
| Elkin, NC | $101.72 | $101.72 – $101.72 | 137 | 1 |
| Wisconsin Rapids, WI | $189.98 | $187.56 – $213.23 | 138 | 2 |
| North Dartmouth, MA | $86.51 | $84.20 – $97.55 | 139 | 2 |
| Quincy, IL | $186.97 | $186.97 – $186.97 | 139 | 1 |
| Martinsville, VA | $484.85 | $484.85 – $484.85 | 140 | 1 |
| Muskogee, OK | $490.72 | $385.41 – $524.50 | 140 | 2 |
| Shiprock, NM | $218.08 | $164.33 – $229.77 | 140 | 2 |
| Palm Bay, FL | $240.21 | $110.54 – $357.62 | 141 | 2 |
| West Seneca, NY | $401.14 | $401.14 – $401.14 | 141 | 1 |
| Orange Park, FL | $172.89 | $172.89 – $172.89 | 142 | 1 |
| Englewood Cliffs, NJ | $204.76 | $168.97 – $372.25 | 142 | 2 |
| Bala Cynwyd, PA | $232.82 | $232.82 – $232.82 | 143 | 1 |
| Fredericksbrg, VA | $144.36 | $144.36 – $144.36 | 143 | 1 |
| Athens, OH | $326.10 | $191.69 – $354.34 | 144 | 2 |
| Maple Grove, MN | $184.33 | $118.19 – $262.44 | 144 | 6 |
| Bellflower, CA | $503.60 | $378.50 – $817.85 | 144 | 2 |
| Hartsdale, NY | $117.70 | $117.70 – $117.70 | 144 | 1 |
| Danville, CA | $757.30 | $757.30 – $757.30 | 144 | 1 |
| Richmond Heights, OH | $275.33 | $275.33 – $275.33 | 144 | 1 |
| Elmhurst, IL | $139.25 | $124.80 – $264.71 | 145 | 3 |
| Ketchum, ID | $275.90 | $275.90 – $275.90 | 145 | 1 |
| Wheeling, WV | $169.62 | $90.39 – $189.01 | 145 | 3 |
| Lafayette, CO | $247.29 | $200.37 – $254.46 | 146 | 3 |
| Gardner, MA | $581.37 | $93.35 – $962.27 | 146 | 2 |
| Riverdale, MD | $359.03 | $359.03 – $359.03 | 148 | 1 |
| Apopka, FL | $25.57 | $5.83 – $94.36 | 148 | 2 |
| Layton, UT | $97.48 | $0.00 – $213.60 | 149 | 2 |
| Saranac Lake, NY | $579.41 | $134.62 – $704.86 | 150 | 2 |
| Plantation, FL | $336.77 | $17.80 – $447.46 | 150 | 3 |
| Orange City, FL | $168.55 | $110.78 – $269.51 | 151 | 4 |
| Geneva, IL | $158.50 | $158.50 – $158.50 | 152 | 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.