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 |
|---|---|---|---|---|
| Lexington, KY | $357.24 | $134.55 – $630.01 | 20,239 | 21 |
| Richmond, VA | $645.62 | $119.88 – $785.73 | 21,114 | 13 |
| Glendale, CA | $43.58 | $0.00 – $181.62 | 21,908 | 16 |
| Memphis, TN | $116.79 | $3.87 – $215.59 | 22,095 | 9 |
| Sacramento, CA | $255.12 | $0.00 – $1,071 | 22,577 | 26 |
| Federal Way, WA | $353.59 | $70.53 – $374.14 | 22,749 | 9 |
| Oakland, CA | $255.02 | $4.30 – $896.42 | 24,560 | 14 |
| Irvine, CA | $319.84 | $0.00 – $394.78 | 25,059 | 11 |
| Albuquerque, NM | $335.73 | $89.59 – $451.09 | 26,212 | 26 |
| San Jose, CA | $318.52 | $0.00 – $528.42 | 26,451 | 18 |
| New Iberia, LA | $146.49 | $89.79 – $203.79 | 26,681 | 5 |
| Grand Rapids, MI | $210.44 | $102.29 – $424.83 | 27,403 | 7 |
| Louisville, KY | $529.79 | $82.19 – $1,322 | 29,245 | 26 |
| Seattle, WA | $305.69 | $52.15 – $780.82 | 29,918 | 37 |
| Chula Vista, CA | $339.29 | $243.99 – $418.40 | 29,939 | 8 |
| Las Vegas, NV | $202.13 | $4.23 – $293.61 | 31,076 | 34 |
| Westminster, CA | $147.90 | $9.44 – $363.13 | 31,411 | 8 |
| Anaheim, CA | $258.42 | $1.61 – $627.97 | 31,498 | 20 |
| Washington, DC | $649.85 | $4.85 – $829.29 | 31,943 | 28 |
| Tucson, AZ | $317.55 | $87.12 – $2,118 | 32,251 | 33 |
| Boston, MA | $818.20 | $54.28 – $1,647 | 33,453 | 42 |
| Milwaukee, WI | $202.50 | $168.76 – $364.36 | 35,950 | 33 |
| Detroit, MI | $284.05 | $89.70 – $502.28 | 42,577 | 14 |
| Bakersfield, CA | $512.81 | $96.95 – $1,043 | 43,403 | 17 |
| San Diego, CA | $341.35 | $19.78 – $473.08 | 47,215 | 20 |
| Phoenix, AZ | $268.06 | $48.75 – $623.68 | 49,941 | 40 |
| Flushing, NY | $360.91 | $73.03 – $816.79 | 57,865 | 26 |
| Monterey Park, CA | $190.53 | $36.01 – $263.02 | 57,916 | 15 |
| Bronx, NY | $534.40 | $98.87 – $963.82 | 64,609 | 51 |
| Los Angeles, CA | $204.62 | $0.00 – $925.41 | 69,220 | 63 |
| Brooklyn, NY | $404.08 | $80.28 – $1,351 | 100,671 | 94 |
| New York, NY | $480.84 | $29.16 – $793.21 | 109,933 | 79 |
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.