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 |
|---|---|---|---|---|
| Commerce, CA | $0.00 | $0.00 – $0.00 | 15 | 1 |
| Coudersport, PA | $637.50 | $637.50 – $637.50 | 15 | 1 |
| Ruleville, MS | $388.41 | $388.41 – $388.41 | 15 | 1 |
| Columbiana, OH | $52.74 | $52.74 – $52.74 | 16 | 1 |
| Ranson, WV | $251.50 | $251.50 – $251.50 | 16 | 1 |
| Highland, IL | $227.07 | $227.07 – $227.07 | 16 | 1 |
| Warrenton, VA | $480.16 | $480.16 – $480.16 | 16 | 1 |
| Lebanon, PA | $147.55 | $147.55 – $147.55 | 16 | 1 |
| Lutherville, MD | $231.60 | $231.60 – $231.60 | 16 | 1 |
| Belmont, NC | $284.88 | $284.88 – $284.88 | 16 | 1 |
| San Dimas, CA | $0.66 | $0.66 – $0.66 | 16 | 1 |
| Nogales, AZ | $678.06 | $678.06 – $678.06 | 16 | 1 |
| West Paterson, NJ | $183.20 | $183.20 – $183.20 | 16 | 1 |
| Fremont, OH | $627.88 | $627.88 – $627.88 | 16 | 1 |
| Johns Creek, GA | $270.55 | $270.55 – $270.55 | 16 | 1 |
| Dillon, SC | $50.85 | $50.85 – $50.85 | 16 | 1 |
| Laconia, NH | $670.57 | $670.57 – $670.57 | 16 | 1 |
| Sunnyside, WA | $977.99 | $977.99 – $977.99 | 17 | 1 |
| Lebanon, KY | $97.96 | $97.96 – $97.96 | 17 | 1 |
| Freehold, NJ | $275.73 | $275.73 – $275.73 | 17 | 1 |
| Osage Beach, MO | $159.34 | $159.34 – $159.34 | 17 | 1 |
| Wise, VA | $70.39 | $70.39 – $70.39 | 17 | 1 |
| Mora, MN | $818.90 | $818.90 – $818.90 | 17 | 1 |
| Williamsport, PA | $237.56 | $237.56 – $237.56 | 18 | 1 |
| Ridgecrest, CA | $137.53 | $137.53 – $137.53 | 18 | 1 |
| Rolla, MO | $95.61 | $95.61 – $95.61 | 18 | 1 |
| Geneva, OH | $469.85 | $469.85 – $469.85 | 18 | 1 |
| Cuyahoga Falls, OH | $529.99 | $529.99 – $529.99 | 19 | 1 |
| Abbeville, LA | $0.00 | $0.00 – $0.00 | 19 | 1 |
| Sycamore, IL | $246.63 | $246.63 – $246.63 | 19 | 1 |
| Dorado, PR | $157.89 | $157.89 – $157.89 | 19 | 1 |
| Bar Harbor, ME | $252.39 | $252.39 – $252.39 | 19 | 1 |
| Leitchfield, KY | $164.85 | $164.85 – $164.85 | 20 | 1 |
| Duluth, GA | $34.93 | $34.93 – $34.93 | 20 | 1 |
| West Nyack, NY | $295.48 | $295.48 – $295.48 | 22 | 1 |
| Tarboro, NC | $139.11 | $139.11 – $139.11 | 23 | 1 |
| Centennial, CO | $78.31 | $78.31 – $78.31 | 23 | 1 |
| Belpre, OH | $117.83 | $117.83 – $117.83 | 23 | 1 |
| Enid, OK | $97.74 | $97.74 – $97.74 | 24 | 1 |
| Klamath Falls, OR | $435.84 | $435.84 – $435.84 | 24 | 1 |
| Newburgh, NY | $448.43 | $68.66 – $828.20 | 24 | 2 |
| Hannibal, MO | $135.40 | $135.40 – $135.40 | 24 | 1 |
| Superior, WI | $567.59 | $567.59 – $567.59 | 24 | 1 |
| Indiana, PA | $202.58 | $202.58 – $202.58 | 24 | 1 |
| Moorestown, NJ | $261.84 | $261.84 – $261.84 | 24 | 1 |
| Cleveland Heights, OH | $227.88 | $227.88 – $227.88 | 24 | 1 |
| Fairhope, AL | $225.04 | $225.04 – $225.04 | 24 | 1 |
| Kernersville, NC | $133.82 | $133.82 – $133.82 | 24 | 1 |
| Rock Hill, NY | $301.15 | $301.15 – $301.15 | 24 | 1 |
| Little Falls, NY | $1,215 | $1,215 – $1,215 | 24 | 1 |
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.