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 |
|---|---|---|---|---|
| Henderson, NV | $174.21 | $159.55 – $249.53 | 1,532 | 6 |
| Dover, DE | $170.97 | $29.78 – $223.72 | 1,529 | 5 |
| Camarillo, CA | $322.84 | $322.84 – $322.84 | 1,528 | 1 |
| Cherry Hill, NJ | $159.29 | $128.27 – $442.03 | 1,519 | 5 |
| Richlands, VA | $394.79 | $116.89 – $400.20 | 1,517 | 2 |
| Port Jefferson Station, NY | $411.92 | $411.92 – $411.92 | 1,511 | 1 |
| Northridge, CA | $157.46 | $23.03 – $191.81 | 1,505 | 3 |
| Oak Park, IL | $173.18 | $98.35 – $173.99 | 1,495 | 2 |
| West Bridgewater, MA | $282.30 | $282.30 – $282.30 | 1,488 | 1 |
| Fort Lee, NJ | $98.46 | $98.46 – $98.46 | 1,483 | 1 |
| New Albany, IN | $235.83 | $133.08 – $409.14 | 1,482 | 7 |
| Pennington, NJ | $1,013 | $215.23 – $1,181 | 1,478 | 2 |
| Charlotte, NC | $171.74 | $93.55 – $236.79 | 1,476 | 8 |
| Hilo, HI | $379.03 | $228.73 – $584.11 | 1,476 | 5 |
| Farmington, NM | $471.76 | $169.09 – $546.13 | 1,468 | 3 |
| Dickson, TN | $182.70 | $35.23 – $184.13 | 1,464 | 2 |
| Lighthouse Point, FL | $102.04 | $100.36 – $104.66 | 1,462 | 2 |
| Denison, TX | $293.59 | $293.59 – $293.59 | 1,450 | 1 |
| Danville, VA | $380.26 | $117.67 – $398.20 | 1,448 | 3 |
| Brick, NJ | $146.84 | $138.77 – $394.14 | 1,445 | 3 |
| Geneva, NY | $429.29 | $118.62 – $469.27 | 1,442 | 3 |
| Provo, UT | $209.53 | $167.26 – $217.48 | 1,441 | 2 |
| Torrance, CA | $121.77 | $0.00 – $132.25 | 1,438 | 3 |
| Lawrence, MA | $277.54 | $277.54 – $277.54 | 1,437 | 1 |
| Leesburg, VA | $121.05 | $53.09 – $276.55 | 1,434 | 5 |
| Mount Pleasant, MI | $108.01 | $108.01 – $108.01 | 1,434 | 1 |
| Pontiac, MI | $630.11 | $102.78 – $2,656 | 1,430 | 4 |
| East Syracuse, NY | $417.38 | $417.38 – $417.38 | 1,428 | 1 |
| Fort Wayne, IN | $426.69 | $95.57 – $974.29 | 1,426 | 13 |
| Summit, NJ | $639.00 | $639.00 – $639.00 | 1,424 | 1 |
| Beckley, WV | $278.70 | $130.32 – $484.04 | 1,419 | 7 |
| Yorba Linda, CA | $396.11 | $396.11 – $396.11 | 1,405 | 1 |
| Hialeah, FL | $170.90 | $40.61 – $253.02 | 1,400 | 9 |
| West Bloomfield, MI | $98.50 | $98.50 – $98.50 | 1,400 | 1 |
| Jamaica, NY | $494.19 | $101.24 – $675.35 | 1,398 | 5 |
| Spartanburg, SC | $26.42 | $0.00 – $149.29 | 1,393 | 4 |
| N Las Vegas, NV | $157.16 | $83.18 – $159.04 | 1,377 | 4 |
| Angeles, PR | $326.03 | $326.03 – $326.03 | 1,377 | 1 |
| Tampa, FL | $164.32 | $75.31 – $535.92 | 1,372 | 8 |
| Steubenville, OH | $280.74 | $164.41 – $454.21 | 1,370 | 3 |
| Neptune, NJ | $346.00 | $92.25 – $714.15 | 1,370 | 5 |
| Laguna Hills, CA | $210.04 | $129.52 – $211.12 | 1,367 | 2 |
| Norman, OK | $306.82 | $217.84 – $343.11 | 1,353 | 2 |
| Fort Smith, AR | $145.80 | $145.80 – $145.80 | 1,351 | 1 |
| Westerville, OH | $366.37 | $155.60 – $598.24 | 1,351 | 4 |
| Hamden, CT | $242.40 | $85.73 – $411.69 | 1,351 | 6 |
| Atlanta, GA | $822.58 | $32.08 – $3,480 | 1,335 | 8 |
| Humacao, PR | $357.49 | $93.64 – $449.37 | 1,331 | 6 |
| Midlothian, VA | $673.48 | $673.48 – $673.48 | 1,316 | 1 |
| Waterloo, IA | $242.06 | $161.27 – $387.29 | 1,315 | 5 |
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.