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 |
|---|---|---|---|---|
| Wenatchee, WA | $290.29 | $61.10 – $364.92 | 4,474 | 9 |
| Temecula, CA | $343.16 | $54.74 – $425.62 | 4,474 | 4 |
| Binghamton, NY | $717.65 | $624.25 – $769.55 | 4,499 | 2 |
| Saint Joseph, MI | $330.19 | $84.90 – $486.72 | 4,510 | 4 |
| San Mateo, CA | $37.27 | $32.07 – $483.75 | 4,519 | 4 |
| Paducah, KY | $283.13 | $120.00 – $427.12 | 4,524 | 8 |
| Greeneville, TN | $130.93 | $95.25 – $131.51 | 4,569 | 2 |
| Montgomery, OH | $236.76 | $123.83 – $324.81 | 4,585 | 6 |
| Hawthorne, NJ | $360.22 | $360.22 – $360.22 | 4,590 | 1 |
| Prescott, AZ | $235.17 | $109.59 – $348.71 | 4,598 | 4 |
| Chandler, AZ | $208.61 | $91.21 – $277.43 | 4,617 | 11 |
| Roanoke, VA | $592.68 | $234.79 – $593.61 | 4,630 | 2 |
| Ponce, PR | $242.89 | $96.00 – $299.35 | 4,654 | 13 |
| Mission Viejo, CA | $376.95 | $200.72 – $391.13 | 4,657 | 3 |
| Colorado Springs, CO | $215.44 | $173.51 – $340.20 | 4,703 | 14 |
| Pine Bluff, AR | $225.24 | $129.14 – $228.03 | 4,705 | 4 |
| Franklin Lakes, NJ | $164.01 | $164.01 – $164.01 | 4,732 | 1 |
| Lanham, MD | $265.98 | $247.01 – $267.64 | 4,786 | 2 |
| Crestview Hills, KY | $252.51 | $61.01 – $311.55 | 4,790 | 5 |
| Issaquah, WA | $379.67 | $83.86 – $387.75 | 4,808 | 4 |
| Green Bay, WI | $196.26 | $120.06 – $344.86 | 4,812 | 11 |
| East Patchogue, NY | $375.29 | $100.80 – $408.86 | 4,853 | 3 |
| Hazard, KY | $311.72 | $83.56 – $396.44 | 4,879 | 5 |
| Greenville, NC | $118.57 | $40.04 – $241.75 | 4,903 | 10 |
| Royal Oak, MI | $273.90 | $89.15 – $462.51 | 4,912 | 3 |
| Everett, WA | $177.62 | $24.43 – $427.22 | 4,919 | 6 |
| New Hyde Park, NY | $557.83 | $274.88 – $675.87 | 4,935 | 4 |
| Troy, MI | $503.99 | $503.99 – $503.99 | 4,979 | 1 |
| Warren, OH | $213.47 | $113.12 – $360.67 | 4,982 | 10 |
| Manchester, CT | $580.92 | $52.34 – $609.80 | 4,994 | 3 |
| Florence, SC | $29.69 | $15.35 – $145.26 | 4,999 | 8 |
| Denver, CO | $247.84 | $120.24 – $879.91 | 5,033 | 15 |
| West Orange, NJ | $550.36 | $550.36 – $550.36 | 5,066 | 1 |
| Lakewood, CO | $196.01 | $136.02 – $278.21 | 5,070 | 9 |
| Capitola, CA | $117.71 | $117.71 – $117.71 | 5,146 | 1 |
| Ventura, CA | $303.10 | $172.93 – $492.38 | 5,159 | 7 |
| Lansing, MI | $411.76 | $117.54 – $434.65 | 5,177 | 4 |
| Bayamon, PR | $284.14 | $105.06 – $590.00 | 5,212 | 12 |
| Ocala, FL | $120.87 | $53.20 – $251.51 | 5,221 | 3 |
| Corvallis, OR | $531.84 | $168.93 – $583.47 | 5,233 | 7 |
| Dayton, OH | $326.09 | $105.18 – $761.68 | 5,239 | 21 |
| Louisa, KY | $275.55 | $119.81 – $439.33 | 5,240 | 2 |
| Jacksonville, FL | $355.97 | $79.09 – $622.74 | 5,255 | 8 |
| Wallingford, CT | $4.48 | $3.87 – $61.86 | 5,261 | 2 |
| Medford, OR | $346.26 | $131.02 – $358.80 | 5,315 | 5 |
| Bastrop, LA | $221.89 | $221.89 – $221.89 | 5,354 | 1 |
| Hanford, CA | $38.65 | $12.44 – $105.44 | 5,403 | 4 |
| Colton, CA | $102.58 | $40.41 – $524.11 | 5,425 | 3 |
| Zanesville, OH | $317.42 | $148.09 – $499.16 | 5,462 | 5 |
| Manteca, CA | $438.37 | $413.51 – $535.69 | 5,509 | 2 |
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.