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 |
|---|---|---|---|---|
| Presque Isle, ME | $307.08 | $307.08 – $307.08 | 28 | 1 |
| Saint Cloud, FL | $87.46 | $87.46 – $87.46 | 28 | 1 |
| Damariscotta, ME | $42.69 | $42.69 – $42.69 | 28 | 1 |
| Anaconda, MT | $206.68 | $206.68 – $206.68 | 28 | 1 |
| Cotto Laurel, PR | $126.96 | $126.96 – $126.96 | 28 | 1 |
| Summit, WI | $232.24 | $171.91 – $292.56 | 28 | 2 |
| Salisbury, MD | $163.34 | $76.87 – $244.06 | 29 | 2 |
| Lake Mary, FL | $158.27 | $158.27 – $158.27 | 29 | 1 |
| Somersworth, NH | $111.76 | $111.76 – $111.76 | 29 | 1 |
| Hazleton, PA | $211.29 | $211.29 – $211.29 | 29 | 1 |
| Decatur, GA | $226.12 | $226.12 – $226.12 | 29 | 1 |
| Ahoskie, NC | $245.07 | $245.07 – $245.07 | 29 | 1 |
| Morgan City, LA | $220.09 | $220.09 – $220.09 | 29 | 1 |
| Sitka, AK | $490.07 | $490.07 – $490.07 | 29 | 1 |
| Starkville, MS | $235.10 | $235.10 – $235.10 | 29 | 1 |
| Alamosa, CO | $376.30 | $376.30 – $376.30 | 30 | 1 |
| Enfield, CT | $86.73 | $86.73 – $86.73 | 30 | 1 |
| Livingston, NJ | $926.53 | $926.53 – $926.53 | 30 | 1 |
| Manchester, TN | $182.10 | $182.10 – $182.10 | 30 | 1 |
| Springhill, LA | $183.58 | $183.58 – $183.58 | 30 | 1 |
| Columbus, NC | $123.65 | $123.65 – $123.65 | 30 | 1 |
| Macclenny, FL | $147.73 | $147.73 – $147.73 | 30 | 1 |
| Nottingham, MD | $233.31 | $147.53 – $345.48 | 30 | 2 |
| Verona, WI | $234.43 | $234.43 – $234.43 | 31 | 1 |
| Butte, MT | $0.00 | $0.00 – $0.00 | 31 | 1 |
| West Branch, MI | $261.36 | $261.36 – $261.36 | 31 | 1 |
| Elyria, OH | $384.22 | $384.22 – $384.22 | 32 | 1 |
| Warwick, RI | $124.61 | $124.61 – $124.61 | 32 | 1 |
| Terrytown, LA | $219.60 | $219.60 – $219.60 | 32 | 1 |
| Alpharetta, GA | $507.01 | $507.01 – $507.01 | 32 | 1 |
| Valley, AL | $179.37 | $123.32 – $228.83 | 32 | 2 |
| Bradenton, FL | $135.54 | $135.54 – $135.54 | 33 | 1 |
| Hartsville, SC | $0.00 | $0.00 – $0.00 | 33 | 1 |
| Artesia, NM | $47.80 | $47.80 – $47.80 | 34 | 1 |
| Dover, OH | $357.73 | $357.73 – $357.73 | 34 | 1 |
| Ewa Beach, HI | $574.37 | $574.37 – $574.37 | 34 | 1 |
| Lewes, DE | $136.29 | $5.64 – $357.37 | 35 | 2 |
| Johnstown, PA | $120.39 | $120.39 – $120.39 | 35 | 1 |
| Carrollton, KY | $81.72 | $81.72 – $81.72 | 35 | 1 |
| Berlin, MD | $318.24 | $318.24 – $318.24 | 36 | 1 |
| Sierra Madre, CA | $241.73 | $241.73 – $241.73 | 36 | 1 |
| Clare, MI | $481.72 | $481.72 – $481.72 | 36 | 1 |
| Saint Croix Falls, WI | $531.37 | $531.37 – $531.37 | 37 | 1 |
| Elizabeth City, NC | $150.66 | $150.66 – $150.66 | 37 | 1 |
| South Lake Tahoe, CA | $200.63 | $21.18 – $286.76 | 37 | 2 |
| Weston, FL | $92.84 | $92.84 – $92.84 | 38 | 1 |
| Middle Village, NY | $218.62 | $218.62 – $218.62 | 38 | 1 |
| Brainerd, MN | $658.55 | $658.55 – $658.55 | 38 | 1 |
| Dothan, AL | $6.24 | $0.00 – $9.73 | 39 | 2 |
| Fayetteville, NY | $370.26 | $370.26 – $370.26 | 39 | 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.