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 |
|---|---|---|---|---|
| Derby, CT | $689.75 | $689.75 – $689.75 | 2,928 | 1 |
| Chesapeake, VA | $627.10 | $175.66 – $628.96 | 2,929 | 2 |
| Belleville, NJ | $700.12 | $107.13 – $812.99 | 2,938 | 3 |
| Troy, NY | $622.74 | $622.74 – $622.74 | 2,943 | 1 |
| Missoula, MT | $131.73 | $36.81 – $460.28 | 2,952 | 6 |
| Morehead, KY | $233.92 | $163.23 – $323.01 | 2,954 | 2 |
| Marrero, LA | $168.42 | $155.40 – $296.19 | 2,981 | 7 |
| Peoria, AZ | $236.89 | $96.62 – $287.55 | 3,000 | 6 |
| Marshall, MI | $241.40 | $86.07 – $422.04 | 3,000 | 2 |
| Encino, CA | $4.52 | $0.00 – $6.62 | 3,020 | 2 |
| Tustin, CA | $103.38 | $8.40 – $244.70 | 3,023 | 2 |
| Santa Fe, NM | $311.39 | $287.04 – $511.65 | 3,029 | 8 |
| Kenosha, WI | $212.74 | $208.56 – $294.66 | 3,039 | 5 |
| Hilliard, OH | $230.91 | $142.80 – $359.86 | 3,069 | 5 |
| Vacaville, CA | $54.79 | $54.79 – $54.79 | 3,083 | 1 |
| Santa Rosa, CA | $101.32 | $37.90 – $426.36 | 3,097 | 7 |
| Burlington, MA | $985.04 | $146.84 – $988.30 | 3,098 | 2 |
| Great Neck, NY | $224.67 | $19.08 – $279.17 | 3,116 | 2 |
| Cooperstown, NY | $934.49 | $131.21 – $986.98 | 3,126 | 3 |
| Watchung, NJ | $396.46 | $396.46 – $396.46 | 3,144 | 1 |
| Kingsport, TN | $136.15 | $104.98 – $193.43 | 3,153 | 9 |
| Winchester, VA | $609.92 | $119.10 – $616.63 | 3,189 | 2 |
| Maitland, FL | $200.58 | $48.35 – $351.73 | 3,192 | 4 |
| West Allis, WI | $215.87 | $139.80 – $246.53 | 3,202 | 4 |
| Prospect Park, NJ | $243.19 | $243.19 – $243.19 | 3,272 | 1 |
| Herrin, IL | $158.32 | $139.10 – $183.49 | 3,277 | 2 |
| Norfolk, VA | $618.18 | $99.91 – $829.61 | 3,281 | 7 |
| Mineola, NY | $470.50 | $72.17 – $758.78 | 3,286 | 4 |
| Walnut Creek, CA | $378.90 | $235.35 – $731.21 | 3,288 | 7 |
| Indio, CA | $49.22 | $49.22 – $49.22 | 3,296 | 1 |
| Elmhurst, NY | $275.62 | $95.43 – $558.10 | 3,304 | 7 |
| Charleston, WV | $195.77 | $65.79 – $362.37 | 3,314 | 7 |
| Madera, CA | $18.12 | $0.54 – $260.10 | 3,324 | 7 |
| Pinehurst, NC | $168.01 | $70.68 – $179.15 | 3,338 | 5 |
| Pomona, CA | $408.27 | $44.70 – $565.14 | 3,349 | 6 |
| Worcester, MA | $744.74 | $64.26 – $992.36 | 3,350 | 19 |
| Morgantown, WV | $241.90 | $94.27 – $1,449 | 3,359 | 5 |
| Owensboro, KY | $193.81 | $155.05 – $299.01 | 3,367 | 4 |
| Logan, WV | $174.38 | $118.88 – $251.78 | 3,373 | 3 |
| Union City, TN | $102.30 | $96.02 – $125.96 | 3,391 | 2 |
| Passaic, NJ | $410.14 | $410.14 – $410.14 | 3,422 | 1 |
| Nashville, TN | $195.05 | $39.27 – $592.31 | 3,430 | 10 |
| Columbia, MD | $199.61 | $3.89 – $255.82 | 3,448 | 5 |
| Silver Spring, MD | $30.70 | $25.65 – $128.51 | 3,463 | 2 |
| Ashtabula, OH | $293.40 | $203.84 – $517.18 | 3,469 | 3 |
| Rancho Cucamonga, CA | $283.98 | $258.37 – $477.18 | 3,473 | 6 |
| Wichita, KS | $196.90 | $130.42 – $315.67 | 3,477 | 7 |
| Auburn, MA | $233.58 | $152.03 – $249.70 | 3,513 | 3 |
| Maywood, NJ | $292.53 | $270.09 – $292.69 | 3,515 | 2 |
| Burien, WA | $329.85 | $71.87 – $339.45 | 3,520 | 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.