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 |
|---|---|---|---|---|
| Prestonsburg, KY | $206.37 | $149.50 – $497.18 | 1,804 | 4 |
| Kissimmee, FL | $267.73 | $60.93 – $367.11 | 1,798 | 7 |
| Glendora, CA | $128.87 | $33.58 – $393.63 | 1,796 | 4 |
| Portsmouth, VA | $523.36 | $523.36 – $523.36 | 1,795 | 1 |
| Sun City, AZ | $223.30 | $152.63 – $367.09 | 1,792 | 4 |
| Northglenn, CO | $231.90 | $197.20 – $238.58 | 1,766 | 2 |
| Williamsville, NY | $355.17 | $121.39 – $706.09 | 1,759 | 8 |
| Darby, PA | $717.29 | $657.96 – $876.75 | 1,754 | 3 |
| Glens Falls, NY | $478.07 | $185.68 – $646.85 | 1,748 | 6 |
| Cape Coral, FL | $251.33 | $86.45 – $364.11 | 1,748 | 2 |
| Medford, MA | $1,017 | $339.38 – $1,028 | 1,747 | 2 |
| Roseburg, OR | $321.48 | $37.78 – $418.52 | 1,746 | 5 |
| Columbia, MO | $378.85 | $75.09 – $758.91 | 1,732 | 8 |
| Panama City, FL | $175.79 | $45.11 – $297.95 | 1,732 | 4 |
| Great Falls, MT | $23.63 | $0.07 – $178.69 | 1,723 | 3 |
| Norfolk, NE | $98.80 | $98.80 – $98.80 | 1,722 | 1 |
| Flagstaff, AZ | $247.63 | $151.37 – $466.02 | 1,720 | 5 |
| Paramus, NJ | $317.53 | $134.32 – $320.05 | 1,717 | 3 |
| East Chicago, IN | $736.01 | $736.01 – $736.01 | 1,710 | 1 |
| Wausau, WI | $266.92 | $158.34 – $279.78 | 1,707 | 4 |
| Rome, NY | $348.37 | $109.27 – $475.91 | 1,705 | 3 |
| Fallbrook, CA | $251.61 | $249.08 – $319.78 | 1,701 | 2 |
| Watertown, NY | $1,570 | $126.37 – $1,581 | 1,699 | 2 |
| Aurora, CO | $315.81 | $182.85 – $515.13 | 1,690 | 7 |
| Casa Grande, AZ | $279.66 | $260.58 – $511.12 | 1,681 | 2 |
| Union Gap, WA | $70.26 | $70.26 – $70.26 | 1,678 | 1 |
| Doral, FL | $98.03 | $88.57 – $106.06 | 1,676 | 2 |
| Stratford, NJ | $887.33 | $887.33 – $887.33 | 1,661 | 1 |
| Portage, IN | $262.42 | $262.42 – $262.42 | 1,656 | 1 |
| Florham Park, NJ | $603.49 | $603.49 – $603.49 | 1,654 | 1 |
| Lima, OH | $239.31 | $125.53 – $328.51 | 1,653 | 8 |
| Fairview Heights, IL | $190.45 | $190.45 – $190.45 | 1,652 | 1 |
| Utica, NY | $467.20 | $146.31 – $904.86 | 1,647 | 4 |
| Lodi, CA | $181.59 | $166.24 – $351.91 | 1,645 | 2 |
| Laguna Woods, CA | $0.20 | $0.20 – $0.20 | 1,629 | 1 |
| Anderson, IN | $149.07 | $80.87 – $185.49 | 1,620 | 7 |
| Mount Clemens, MI | $503.72 | $503.72 – $503.72 | 1,614 | 1 |
| Sioux Falls, SD | $206.14 | $184.16 – $215.67 | 1,613 | 2 |
| Metairie, LA | $146.18 | $144.10 – $223.20 | 1,610 | 3 |
| Puyallup, WA | $243.72 | $79.57 – $257.04 | 1,595 | 6 |
| Poughkeepsie, NY | $492.56 | $237.86 – $502.18 | 1,594 | 2 |
| Tualatin, OR | $500.28 | $500.28 – $500.28 | 1,592 | 1 |
| Petoskey, MI | $454.64 | $82.83 – $489.94 | 1,579 | 4 |
| Burton, MI | $528.61 | $522.46 – $845.76 | 1,576 | 2 |
| Providence, RI | $271.68 | $149.63 – $413.13 | 1,564 | 14 |
| Germantown, TN | $32.86 | $5.22 – $155.17 | 1,560 | 3 |
| Many, LA | $85.58 | $85.58 – $85.58 | 1,560 | 1 |
| Irvington, NJ | $97.24 | $97.24 – $97.24 | 1,552 | 1 |
| Seaford, DE | $212.32 | $8.44 – $377.76 | 1,546 | 6 |
| Vista, CA | $326.34 | $326.34 – $326.34 | 1,538 | 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.