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 |
|---|---|---|---|---|
| St Petersburg, FL | $167.90 | $102.04 – $230.47 | 39 | 2 |
| Roseville, CA | $544.03 | $544.03 – $544.03 | 39 | 1 |
| Huntington Station, NY | $369.32 | $369.32 – $369.32 | 39 | 1 |
| Weslaco, TX | $67.13 | $67.13 – $67.13 | 39 | 1 |
| Chevy Chase, MD | $117.92 | $99.70 – $154.37 | 39 | 2 |
| Bolivar, MO | $532.88 | $532.88 – $532.88 | 39 | 1 |
| Germantown, MD | $151.49 | $151.49 – $151.49 | 40 | 1 |
| Dalton, GA | $89.67 | $89.67 – $89.67 | 40 | 1 |
| Santa Monica, CA | $235.27 | $77.11 – $563.77 | 40 | 2 |
| Leesburg, FL | $295.05 | $295.05 – $295.05 | 40 | 1 |
| Middlesboro, KY | $432.35 | $432.35 – $432.35 | 40 | 1 |
| Hillsboro, OH | $613.10 | $613.10 – $613.10 | 40 | 1 |
| Williamstown, KY | $162.55 | $162.55 – $162.55 | 40 | 1 |
| Hudson, OH | $353.33 | $272.39 – $527.67 | 41 | 2 |
| Hendersonville, TN | $101.62 | $101.62 – $101.62 | 41 | 1 |
| Gurnee, IL | $181.68 | $137.23 – $200.07 | 41 | 2 |
| Manassas, VA | $745.31 | $239.92 – $954.44 | 41 | 2 |
| Salisbury, NC | $121.53 | $121.53 – $121.53 | 41 | 1 |
| Vicksburg, MS | $161.47 | $101.22 – $189.45 | 41 | 2 |
| Lone Tree, CO | $202.59 | $202.59 – $202.59 | 41 | 1 |
| Mount Vernon, NY | $518.77 | $225.02 – $1,229 | 41 | 2 |
| Abingdon, MD | $68.17 | $68.17 – $68.17 | 41 | 1 |
| Hollywood, FL | $180.19 | $180.19 – $180.19 | 42 | 1 |
| Temple, TX | $105.00 | $105.00 – $105.00 | 42 | 1 |
| Edmond, OK | $97.33 | $97.33 – $97.33 | 42 | 1 |
| Redwood City, CA | $380.74 | $380.74 – $380.74 | 42 | 1 |
| Kennebunk, ME | $100.81 | $100.81 – $100.81 | 42 | 1 |
| Clinton, IA | $233.09 | $113.89 – $292.69 | 42 | 2 |
| Two Rivers, WI | $252.27 | $252.27 – $252.27 | 42 | 1 |
| Woodbury, MN | $566.27 | $119.38 – $766.60 | 42 | 2 |
| Spring Valley, NY | $143.84 | $143.84 – $143.84 | 42 | 1 |
| Rocky Mount, VA | $751.91 | $751.91 – $751.91 | 42 | 1 |
| Saint Cloud, MN | $377.67 | $377.67 – $377.67 | 43 | 1 |
| Sanford, NC | $89.56 | $76.00 – $112.44 | 43 | 2 |
| Bethel, AK | $917.31 | $917.31 – $917.31 | 43 | 1 |
| Galveston, TX | $291.06 | $2.87 – $1,036 | 43 | 2 |
| Bordentown, NJ | $252.68 | $252.68 – $252.68 | 43 | 1 |
| Logan, UT | $0.00 | $0.00 – $0.00 | 44 | 1 |
| Poland, OH | $140.84 | $140.84 – $140.84 | 44 | 1 |
| Loris, SC | $0.00 | $0.00 – $0.00 | 44 | 1 |
| Westland, MI | $220.66 | $220.66 – $220.66 | 44 | 1 |
| Mankato, MN | $595.79 | $129.30 – $776.45 | 45 | 3 |
| Middlebury, CT | $84.22 | $84.22 – $84.22 | 45 | 1 |
| Jonesboro, GA | $101.98 | $101.98 – $101.98 | 45 | 1 |
| Marksville, LA | $187.08 | $187.08 – $187.08 | 46 | 1 |
| Mount Airy, NC | $145.02 | $145.02 – $145.02 | 46 | 1 |
| Millinocket, ME | $37.62 | $37.62 – $37.62 | 46 | 1 |
| Woodridge, IL | $190.61 | $190.61 – $190.61 | 46 | 1 |
| Carmel, IN | $329.27 | $329.27 – $329.27 | 47 | 1 |
| Key West, FL | $192.64 | $192.64 – $192.64 | 47 | 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.