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 |
|---|---|---|---|---|
| Abilene, TX | $188.55 | $188.55 – $188.55 | 391 | 1 |
| Daly City, CA | $274.55 | $274.55 – $274.55 | 391 | 1 |
| Hyattsville, MD | $205.07 | $205.07 – $205.07 | 397 | 1 |
| Pittsburgh, PA | $198.63 | $130.80 – $275.93 | 401 | 5 |
| Roanoke Rapids, NC | $193.10 | $132.19 – $251.94 | 403 | 2 |
| Potsdam, NY | $1,174 | $1,174 – $1,174 | 405 | 1 |
| Fairborn, OH | $79.42 | $79.42 – $79.42 | 408 | 1 |
| Laredo, TX | $86.89 | $28.49 – $398.27 | 412 | 3 |
| Maysville, KY | $269.81 | $185.98 – $443.72 | 412 | 2 |
| Nashua, NH | $246.05 | $65.36 – $416.56 | 419 | 4 |
| Oradell, NJ | $206.12 | $206.12 – $206.12 | 427 | 1 |
| Puerto Nuevo, PR | $248.20 | $248.20 – $248.20 | 429 | 1 |
| La Grange, KY | $294.86 | $166.09 – $365.26 | 430 | 2 |
| Auburn, CA | $133.63 | $133.63 – $133.63 | 431 | 1 |
| Waldorf, MD | $149.29 | $120.21 – $155.67 | 435 | 3 |
| Edgewater, NJ | $197.48 | $197.48 – $197.48 | 437 | 1 |
| Bullhead City, AZ | $479.50 | $479.50 – $479.50 | 438 | 1 |
| Lakewood, CA | $22.23 | $10.54 – $35.20 | 443 | 2 |
| Uniontown, PA | $166.23 | $144.21 – $227.67 | 445 | 4 |
| Aibonito, PR | $362.82 | $258.04 – $393.59 | 445 | 2 |
| Madison, WV | $273.32 | $99.09 – $420.91 | 447 | 2 |
| Goodyear, AZ | $208.02 | $124.20 – $258.14 | 449 | 2 |
| San Gabriel, CA | $139.46 | $50.32 – $147.75 | 456 | 3 |
| Greenville, MS | $185.95 | $70.35 – $233.11 | 459 | 2 |
| Cleveland, TN | $129.28 | $126.27 – $131.84 | 462 | 2 |
| Tuscaloosa, AL | $131.48 | $131.48 – $131.48 | 464 | 1 |
| Truckee, CA | $88.96 | $88.96 – $88.96 | 464 | 1 |
| Merrillville, IN | $336.21 | $336.21 – $336.21 | 466 | 1 |
| Prosser, WA | $647.95 | $647.95 – $647.95 | 467 | 1 |
| Camillus, NY | $407.40 | $407.40 – $407.40 | 468 | 1 |
| Avon, OH | $385.28 | $385.28 – $385.28 | 469 | 1 |
| Cedar Rapids, IA | $238.94 | $160.41 – $754.82 | 470 | 5 |
| Stuart, FL | $102.03 | $92.29 – $444.89 | 471 | 2 |
| Newark, OH | $510.98 | $302.80 – $522.08 | 474 | 2 |
| Sweetwater, TN | $139.43 | $139.43 – $139.43 | 480 | 1 |
| Hamilton, NJ | $739.53 | $72.45 – $918.71 | 481 | 3 |
| Banning, CA | $66.78 | $15.73 – $268.89 | 481 | 2 |
| Neenah, WI | $179.81 | $179.81 – $179.81 | 483 | 1 |
| Oregon City, OR | $515.55 | $515.55 – $515.55 | 483 | 1 |
| South Weymouth, MA | $1,143 | $110.01 – $1,358 | 487 | 3 |
| Wilson, NC | $253.77 | $253.77 – $253.77 | 488 | 1 |
| Milford, CT | $614.94 | $517.74 – $638.43 | 488 | 2 |
| Marquette, MI | $246.53 | $119.85 – $489.35 | 490 | 2 |
| Grass Valley, CA | $123.68 | $90.00 – $152.48 | 491 | 3 |
| Plymouth, MA | $1,283 | $141.76 – $1,312 | 492 | 2 |
| San Leandro, CA | $718.57 | $229.99 – $918.40 | 493 | 3 |
| Eagan, MN | $186.77 | $168.28 – $187.23 | 494 | 2 |
| Brunswick, ME | $513.16 | $513.16 – $513.16 | 496 | 1 |
| Fremont, MI | $551.33 | $91.56 – $595.89 | 498 | 2 |
| Elmira, NY | $635.84 | $235.25 – $669.73 | 500 | 2 |
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.