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 |
|---|---|---|---|---|
| Cincinnati, OH | $402.24 | $129.40 – $529.61 | 10,798 | 28 |
| Anchorage, AK | $495.63 | $102.17 – $662.46 | 10,840 | 15 |
| Elizabethtown, KY | $407.88 | $136.86 – $559.55 | 10,963 | 5 |
| Turlock, CA | $315.92 | $250.28 – $317.19 | 10,964 | 2 |
| Newport News, VA | $527.25 | $131.96 – $630.21 | 11,021 | 8 |
| Elizabeth, NJ | $319.22 | $105.96 – $414.14 | 11,025 | 3 |
| San Juan, PR | $268.82 | $22.95 – $399.78 | 11,080 | 22 |
| Astoria, NY | $348.16 | $117.66 – $409.15 | 11,131 | 9 |
| Merced, CA | $267.66 | $137.17 – $445.97 | 11,348 | 7 |
| Mesa, AZ | $236.51 | $105.92 – $448.63 | 11,509 | 20 |
| Santa Maria, CA | $238.75 | $38.52 – $346.54 | 11,517 | 7 |
| Springfield, MA | $671.49 | $74.63 – $1,002 | 11,532 | 12 |
| Chicago, IL | $194.25 | $82.95 – $701.69 | 11,625 | 50 |
| Paterson, NJ | $479.60 | $169.61 – $511.66 | 11,660 | 2 |
| San Francisco, CA | $199.84 | $0.00 – $1,220 | 11,682 | 32 |
| Indianapolis, IN | $767.77 | $66.71 – $1,432 | 11,886 | 33 |
| Victorville, CA | $357.35 | $47.07 – $468.53 | 11,913 | 10 |
| Meriden, CT | $333.45 | $63.05 – $606.35 | 12,173 | 6 |
| Rego Park, NY | $477.26 | $239.56 – $483.51 | 12,229 | 5 |
| Escondido, CA | $376.62 | $68.61 – $436.24 | 12,258 | 4 |
| Las Cruces, NM | $286.91 | $236.26 – $418.82 | 12,467 | 8 |
| Ashland, KY | $377.00 | $134.63 – $500.94 | 12,506 | 7 |
| Rialto, CA | $354.89 | $282.01 – $369.21 | 12,671 | 6 |
| Hartford, CT | $586.85 | $45.63 – $937.07 | 13,551 | 9 |
| Honolulu, HI | $423.50 | $128.70 – $892.64 | 13,727 | 16 |
| Knoxville, TN | $326.35 | $5.75 – $398.44 | 13,798 | 10 |
| Waterbury, CT | $475.58 | $85.73 – $624.81 | 14,452 | 9 |
| Fremont, CA | $322.51 | $134.94 – $603.14 | 14,572 | 9 |
| Bridgeport, CT | $652.16 | $110.63 – $813.77 | 14,813 | 3 |
| Santa Ana, CA | $383.30 | $30.00 – $419.01 | 15,166 | 5 |
| Portland, OR | $473.55 | $0.00 – $731.57 | 15,429 | 22 |
| Hammond, LA | $115.09 | $61.56 – $209.54 | 15,456 | 5 |
| Newark, NJ | $651.67 | $106.32 – $1,489 | 15,574 | 10 |
| Saginaw, MI | $208.20 | $99.30 – $416.29 | 15,680 | 7 |
| Springfield, OR | $342.58 | $101.57 – $430.37 | 15,785 | 13 |
| Fresno, CA | $19.55 | $0.00 – $123.50 | 15,848 | 25 |
| Gilbert, AZ | $230.32 | $139.71 – $274.03 | 16,046 | 11 |
| Camden, NJ | $638.40 | $361.32 – $645.09 | 16,311 | 5 |
| Hemet, CA | $353.67 | $92.72 – $457.57 | 16,431 | 8 |
| New Orleans, LA | $173.93 | $0.00 – $302.20 | 16,898 | 21 |
| Columbus, OH | $349.20 | $130.10 – $822.24 | 17,302 | 26 |
| Clifton, NJ | $393.16 | $101.18 – $854.46 | 17,534 | 10 |
| Riverside, CA | $329.01 | $0.00 – $479.83 | 17,570 | 20 |
| Shreveport, LA | $210.93 | $72.27 – $328.11 | 17,648 | 14 |
| Ann Arbor, MI | $263.78 | $102.85 – $495.12 | 18,760 | 6 |
| Palm Springs, CA | $330.69 | $64.65 – $464.84 | 18,966 | 6 |
| Spokane, WA | $258.07 | $63.07 – $444.19 | 19,027 | 17 |
| Cleveland, OH | $533.53 | $109.07 – $667.00 | 19,196 | 30 |
| New Haven, CT | $564.82 | $72.72 – $627.86 | 19,534 | 13 |
| Yuma, AZ | $420.01 | $151.81 – $686.62 | 19,710 | 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.