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 |
|---|---|---|---|---|
| San Luis Obispo, CA | $344.87 | $344.87 – $344.87 | 47 | 1 |
| Chester, PA | $122.43 | $122.43 – $122.43 | 47 | 1 |
| Port Matilda, PA | $771.62 | $771.62 – $771.62 | 47 | 1 |
| North Charleston, SC | $147.02 | $147.02 – $147.02 | 48 | 1 |
| Long Branch, NJ | $466.83 | $466.83 – $466.83 | 48 | 1 |
| San Pablo, CA | $260.25 | $143.63 – $299.12 | 48 | 2 |
| Chambersburg, PA | $195.50 | $0.33 – $270.19 | 49 | 3 |
| Titusville, FL | $50.34 | $50.34 – $50.34 | 49 | 1 |
| Natchitoches, LA | $168.87 | $168.87 – $168.87 | 49 | 1 |
| Hamilton, MT | $0.00 | $0.00 – $0.00 | 49 | 1 |
| Crestview, FL | $98.54 | $98.54 – $98.54 | 49 | 1 |
| Salem, IN | $987.69 | $987.69 – $987.69 | 49 | 1 |
| South Euclid, OH | $362.19 | $362.19 – $362.19 | 49 | 1 |
| Escanaba, MI | $667.49 | $667.49 – $667.49 | 49 | 1 |
| Carlsbad, NM | $352.59 | $158.53 – $428.06 | 50 | 2 |
| Carmel, NY | $562.75 | $562.75 – $562.75 | 50 | 1 |
| Dover, NH | $419.20 | $419.20 – $419.20 | 50 | 1 |
| Carol Stream, IL | $192.49 | $192.49 – $192.49 | 50 | 1 |
| Belfast, ME | $16.25 | $16.25 – $16.25 | 50 | 1 |
| Scarsdale, NY | $163.38 | $163.38 – $163.38 | 50 | 1 |
| Vernon Rockville, CT | $246.35 | $246.35 – $246.35 | 50 | 1 |
| Dansville, NY | $658.96 | $658.96 – $658.96 | 51 | 1 |
| Greenville, MI | $362.35 | $362.35 – $362.35 | 51 | 1 |
| Christiansted, St. Croix, VI | $0.00 | $0.00 – $0.00 | 52 | 1 |
| Mission Hills, CA | $69.32 | $0.00 – $153.09 | 53 | 2 |
| Sandy, UT | $197.01 | $165.09 – $264.60 | 53 | 2 |
| Chelmsford, MA | $127.93 | $118.63 – $138.36 | 53 | 2 |
| Gonzales, CA | $141.95 | $141.95 – $141.95 | 53 | 1 |
| Ellensburg, WA | $490.54 | $101.10 – $617.10 | 53 | 2 |
| Levittown, PA | $189.50 | $187.66 – $194.76 | 54 | 2 |
| Redmond, WA | $256.05 | $256.05 – $256.05 | 54 | 1 |
| Wharton, TX | $69.72 | $69.72 – $69.72 | 54 | 1 |
| Lawrenceburg, IN | $108.15 | $102.22 – $109.98 | 55 | 2 |
| Drexel Hill, PA | $630.08 | $630.08 – $630.08 | 55 | 1 |
| Colusa, CA | $463.38 | $463.38 – $463.38 | 56 | 1 |
| Mobile, AL | $365.85 | $118.72 – $470.88 | 57 | 2 |
| Alexandria, LA | $149.51 | $68.67 – $339.72 | 57 | 2 |
| Lynchburg, VA | $294.36 | $294.36 – $294.36 | 57 | 1 |
| Rye Brook, NY | $346.00 | $346.00 – $346.00 | 57 | 1 |
| West Haven, CT | $104.25 | $104.25 – $104.25 | 57 | 1 |
| Lagrange, GA | $259.09 | $259.09 – $259.09 | 57 | 1 |
| Bourbonnais, IL | $146.03 | $108.89 – $174.91 | 57 | 4 |
| Shawano, WI | $810.46 | $810.46 – $810.46 | 57 | 1 |
| Chester, VA | $123.48 | $123.48 – $123.48 | 57 | 1 |
| Wooster, OH | $144.15 | $144.15 – $144.15 | 58 | 1 |
| Fayetteville, GA | $125.18 | $125.18 – $125.18 | 58 | 1 |
| Decatur, IL | $159.00 | $121.71 – $182.28 | 59 | 3 |
| Dubuque, IA | $287.71 | $287.71 – $287.71 | 59 | 1 |
| Forest City, NC | $93.14 | $93.14 – $93.14 | 59 | 1 |
| Martins Ferry, OH | $189.40 | $189.40 – $189.40 | 59 | 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.