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 |
|---|---|---|---|---|
| Los Banos, CA | $106.28 | $88.62 – $123.30 | 218 | 2 |
| Valparaiso, IN | $149.61 | $62.37 – $157.90 | 219 | 2 |
| Park Ridge, IL | $380.82 | $163.00 – $925.42 | 219 | 4 |
| Dorchester Center, MA | $640.99 | $640.99 – $640.99 | 220 | 1 |
| Rockville Centre, NY | $687.16 | $128.16 – $836.98 | 222 | 4 |
| Northbrook, IL | $188.75 | $188.75 – $188.75 | 223 | 1 |
| St Louis Park, MN | $397.83 | $72.91 – $555.10 | 223 | 6 |
| Wilmington, OH | $472.73 | $472.73 – $472.73 | 224 | 1 |
| Harrisburg, IL | $202.72 | $202.72 – $202.72 | 225 | 1 |
| Hollywood, MD | $44.39 | $40.46 – $84.66 | 225 | 2 |
| Gainesville, FL | $102.94 | $0.00 – $191.45 | 227 | 4 |
| Mountain View, CA | $103.85 | $94.10 – $105.74 | 228 | 2 |
| Hinsdale, IL | $169.75 | $169.14 – $171.49 | 229 | 2 |
| Portage, MI | $250.62 | $250.62 – $250.62 | 229 | 1 |
| Lake Havasu City, AZ | $459.15 | $149.62 – $501.63 | 232 | 2 |
| Springboro, OH | $299.37 | $166.83 – $325.83 | 233 | 3 |
| Sulphur, LA | $176.90 | $176.90 – $176.90 | 234 | 1 |
| Williamsburg, VA | $282.60 | $114.01 – $750.86 | 234 | 5 |
| Alpena, MI | $459.69 | $459.69 – $459.69 | 236 | 1 |
| Laurel, MS | $150.89 | $150.89 – $150.89 | 236 | 1 |
| New Bern, NC | $100.67 | $100.41 – $105.50 | 237 | 2 |
| Crown Point, IN | $398.97 | $105.08 – $485.26 | 237 | 3 |
| Johnson City, TN | $143.14 | $115.35 – $146.53 | 239 | 2 |
| Norway, ME | $30.28 | $30.28 – $30.28 | 239 | 1 |
| Plymouth, MN | $636.13 | $636.13 – $636.13 | 243 | 1 |
| Fargo, ND | $323.17 | $232.37 – $657.37 | 245 | 4 |
| Montebello, CA | $279.99 | $132.86 – $295.89 | 246 | 2 |
| West Jordan, UT | $147.60 | $113.08 – $149.52 | 247 | 2 |
| Gaithersburg, MD | $141.36 | $141.36 – $141.36 | 248 | 1 |
| Huntersville, NC | $131.07 | $110.24 – $139.28 | 249 | 3 |
| Corinth, MS | $144.84 | $107.59 – $173.38 | 249 | 2 |
| Hermitage, TN | $90.46 | $90.46 – $90.46 | 250 | 1 |
| Raleigh, NC | $139.19 | $54.62 – $251.19 | 250 | 6 |
| Newport, OR | $192.38 | $164.74 – $596.62 | 250 | 2 |
| Bloomfield, CT | $94.38 | $2.95 – $237.26 | 251 | 3 |
| Erie, PA | $232.67 | $203.54 – $251.35 | 254 | 5 |
| Pinellas Park, FL | $88.66 | $87.91 – $103.84 | 255 | 2 |
| Pocatello, ID | $291.07 | $208.33 – $339.77 | 256 | 4 |
| Highland Park, NJ | $132.98 | $132.98 – $132.98 | 256 | 1 |
| Phillipsburg, NJ | $656.56 | $656.56 – $656.56 | 257 | 1 |
| Barnegat, NJ | $430.85 | $429.19 – $459.73 | 258 | 2 |
| Highland, IN | $1,022 | $1,022 – $1,022 | 259 | 1 |
| Foothill Ranch, CA | $476.06 | $476.06 – $476.06 | 259 | 1 |
| Oshkosh, WI | $221.00 | $221.00 – $221.00 | 260 | 1 |
| Rocky Mount, NC | $98.84 | $91.61 – $111.38 | 260 | 2 |
| Greer, SC | $15.02 | $4.64 – $229.35 | 260 | 2 |
| Prince Frederick, MD | $125.24 | $125.24 – $125.24 | 260 | 1 |
| Stoneham, MA | $114.24 | $94.69 – $117.59 | 260 | 2 |
| Trenton, MI | $582.49 | $582.49 – $582.49 | 261 | 1 |
| Murfreesboro, TN | $135.51 | $85.57 – $245.52 | 262 | 4 |
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.