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 |
|---|---|---|---|---|
| Batavia, NY | $810.03 | $810.03 – $810.03 | 504 | 1 |
| Casper, WY | $220.58 | $220.58 – $220.58 | 506 | 1 |
| North Adams, MA | $56.66 | $56.66 – $56.66 | 506 | 1 |
| Lakewood, WA | $100.77 | $96.85 – $101.78 | 507 | 3 |
| Salem, NH | $123.00 | $123.00 – $123.00 | 511 | 1 |
| Easton, MD | $49.70 | $49.70 – $49.70 | 514 | 1 |
| Lumberton, NJ | $336.42 | $336.42 – $336.42 | 520 | 1 |
| Niagara Falls, NY | $464.07 | $141.91 – $733.81 | 522 | 3 |
| Towson, MD | $391.56 | $391.56 – $391.56 | 526 | 1 |
| Warrensville Heights, OH | $425.88 | $198.61 – $543.12 | 526 | 2 |
| Boys Town, NE | $327.25 | $231.58 – $531.60 | 530 | 2 |
| Barbourville, KY | $664.60 | $149.67 – $907.09 | 531 | 2 |
| Sayre, PA | $585.39 | $280.45 – $635.32 | 533 | 2 |
| Alton, IL | $144.24 | $114.28 – $155.08 | 533 | 3 |
| Columbia, TN | $89.51 | $82.19 – $90.89 | 536 | 3 |
| Montrose, CO | $368.47 | $368.47 – $368.47 | 538 | 1 |
| S Charleston, WV | $108.82 | $108.82 – $108.82 | 538 | 1 |
| Annapolis, MD | $327.76 | $3.60 – $337.04 | 539 | 2 |
| Onancock, VA | $378.26 | $91.49 – $576.04 | 539 | 2 |
| Hudson, NY | $730.20 | $730.20 – $730.20 | 541 | 1 |
| Wayne, MI | $499.56 | $499.56 – $499.56 | 541 | 1 |
| Brandon, FL | $344.62 | $110.59 – $357.82 | 543 | 2 |
| Davenport, IA | $286.92 | $269.19 – $287.36 | 544 | 3 |
| Scranton, PA | $177.77 | $112.45 – $186.22 | 548 | 4 |
| Loxahatchee, FL | $441.15 | $441.15 – $441.15 | 556 | 1 |
| Frisco, TX | $147.55 | $147.55 – $147.55 | 556 | 1 |
| Whitesburg, KY | $339.04 | $122.62 – $421.66 | 559 | 3 |
| West Corina, CA | $175.29 | $175.29 – $175.29 | 559 | 1 |
| Denville, NJ | $82.36 | $82.36 – $82.36 | 563 | 1 |
| East Greenwich, RI | $278.99 | $278.99 – $278.99 | 564 | 1 |
| Arlington, VA | $674.43 | $674.43 – $674.43 | 566 | 1 |
| Wauwatosa, WI | $225.30 | $225.30 – $225.30 | 567 | 1 |
| Libertyville, IL | $198.83 | $167.21 – $244.58 | 567 | 3 |
| Greeley, CO | $187.83 | $132.93 – $474.96 | 568 | 8 |
| Hopewell, VA | $540.68 | $540.68 – $540.68 | 570 | 1 |
| Port St Lucie, FL | $148.89 | $134.06 – $199.70 | 571 | 2 |
| Wartburg, TN | $13.34 | $13.34 – $13.34 | 573 | 1 |
| Apple Valley, CA | $266.40 | $24.47 – $311.98 | 574 | 2 |
| Bloomington, IN | $582.79 | $568.37 – $614.20 | 577 | 3 |
| Ravenna, OH | $472.21 | $472.21 – $472.21 | 578 | 1 |
| Tarzana, CA | $22.41 | $11.36 – $27.28 | 581 | 2 |
| Skowhegan, ME | $54.90 | $51.20 – $159.04 | 582 | 2 |
| Troy, OH | $367.15 | $218.79 – $408.47 | 583 | 2 |
| Long Island City, NY | $717.35 | $717.35 – $717.35 | 594 | 1 |
| North Chelmsford, MA | $100.57 | $76.13 – $115.36 | 596 | 5 |
| Hollywood, CA | $12.23 | $12.23 – $12.23 | 598 | 1 |
| Teaneck, NJ | $651.55 | $651.55 – $651.55 | 602 | 1 |
| Vineland, NJ | $415.50 | $280.86 – $835.89 | 605 | 3 |
| Hoboken, NJ | $457.40 | $79.90 – $756.28 | 606 | 3 |
| Edgewood, KY | $537.16 | $537.16 – $537.16 | 608 | 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.