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 |
|---|---|---|---|---|
| Hobbs, NM | $379.74 | $379.74 – $379.74 | 12 | 1 |
| Chagrin Falls, OH | $221.39 | $221.39 – $221.39 | 12 | 1 |
| Midwest City, OK | $170.44 | $170.44 – $170.44 | 12 | 1 |
| West Bend, WI | $401.32 | $401.32 – $401.32 | 12 | 1 |
| Atlantic City, NJ | $0.00 | $0.00 – $0.00 | 12 | 1 |
| Jamaica Plain, MA | $95.67 | $95.67 – $95.67 | 12 | 1 |
| Allen Park, MI | $209.26 | $209.26 – $209.26 | 12 | 1 |
| Maspeth, NY | $133.87 | $133.87 – $133.87 | 12 | 1 |
| Tuba City, AZ | $357.30 | $357.30 – $357.30 | 12 | 1 |
| Monroe, WI | $148.04 | $148.04 – $148.04 | 12 | 1 |
| Advance, NC | $336.23 | $336.23 – $336.23 | 12 | 1 |
| Fort Gratiot, MI | $102.50 | $102.50 – $102.50 | 12 | 1 |
| York, PA | $195.54 | $195.54 – $195.54 | 13 | 1 |
| Wichita Falls, TX | $132.01 | $132.01 – $132.01 | 13 | 1 |
| Tyler, TX | $396.27 | $396.27 – $396.27 | 13 | 1 |
| Centralia, IL | $177.50 | $177.50 – $177.50 | 13 | 1 |
| Arlington Heights, IL | $128.78 | $128.78 – $128.78 | 13 | 1 |
| Reidsville, NC | $136.31 | $136.31 – $136.31 | 13 | 1 |
| Havertown, PA | $323.10 | $323.10 – $323.10 | 13 | 1 |
| Fort Lauderdale, FL | $97.18 | $97.18 – $97.18 | 13 | 1 |
| Greensboro, NC | $178.67 | $178.67 – $178.67 | 13 | 1 |
| Naperville, IL | $212.35 | $212.35 – $212.35 | 13 | 1 |
| Cynthiana, KY | $857.53 | $857.53 – $857.53 | 13 | 1 |
| Norton, VA | $282.65 | $282.65 – $282.65 | 13 | 1 |
| Lockport, NY | $656.14 | $656.14 – $656.14 | 13 | 1 |
| Bloomfield, NJ | $126.50 | $126.50 – $126.50 | 13 | 1 |
| Huntsville, AL | $174.06 | $174.06 – $174.06 | 13 | 1 |
| Petaluma, CA | $80.11 | $80.11 – $80.11 | 13 | 1 |
| Front Royal, VA | $855.11 | $855.11 – $855.11 | 13 | 1 |
| Hicksville, NY | $153.91 | $153.91 – $153.91 | 13 | 1 |
| Annandale, VA | $28.06 | $28.06 – $28.06 | 13 | 1 |
| Rhinebeck, NY | $1,052 | $1,052 – $1,052 | 13 | 1 |
| Florence, AL | $192.04 | $192.04 – $192.04 | 13 | 1 |
| Somerset, NJ | $90.67 | $90.67 – $90.67 | 13 | 1 |
| Greenwich, CT | $808.77 | $808.77 – $808.77 | 13 | 1 |
| Coeur D Alene, ID | $95.30 | $95.30 – $95.30 | 13 | 1 |
| Williamsport, IN | $118.34 | $118.34 – $118.34 | 13 | 1 |
| Greenville, TX | $87.15 | $87.15 – $87.15 | 13 | 1 |
| Clarksdale, MS | $0.00 | $0.00 – $0.00 | 13 | 1 |
| Fort Payne, AL | $181.77 | $181.77 – $181.77 | 13 | 1 |
| Rockwall, TX | $142.54 | $142.54 – $142.54 | 13 | 1 |
| Pomona, NY | $390.36 | $390.36 – $390.36 | 13 | 1 |
| New Port Richey, FL | $118.10 | $118.10 – $118.10 | 13 | 1 |
| Granite City, IL | $214.99 | $214.99 – $214.99 | 13 | 1 |
| Andalusia, AL | $72.39 | $72.39 – $72.39 | 13 | 1 |
| Cranston, RI | $238.11 | $238.11 – $238.11 | 13 | 1 |
| Fort Thomas, KY | $758.51 | $758.51 – $758.51 | 13 | 1 |
| Canonsburg, PA | $108.39 | $108.39 – $108.39 | 13 | 1 |
| Norwood, MA | $282.01 | $282.01 – $282.01 | 13 | 1 |
| Peabody, MA | $263.90 | $263.90 – $263.90 | 13 | 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.