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 |
|---|---|---|---|---|
| Morristown, NJ | $651.44 | $244.32 – $653.56 | 5,618 | 2 |
| Pikeville, KY | $314.22 | $102.35 – $364.60 | 5,634 | 7 |
| Miami, FL | $167.80 | $4.83 – $297.04 | 5,648 | 14 |
| Tupelo, MS | $157.57 | $81.58 – $159.22 | 5,657 | 4 |
| Albany, GA | $150.39 | $150.39 – $150.39 | 5,660 | 1 |
| Farmington, CT | $602.51 | $3.67 – $628.28 | 5,671 | 6 |
| Traverse City, MI | $220.04 | $109.53 – $462.47 | 5,691 | 4 |
| Orlando, FL | $234.83 | $62.81 – $266.87 | 5,700 | 6 |
| Fayetteville, NC | $164.25 | $90.06 – $231.71 | 5,728 | 8 |
| Oroville, CA | $145.06 | $36.72 – $487.95 | 5,745 | 4 |
| Portland, ME | $417.73 | $141.40 – $481.57 | 5,793 | 5 |
| Fall River, MA | $311.76 | $81.46 – $1,099 | 5,810 | 13 |
| Gonzales, LA | $209.91 | $199.16 – $223.70 | 5,884 | 3 |
| Baton Rouge, LA | $189.94 | $47.11 – $274.24 | 5,888 | 12 |
| Chino, CA | $294.11 | $54.71 – $395.16 | 5,909 | 5 |
| Augusta, ME | $398.73 | $161.37 – $401.11 | 5,938 | 2 |
| Spokane Valley, WA | $221.33 | $79.50 – $330.00 | 5,940 | 3 |
| Farmington Hills, MI | $213.65 | $77.94 – $488.25 | 5,944 | 5 |
| Richmond, KY | $343.88 | $104.84 – $475.52 | 5,998 | 4 |
| Boise, ID | $324.05 | $142.74 – $342.88 | 6,018 | 5 |
| Kennewick, WA | $206.09 | $77.65 – $281.81 | 6,047 | 3 |
| Renton, WA | $329.73 | $61.05 – $455.69 | 6,064 | 5 |
| El Cajon, CA | $436.34 | $231.15 – $450.54 | 6,132 | 2 |
| Long Beach, CA | $142.65 | $44.12 – $191.43 | 6,167 | 7 |
| Norwich, CT | $210.95 | $52.93 – $562.33 | 6,179 | 7 |
| Huntington Beach, CA | $369.47 | $0.00 – $1,012 | 6,197 | 6 |
| El Centro, CA | $190.59 | $73.94 – $265.99 | 6,199 | 4 |
| Kansas City, MO | $526.06 | $130.70 – $563.24 | 6,201 | 5 |
| Madisonville, KY | $305.95 | $159.65 – $376.91 | 6,209 | 2 |
| Lowell, MA | $853.48 | $82.51 – $1,105 | 6,251 | 6 |
| North Bergen, NJ | $339.45 | $118.71 – $736.83 | 6,265 | 7 |
| Newark, DE | $224.73 | $208.63 – $363.94 | 6,362 | 4 |
| Willimantic, CT | $385.29 | $82.40 – $690.84 | 6,392 | 2 |
| East Lansing, MI | $107.37 | $105.43 – $156.85 | 6,424 | 3 |
| Fountain Valley, CA | $203.14 | $0.00 – $498.34 | 6,510 | 12 |
| Norwalk, CT | $630.64 | $56.33 – $732.27 | 6,571 | 7 |
| Voorhees, NJ | $361.58 | $110.49 – $1,131 | 6,715 | 7 |
| Freedom, CA | $415.70 | $138.91 – $423.06 | 6,799 | 3 |
| Liverpool, NY | $335.02 | $136.64 – $417.44 | 6,832 | 6 |
| Thornton, CO | $183.27 | $102.78 – $193.61 | 6,954 | 5 |
| Akron, OH | $412.78 | $152.08 – $808.99 | 7,032 | 10 |
| Covington, LA | $134.40 | $97.79 – $197.20 | 7,101 | 2 |
| Albany, NY | $553.67 | $189.48 – $866.41 | 7,170 | 4 |
| Richmond, IN | $823.18 | $8.38 – $872.18 | 7,213 | 3 |
| Coto Laurel, PR | $312.66 | $255.18 – $332.23 | 7,263 | 2 |
| Dearborn, MI | $252.69 | $24.59 – $503.91 | 7,293 | 9 |
| Baltimore, MD | $133.59 | $-6.17 – $666.88 | 7,343 | 31 |
| Corbin, KY | $236.09 | $118.43 – $321.10 | 7,348 | 8 |
| Edison, NJ | $494.99 | $0.00 – $771.00 | 7,352 | 6 |
| Fresh Meadows, NY | $470.18 | $137.47 – $471.40 | 7,360 | 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.