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 |
|---|---|---|---|---|
| Saint Paul, MN | $370.82 | $188.77 – $709.99 | 1,314 | 5 |
| Mentor, OH | $257.91 | $164.56 – $259.95 | 1,307 | 2 |
| Downey, CA | $146.43 | $58.68 – $984.67 | 1,302 | 8 |
| Cleveland Hts, OH | $193.05 | $193.05 – $193.05 | 1,301 | 1 |
| Anderson, SC | $24.54 | $21.91 – $107.61 | 1,300 | 2 |
| Oakdale, CA | $166.84 | $166.84 – $166.84 | 1,291 | 1 |
| Rancho Mirage, CA | $398.23 | $260.60 – $404.25 | 1,290 | 2 |
| Caguas, PR | $213.87 | $175.47 – $343.75 | 1,288 | 3 |
| Sioux City, IA | $274.93 | $140.31 – $306.01 | 1,288 | 3 |
| Gallipolis, OH | $699.07 | $209.23 – $844.24 | 1,286 | 2 |
| Westlake, OH | $282.81 | $146.12 – $339.07 | 1,281 | 6 |
| Richland, WA | $242.75 | $112.04 – $371.97 | 1,266 | 4 |
| Vernon, CT | $168.35 | $134.81 – $755.81 | 1,259 | 2 |
| Prospect, CT | $170.59 | $140.28 – $177.17 | 1,250 | 2 |
| Jamestown, NY | $404.97 | $116.03 – $874.84 | 1,248 | 3 |
| Marietta, OH | $430.56 | $94.70 – $434.37 | 1,247 | 2 |
| Tulsa, OK | $341.62 | $119.50 – $368.14 | 1,244 | 6 |
| Frederick, MD | $202.27 | $134.37 – $299.52 | 1,240 | 3 |
| Olney, MD | $307.86 | $113.05 – $312.85 | 1,240 | 2 |
| Nampa, ID | $340.51 | $234.11 – $341.73 | 1,234 | 2 |
| Shenandoah, TX | $184.45 | $184.45 – $184.45 | 1,233 | 1 |
| Farmville, VA | $274.39 | $123.65 – $469.91 | 1,222 | 2 |
| Buffalo, NY | $693.73 | $84.90 – $1,884 | 1,221 | 7 |
| Sewell, NJ | $347.22 | $342.68 – $390.35 | 1,219 | 2 |
| Dartmouth, MA | $105.77 | $93.47 – $114.29 | 1,216 | 4 |
| La Mesa, CA | $291.00 | $129.05 – $370.93 | 1,215 | 4 |
| Middletown, NY | $515.59 | $289.53 – $952.28 | 1,210 | 6 |
| Slidell, LA | $248.98 | $248.98 – $248.98 | 1,209 | 1 |
| Cape May Court House, NJ | $477.06 | $196.64 – $502.16 | 1,205 | 2 |
| Michigan City, IN | $590.68 | $566.23 – $1,220 | 1,205 | 3 |
| Paradise, CA | $151.16 | $150.79 – $157.56 | 1,200 | 2 |
| Bay City, MI | $213.81 | $65.52 – $326.35 | 1,189 | 2 |
| Alma, MI | $114.04 | $108.21 – $396.41 | 1,186 | 2 |
| Addison, IL | $176.93 | $176.93 – $176.93 | 1,181 | 1 |
| Petersburg, VA | $428.45 | $120.18 – $548.26 | 1,180 | 3 |
| Moses Lake, WA | $125.11 | $59.72 – $404.28 | 1,178 | 5 |
| Beverly, MA | $953.38 | $386.67 – $966.71 | 1,175 | 2 |
| Greenfield, WI | $242.61 | $242.61 – $242.61 | 1,174 | 1 |
| Twin Falls, ID | $150.49 | $143.83 – $193.67 | 1,167 | 6 |
| Fishkill, NY | $513.16 | $513.16 – $513.16 | 1,160 | 1 |
| Toppenish, WA | $343.53 | $343.53 – $343.53 | 1,158 | 1 |
| Woodbury, NJ | $296.70 | $296.70 – $296.70 | 1,144 | 1 |
| Manahawkin, NJ | $296.36 | $59.55 – $652.60 | 1,144 | 6 |
| Rock Hill, SC | $155.67 | $155.67 – $155.67 | 1,135 | 1 |
| Kenner, LA | $226.77 | $175.55 – $232.23 | 1,134 | 4 |
| French Camp, CA | $301.42 | $301.42 – $301.42 | 1,134 | 1 |
| Trumbull, CT | $78.88 | $50.71 – $237.89 | 1,133 | 5 |
| Helena, MT | $16.49 | $4.66 – $146.74 | 1,129 | 2 |
| New Bedford, MA | $991.08 | $142.46 – $1,001 | 1,129 | 2 |
| Ukiah, CA | $246.24 | $88.57 – $491.47 | 1,127 | 6 |
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.