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 |
|---|---|---|---|---|
| Manchester, NH | $217.41 | $51.45 – $309.31 | 2,009 | 10 |
| Saint Louis, MO | $332.10 | $34.03 – $459.99 | 2,012 | 9 |
| Elkins, WV | $171.35 | $161.27 – $184.98 | 2,012 | 3 |
| North Las Vegas, NV | $162.62 | $157.45 – $171.84 | 2,016 | 3 |
| Leominster, MA | $199.00 | $31.96 – $243.28 | 2,017 | 5 |
| Framingham, MA | $559.30 | $37.74 – $846.43 | 2,025 | 5 |
| Salem, MA | $316.16 | $67.00 – $472.31 | 2,035 | 8 |
| Oak Lawn, IL | $164.78 | $140.79 – $192.64 | 2,037 | 6 |
| Reno, NV | $207.17 | $144.16 – $266.95 | 2,044 | 7 |
| Moline, IL | $192.64 | $174.91 – $201.47 | 2,049 | 3 |
| Fort Myers, FL | $134.72 | $62.86 – $168.82 | 2,062 | 8 |
| Salem, VA | $352.69 | $108.37 – $362.24 | 2,079 | 3 |
| Modesto, CA | $301.91 | $0.00 – $512.33 | 2,086 | 11 |
| West Islip, NY | $427.71 | $320.59 – $681.15 | 2,091 | 3 |
| San Bernardino, CA | $315.24 | $302.54 – $343.59 | 2,098 | 3 |
| Biddeford, ME | $481.39 | $149.61 – $483.45 | 2,101 | 2 |
| Vadnais Heights, MN | $506.80 | $506.80 – $506.80 | 2,104 | 1 |
| Columbia, SC | $147.60 | $0.00 – $195.05 | 2,113 | 8 |
| Lake Charles, LA | $159.96 | $149.10 – $245.66 | 2,120 | 3 |
| South Windsor, CT | $123.93 | $81.36 – $160.73 | 2,139 | 4 |
| Fishersville, VA | $560.44 | $66.48 – $578.49 | 2,148 | 3 |
| Grosse Pointe, MI | $529.04 | $529.04 – $529.04 | 2,153 | 1 |
| Mccomb, MS | $226.20 | $91.31 – $338.68 | 2,175 | 2 |
| Secaucus, NJ | $473.35 | $283.06 – $579.34 | 2,184 | 4 |
| Holyoke, MA | $576.42 | $101.91 – $583.01 | 2,192 | 2 |
| Falls Church, VA | $598.84 | $124.59 – $607.64 | 2,195 | 2 |
| Youngstown, OH | $478.58 | $337.22 – $507.89 | 2,219 | 5 |
| West Covina, CA | $96.36 | $60.52 – $253.36 | 2,243 | 4 |
| Garden City, NY | $419.54 | $216.61 – $468.03 | 2,244 | 3 |
| Saint Clair Shores, MI | $103.65 | $103.17 – $104.73 | 2,267 | 2 |
| Racine, WI | $152.77 | $152.77 – $152.77 | 2,279 | 1 |
| Clinton Township, MI | $115.81 | $102.96 – $115.88 | 2,279 | 2 |
| Ogden, UT | $81.41 | $11.92 – $266.30 | 2,298 | 7 |
| Lorain, OH | $298.87 | $180.66 – $447.31 | 2,311 | 4 |
| Danville, KY | $261.88 | $83.05 – $270.78 | 2,321 | 4 |
| Westbury, NY | $433.89 | $433.89 – $433.89 | 2,333 | 1 |
| Columbus, MS | $140.57 | $0.00 – $141.54 | 2,335 | 2 |
| Richmond Hill, NY | $815.42 | $209.26 – $840.77 | 2,341 | 2 |
| Winchester, KY | $264.45 | $160.67 – $269.71 | 2,343 | 2 |
| Cedar Falls, IA | $305.75 | $305.75 – $305.75 | 2,354 | 1 |
| Yonkers, NY | $532.46 | $168.42 – $1,392 | 2,373 | 5 |
| Mayfield, KY | $279.62 | $109.90 – $434.76 | 2,381 | 3 |
| Little Rock, AR | $220.22 | $105.87 – $368.85 | 2,383 | 4 |
| Stony Brook, NY | $699.01 | $699.01 – $699.01 | 2,410 | 1 |
| Harlingen, TX | $157.27 | $29.22 – $331.24 | 2,417 | 6 |
| Smithfield, NC | $105.98 | $57.13 – $108.61 | 2,422 | 2 |
| Clive, IA | $323.13 | $137.95 – $332.36 | 2,428 | 5 |
| Boynton Beach, FL | $255.68 | $186.26 – $256.11 | 2,430 | 2 |
| Chattanooga, TN | $268.61 | $215.96 – $393.51 | 2,443 | 5 |
| Springfield, OH | $277.72 | $151.41 – $376.07 | 2,445 | 5 |
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.