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 |
|---|---|---|---|---|
| Yorba Linda, CA | $396.11 | $396.11 – $396.11 | 1,405 | 1 |
| Beckley, WV | $278.70 | $130.32 – $484.04 | 1,419 | 7 |
| Summit, NJ | $639.00 | $639.00 – $639.00 | 1,424 | 1 |
| Fort Wayne, IN | $426.69 | $95.57 – $974.29 | 1,426 | 13 |
| East Syracuse, NY | $417.38 | $417.38 – $417.38 | 1,428 | 1 |
| Pontiac, MI | $630.11 | $102.78 – $2,656 | 1,430 | 4 |
| Leesburg, VA | $121.05 | $53.09 – $276.55 | 1,434 | 5 |
| Mount Pleasant, MI | $108.01 | $108.01 – $108.01 | 1,434 | 1 |
| Lawrence, MA | $277.54 | $277.54 – $277.54 | 1,437 | 1 |
| Torrance, CA | $121.77 | $0.00 – $132.25 | 1,438 | 3 |
| Provo, UT | $209.53 | $167.26 – $217.48 | 1,441 | 2 |
| Geneva, NY | $429.29 | $118.62 – $469.27 | 1,442 | 3 |
| Brick, NJ | $146.84 | $138.77 – $394.14 | 1,445 | 3 |
| Danville, VA | $380.26 | $117.67 – $398.20 | 1,448 | 3 |
| Denison, TX | $293.59 | $293.59 – $293.59 | 1,450 | 1 |
| Lighthouse Point, FL | $102.04 | $100.36 – $104.66 | 1,462 | 2 |
| Dickson, TN | $182.70 | $35.23 – $184.13 | 1,464 | 2 |
| Farmington, NM | $471.76 | $169.09 – $546.13 | 1,468 | 3 |
| Charlotte, NC | $171.74 | $93.55 – $236.79 | 1,476 | 8 |
| Hilo, HI | $379.03 | $228.73 – $584.11 | 1,476 | 5 |
| Pennington, NJ | $1,013 | $215.23 – $1,181 | 1,478 | 2 |
| New Albany, IN | $235.83 | $133.08 – $409.14 | 1,482 | 7 |
| Fort Lee, NJ | $98.46 | $98.46 – $98.46 | 1,483 | 1 |
| West Bridgewater, MA | $282.30 | $282.30 – $282.30 | 1,488 | 1 |
| Oak Park, IL | $173.18 | $98.35 – $173.99 | 1,495 | 2 |
| Northridge, CA | $157.46 | $23.03 – $191.81 | 1,505 | 3 |
| Port Jefferson Station, NY | $411.92 | $411.92 – $411.92 | 1,511 | 1 |
| Richlands, VA | $394.79 | $116.89 – $400.20 | 1,517 | 2 |
| Cherry Hill, NJ | $159.29 | $128.27 – $442.03 | 1,519 | 5 |
| Camarillo, CA | $322.84 | $322.84 – $322.84 | 1,528 | 1 |
| Dover, DE | $170.97 | $29.78 – $223.72 | 1,529 | 5 |
| Henderson, NV | $174.21 | $159.55 – $249.53 | 1,532 | 6 |
| Vista, CA | $326.34 | $326.34 – $326.34 | 1,538 | 1 |
| Seaford, DE | $212.32 | $8.44 – $377.76 | 1,546 | 6 |
| Irvington, NJ | $97.24 | $97.24 – $97.24 | 1,552 | 1 |
| Germantown, TN | $32.86 | $5.22 – $155.17 | 1,560 | 3 |
| Many, LA | $85.58 | $85.58 – $85.58 | 1,560 | 1 |
| Providence, RI | $271.68 | $149.63 – $413.13 | 1,564 | 14 |
| Burton, MI | $528.61 | $522.46 – $845.76 | 1,576 | 2 |
| Petoskey, MI | $454.64 | $82.83 – $489.94 | 1,579 | 4 |
| Tualatin, OR | $500.28 | $500.28 – $500.28 | 1,592 | 1 |
| Poughkeepsie, NY | $492.56 | $237.86 – $502.18 | 1,594 | 2 |
| Puyallup, WA | $243.72 | $79.57 – $257.04 | 1,595 | 6 |
| Metairie, LA | $146.18 | $144.10 – $223.20 | 1,610 | 3 |
| Sioux Falls, SD | $206.14 | $184.16 – $215.67 | 1,613 | 2 |
| Mount Clemens, MI | $503.72 | $503.72 – $503.72 | 1,614 | 1 |
| Anderson, IN | $149.07 | $80.87 – $185.49 | 1,620 | 7 |
| Laguna Woods, CA | $0.20 | $0.20 – $0.20 | 1,629 | 1 |
| Lodi, CA | $181.59 | $166.24 – $351.91 | 1,645 | 2 |
| Utica, NY | $467.20 | $146.31 – $904.86 | 1,647 | 4 |
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.