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 |
|---|---|---|---|---|
| Madison, MS | $167.54 | $167.54 – $167.54 | 860 | 1 |
| Lebanon, NH | $218.29 | $108.09 – $280.19 | 862 | 4 |
| Omaha, NE | $461.01 | $56.23 – $904.71 | 865 | 9 |
| Dunn, NC | $69.02 | $69.02 – $69.02 | 871 | 1 |
| High Point, NC | $252.72 | $64.77 – $276.87 | 872 | 5 |
| Corning, NY | $559.35 | $189.42 – $641.94 | 875 | 3 |
| Murray, KY | $259.19 | $133.89 – $304.93 | 875 | 3 |
| Joliet, IL | $163.54 | $163.53 – $163.92 | 879 | 2 |
| Fort Pierce, FL | $273.01 | $117.13 – $277.76 | 880 | 2 |
| Morristown, TN | $146.39 | $100.39 – $208.06 | 887 | 2 |
| Ontario, CA | $311.69 | $245.02 – $363.22 | 890 | 2 |
| Oak Ridge, TN | $229.77 | $187.39 – $275.68 | 892 | 4 |
| Tigard, OR | $392.46 | $392.46 – $392.46 | 893 | 1 |
| Novi, MI | $409.52 | $259.88 – $416.90 | 893 | 2 |
| Mc Lean, VA | $233.09 | $233.09 – $233.09 | 896 | 1 |
| Woodland Park, NJ | $635.93 | $202.41 – $670.76 | 901 | 2 |
| Brentwood, TN | $356.04 | $356.04 – $356.04 | 905 | 1 |
| Greenbrae, CA | $93.84 | $93.84 – $93.84 | 906 | 1 |
| Shelbyville, KY | $138.42 | $138.42 – $138.42 | 910 | 1 |
| Hacienda Hts, CA | $168.86 | $168.86 – $168.86 | 911 | 1 |
| Lenoir City, TN | $211.94 | $211.94 – $211.94 | 926 | 1 |
| Show Low, AZ | $353.43 | $116.38 – $367.74 | 933 | 3 |
| Guaynabo, PR | $379.81 | $269.23 – $503.96 | 934 | 3 |
| Hamilton, OH | $296.95 | $196.47 – $488.79 | 941 | 3 |
| Baldwin Park, CA | $844.11 | $223.53 – $979.26 | 945 | 2 |
| Walnut, CA | $178.90 | $178.90 – $178.90 | 949 | 1 |
| Griffin, GA | $112.00 | $112.00 – $112.00 | 951 | 1 |
| Placerville, CA | $193.91 | $0.00 – $339.61 | 951 | 4 |
| Lafayette, LA | $224.66 | $66.85 – $274.56 | 953 | 7 |
| Perth Amboy, NJ | $1,057 | $16.82 – $1,134 | 955 | 3 |
| Liberty Township, OH | $368.36 | $368.36 – $368.36 | 959 | 1 |
| Oakbrook Terrace, IL | $123.34 | $123.34 – $123.34 | 960 | 1 |
| West Chester, OH | $291.89 | $162.82 – $430.51 | 962 | 3 |
| Vallejo, CA | $6.78 | $0.39 – $220.28 | 963 | 2 |
| Harrisonburg, VA | $532.97 | $98.02 – $582.67 | 967 | 5 |
| Santee, CA | $274.78 | $274.78 – $274.78 | 967 | 1 |
| Lovington, NM | $454.18 | $355.44 – $565.28 | 967 | 2 |
| Syracuse, NY | $546.10 | $127.81 – $649.88 | 970 | 4 |
| Valhalla, NY | $784.52 | $784.52 – $784.52 | 970 | 1 |
| Glasgow, KY | $378.05 | $148.81 – $498.80 | 971 | 2 |
| Silverdale, WA | $212.82 | $121.70 – $325.28 | 979 | 3 |
| Princeton, WV | $218.99 | $108.46 – $232.28 | 982 | 3 |
| Oneida, NY | $554.62 | $133.24 – $653.61 | 983 | 2 |
| Alliance, OH | $313.73 | $183.98 – $584.18 | 987 | 2 |
| Port Angeles, WA | $517.06 | $110.22 – $567.22 | 993 | 2 |
| Lakeland, FL | $101.06 | $51.29 – $275.20 | 1,000 | 4 |
| Reedley, CA | $42.75 | $42.75 – $42.75 | 1,005 | 1 |
| Amherst, NY | $358.99 | $102.99 – $413.27 | 1,006 | 2 |
| Midland, MI | $177.43 | $108.37 – $521.05 | 1,006 | 5 |
| Milton, MA | $1,062 | $1,062 – $1,062 | 1,007 | 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.