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 |
|---|---|---|---|---|
| Mount Vernon, KY | $153.73 | $153.73 – $153.73 | 24 | 1 |
| Bayshore, NY | $93.76 | $93.76 – $93.76 | 24 | 1 |
| Granbury, TX | $640.70 | $640.70 – $640.70 | 25 | 1 |
| Mountain Home, AR | $169.49 | $169.49 – $169.49 | 25 | 1 |
| Washington, PA | $175.70 | $175.70 – $175.70 | 25 | 1 |
| Payson, AZ | $606.12 | $425.34 – $773.00 | 25 | 2 |
| Latham, NY | $104.82 | $104.82 – $104.82 | 25 | 1 |
| Globe, AZ | $861.33 | $861.33 – $861.33 | 25 | 1 |
| Marysville, OH | $548.68 | $548.68 – $548.68 | 25 | 1 |
| Gaylord, MI | $256.88 | $111.63 – $414.24 | 25 | 2 |
| Brighton, MA | $52.16 | $52.16 – $52.16 | 25 | 1 |
| Rahway, NJ | $90.96 | $90.96 – $90.96 | 25 | 1 |
| Grove City, OH | $148.51 | $148.51 – $148.51 | 26 | 1 |
| Sarasota, FL | $280.35 | $280.35 – $280.35 | 26 | 1 |
| Palo Alto, CA | $238.41 | $1.48 – $441.49 | 26 | 2 |
| Arlington, TX | $178.29 | $178.29 – $178.29 | 26 | 1 |
| West Monroe, LA | $134.09 | $134.09 – $134.09 | 26 | 1 |
| Culpeper, VA | $214.15 | $214.15 – $214.15 | 26 | 1 |
| Novato, CA | $128.68 | $128.68 – $128.68 | 26 | 1 |
| Tempe, AZ | $409.66 | $409.66 – $409.66 | 26 | 1 |
| Mchenry, IL | $274.93 | $274.93 – $274.93 | 26 | 1 |
| Adrian, MI | $468.75 | $468.75 – $468.75 | 26 | 1 |
| Berlin, VT | $95.01 | $95.01 – $95.01 | 26 | 1 |
| Monroe, NC | $175.46 | $71.88 – $279.04 | 26 | 2 |
| Emporia, VA | $377.78 | $107.21 – $609.70 | 26 | 2 |
| Clinton, MO | $453.68 | $453.68 – $453.68 | 26 | 1 |
| Somerville, MA | $154.15 | $154.15 – $154.15 | 26 | 1 |
| Stafford, VA | $707.14 | $707.14 – $707.14 | 26 | 1 |
| Lehighton, PA | $259.13 | $259.13 – $259.13 | 26 | 1 |
| Encinitas, CA | $440.88 | $440.88 – $440.88 | 26 | 1 |
| Hastings, MI | $387.47 | $107.40 – $667.55 | 26 | 2 |
| Dubois, PA | $98.92 | $98.92 – $98.92 | 26 | 1 |
| Libby, MT | $102.94 | $0.00 – $205.88 | 26 | 2 |
| Kettle Falls, WA | $154.60 | $154.60 – $154.60 | 26 | 1 |
| Vernon, NJ | $132.12 | $132.12 – $132.12 | 26 | 1 |
| Shadyside, PA | $208.04 | $208.04 – $208.04 | 26 | 1 |
| Lubbock, TX | $108.19 | $56.99 – $149.15 | 27 | 2 |
| Juneau, AK | $408.99 | $408.99 – $408.99 | 27 | 1 |
| Jupiter, FL | $223.12 | $223.12 – $223.12 | 27 | 1 |
| Turnersville, NJ | $131.84 | $117.34 – $145.30 | 27 | 2 |
| Miamisburg, OH | $167.61 | $167.61 – $167.61 | 27 | 1 |
| Morrisville, VT | $181.14 | $181.14 – $181.14 | 27 | 1 |
| Danville, IL | $225.00 | $225.00 – $225.00 | 27 | 1 |
| Salem, NJ | $552.08 | $552.08 – $552.08 | 27 | 1 |
| Ludington, MI | $99.19 | $99.19 – $99.19 | 27 | 1 |
| New Windsor, NY | $456.06 | $456.06 – $456.06 | 28 | 1 |
| Ocoee, FL | $161.40 | $135.58 – $191.19 | 28 | 2 |
| Boardman, OH | $256.46 | $256.46 – $256.46 | 28 | 1 |
| Mcalester, OK | $348.51 | $348.51 – $348.51 | 28 | 1 |
| Cedar Park, TX | $197.94 | $197.94 – $197.94 | 28 | 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.