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 |
|---|---|---|---|---|
| El Paso, TX | $166.10 | $103.99 – $180.13 | 322 | 3 |
| New Hartford, NY | $123.16 | $123.16 – $123.16 | 322 | 1 |
| Princeton, IL | $181.62 | $181.62 – $181.62 | 323 | 1 |
| Ithaca, NY | $955.70 | $955.70 – $955.70 | 323 | 1 |
| Zephyrhills, FL | $167.95 | $167.95 – $167.95 | 326 | 1 |
| Pasco, WA | $520.86 | $110.75 – $664.91 | 327 | 2 |
| Cookeville, TN | $114.87 | $44.34 – $417.22 | 328 | 3 |
| Glastonbury, CT | $211.86 | $101.59 – $279.30 | 332 | 2 |
| Plano, TX | $496.29 | $496.29 – $496.29 | 333 | 1 |
| La Jolla, CA | $228.55 | $156.44 – $468.39 | 333 | 4 |
| Thibodaux, LA | $177.74 | $107.13 – $188.77 | 333 | 2 |
| Kokomo, IN | $141.98 | $141.98 – $141.98 | 333 | 1 |
| Frankfort, KY | $432.52 | $202.81 – $466.12 | 337 | 2 |
| Franklin, MI | $103.53 | $103.53 – $103.53 | 339 | 1 |
| Manhasset, NY | $680.97 | $680.97 – $680.97 | 341 | 1 |
| Buckhannon, WV | $359.02 | $130.22 – $934.24 | 341 | 3 |
| Newburgh, IN | $461.08 | $113.15 – $609.39 | 342 | 4 |
| Harrisburg, PA | $397.57 | $397.57 – $397.57 | 343 | 1 |
| Jonesboro, AR | $212.42 | $208.31 – $222.69 | 345 | 3 |
| Evanston, IL | $202.65 | $132.76 – $293.41 | 349 | 4 |
| Keene, NH | $217.26 | $217.26 – $217.26 | 349 | 1 |
| Montclair, NJ | $358.96 | $358.96 – $358.96 | 349 | 1 |
| Homewood, IL | $243.06 | $229.69 – $248.14 | 352 | 2 |
| North Ridgeville, OH | $342.96 | $342.96 – $342.96 | 355 | 1 |
| Highland, CA | $173.33 | $173.33 – $173.33 | 355 | 1 |
| E Patchogue, NY | $143.36 | $143.04 – $151.25 | 355 | 2 |
| Port Townsend, WA | $310.84 | $310.84 – $310.84 | 357 | 1 |
| Kahului, HI | $464.53 | $235.94 – $502.39 | 359 | 2 |
| Southbridge, MA | $1,115 | $1,115 – $1,115 | 361 | 1 |
| Riverton, UT | $105.44 | $0.00 – $274.53 | 362 | 5 |
| Hampton, VA | $454.86 | $377.17 – $981.25 | 363 | 3 |
| Bedford, IN | $482.85 | $482.85 – $482.85 | 368 | 1 |
| Birmingham, AL | $603.94 | $127.83 – $641.52 | 369 | 2 |
| Laurel, MD | $130.12 | $130.12 – $130.12 | 372 | 1 |
| Coral Springs, FL | $247.87 | $157.25 – $427.58 | 373 | 3 |
| Reseda, CA | $210.57 | $210.57 – $210.57 | 373 | 1 |
| Wellington, FL | $62.49 | $62.49 – $62.49 | 376 | 1 |
| Urbana, IL | $125.14 | $93.99 – $136.74 | 376 | 5 |
| Gig Harbor, WA | $253.08 | $113.08 – $376.89 | 377 | 3 |
| Danville, PA | $257.90 | $125.88 – $304.11 | 378 | 6 |
| Lynwood, CA | $59.14 | $18.54 – $62.00 | 380 | 2 |
| Cottonwood, AZ | $412.03 | $95.21 – $453.39 | 381 | 2 |
| Hazel Crest, IL | $201.59 | $149.00 – $218.66 | 382 | 4 |
| Gardena, CA | $110.58 | $82.58 – $132.56 | 382 | 2 |
| Alamogordo, NM | $397.85 | $287.77 – $410.71 | 383 | 3 |
| Albany, KY | $141.67 | $136.21 – $276.05 | 384 | 2 |
| Wilton, CT | $198.29 | $94.13 – $313.82 | 386 | 2 |
| Avenel, NJ | $126.65 | $126.65 – $126.65 | 387 | 1 |
| East Meadow, NY | $529.53 | $67.06 – $624.32 | 388 | 3 |
| Kinston, NC | $57.85 | $57.85 – $57.85 | 390 | 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.