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 |
|---|---|---|---|---|
| Bay City, MI | $213.81 | $65.52 – $326.35 | 1,189 | 2 |
| Paradise, CA | $151.16 | $150.79 – $157.56 | 1,200 | 2 |
| Cape May Court House, NJ | $477.06 | $196.64 – $502.16 | 1,205 | 2 |
| Michigan City, IN | $590.68 | $566.23 – $1,220 | 1,205 | 3 |
| Slidell, LA | $248.98 | $248.98 – $248.98 | 1,209 | 1 |
| Middletown, NY | $515.59 | $289.53 – $952.28 | 1,210 | 6 |
| La Mesa, CA | $291.00 | $129.05 – $370.93 | 1,215 | 4 |
| Dartmouth, MA | $105.77 | $93.47 – $114.29 | 1,216 | 4 |
| Sewell, NJ | $347.22 | $342.68 – $390.35 | 1,219 | 2 |
| Buffalo, NY | $693.73 | $84.90 – $1,884 | 1,221 | 7 |
| Farmville, VA | $274.39 | $123.65 – $469.91 | 1,222 | 2 |
| Shenandoah, TX | $184.45 | $184.45 – $184.45 | 1,233 | 1 |
| Nampa, ID | $340.51 | $234.11 – $341.73 | 1,234 | 2 |
| Frederick, MD | $202.27 | $134.37 – $299.52 | 1,240 | 3 |
| Olney, MD | $307.86 | $113.05 – $312.85 | 1,240 | 2 |
| Tulsa, OK | $341.62 | $119.50 – $368.14 | 1,244 | 6 |
| Marietta, OH | $430.56 | $94.70 – $434.37 | 1,247 | 2 |
| Jamestown, NY | $404.97 | $116.03 – $874.84 | 1,248 | 3 |
| Prospect, CT | $170.59 | $140.28 – $177.17 | 1,250 | 2 |
| Vernon, CT | $168.35 | $134.81 – $755.81 | 1,259 | 2 |
| Richland, WA | $242.75 | $112.04 – $371.97 | 1,266 | 4 |
| Westlake, OH | $282.81 | $146.12 – $339.07 | 1,281 | 6 |
| Gallipolis, OH | $699.07 | $209.23 – $844.24 | 1,286 | 2 |
| Caguas, PR | $213.87 | $175.47 – $343.75 | 1,288 | 3 |
| Sioux City, IA | $274.93 | $140.31 – $306.01 | 1,288 | 3 |
| Rancho Mirage, CA | $398.23 | $260.60 – $404.25 | 1,290 | 2 |
| Oakdale, CA | $166.84 | $166.84 – $166.84 | 1,291 | 1 |
| Anderson, SC | $24.54 | $21.91 – $107.61 | 1,300 | 2 |
| Cleveland Hts, OH | $193.05 | $193.05 – $193.05 | 1,301 | 1 |
| Downey, CA | $146.43 | $58.68 – $984.67 | 1,302 | 8 |
| Mentor, OH | $257.91 | $164.56 – $259.95 | 1,307 | 2 |
| Saint Paul, MN | $370.82 | $188.77 – $709.99 | 1,314 | 5 |
| Waterloo, IA | $242.06 | $161.27 – $387.29 | 1,315 | 5 |
| Midlothian, VA | $673.48 | $673.48 – $673.48 | 1,316 | 1 |
| Humacao, PR | $357.49 | $93.64 – $449.37 | 1,331 | 6 |
| Atlanta, GA | $822.58 | $32.08 – $3,480 | 1,335 | 8 |
| Fort Smith, AR | $145.80 | $145.80 – $145.80 | 1,351 | 1 |
| Westerville, OH | $366.37 | $155.60 – $598.24 | 1,351 | 4 |
| Hamden, CT | $242.40 | $85.73 – $411.69 | 1,351 | 6 |
| Norman, OK | $306.82 | $217.84 – $343.11 | 1,353 | 2 |
| Laguna Hills, CA | $210.04 | $129.52 – $211.12 | 1,367 | 2 |
| Steubenville, OH | $280.74 | $164.41 – $454.21 | 1,370 | 3 |
| Neptune, NJ | $346.00 | $92.25 – $714.15 | 1,370 | 5 |
| Tampa, FL | $164.32 | $75.31 – $535.92 | 1,372 | 8 |
| N Las Vegas, NV | $157.16 | $83.18 – $159.04 | 1,377 | 4 |
| Angeles, PR | $326.03 | $326.03 – $326.03 | 1,377 | 1 |
| Spartanburg, SC | $26.42 | $0.00 – $149.29 | 1,393 | 4 |
| Jamaica, NY | $494.19 | $101.24 – $675.35 | 1,398 | 5 |
| Hialeah, FL | $170.90 | $40.61 – $253.02 | 1,400 | 9 |
| West Bloomfield, MI | $98.50 | $98.50 – $98.50 | 1,400 | 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.