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 |
|---|---|---|---|---|
| Sheboygan, WI | $180.03 | $162.46 – $270.70 | 1,114 | 4 |
| Lincolnton, NC | $118.65 | $115.07 – $130.81 | 1,107 | 2 |
| Pleasant Hill, CA | $526.47 | $526.47 – $526.47 | 1,106 | 1 |
| Chalmette, LA | $252.99 | $252.99 – $252.99 | 1,101 | 1 |
| Topeka, KS | $184.40 | $97.67 – $231.52 | 1,096 | 3 |
| Tolland, CT | $62.30 | $62.30 – $62.30 | 1,094 | 1 |
| Terre Haute, IN | $106.91 | $82.72 – $449.15 | 1,085 | 3 |
| Houston, TX | $293.61 | $70.35 – $758.18 | 1,082 | 8 |
| Trinity, FL | $122.83 | $71.56 – $436.17 | 1,081 | 2 |
| Kingman, AZ | $486.61 | $152.41 – $560.97 | 1,077 | 2 |
| Appleton, WI | $206.65 | $176.63 – $239.41 | 1,073 | 3 |
| Clovis, NM | $331.63 | $171.59 – $463.18 | 1,072 | 3 |
| Sun City West, AZ | $271.25 | $133.22 – $307.18 | 1,070 | 2 |
| Temple City, CA | $128.81 | $0.00 – $150.39 | 1,069 | 3 |
| Warren, MI | $288.07 | $39.94 – $445.28 | 1,061 | 3 |
| Rapid City, SD | $216.25 | $156.43 – $355.54 | 1,058 | 3 |
| Des Plaines, IL | $169.33 | $139.83 – $241.44 | 1,051 | 5 |
| Belleville, IL | $137.11 | $118.49 – $140.50 | 1,051 | 2 |
| Cortland, NY | $792.92 | $154.52 – $980.50 | 1,048 | 2 |
| Manchester, KY | $253.42 | $142.51 – $352.50 | 1,047 | 2 |
| Rockford, IL | $201.87 | $190.14 – $285.40 | 1,046 | 7 |
| Cameron Park, CA | $293.43 | $217.28 – $318.76 | 1,046 | 4 |
| Morganton, NC | $145.72 | $57.59 – $157.19 | 1,043 | 4 |
| Hopkinsville, KY | $338.32 | $94.06 – $348.68 | 1,040 | 3 |
| Winston Salem, NC | $224.08 | $165.37 – $448.33 | 1,037 | 5 |
| Idaho Falls, ID | $212.24 | $165.00 – $230.67 | 1,037 | 6 |
| Longmont, CO | $274.17 | $79.19 – $416.52 | 1,034 | 7 |
| Oswego, NY | $896.94 | $154.03 – $1,313 | 1,034 | 3 |
| Moca, PR | $104.96 | $104.85 – $105.33 | 1,030 | 2 |
| Guayama, PR | $319.83 | $319.83 – $319.83 | 1,024 | 1 |
| Tulare, CA | $92.94 | $92.94 – $92.94 | 1,018 | 1 |
| Saint Clairsville, OH | $417.77 | $146.88 – $469.39 | 1,012 | 2 |
| Milton, MA | $1,062 | $1,062 – $1,062 | 1,007 | 1 |
| Amherst, NY | $358.99 | $102.99 – $413.27 | 1,006 | 2 |
| Midland, MI | $177.43 | $108.37 – $521.05 | 1,006 | 5 |
| Reedley, CA | $42.75 | $42.75 – $42.75 | 1,005 | 1 |
| Lakeland, FL | $101.06 | $51.29 – $275.20 | 1,000 | 4 |
| Port Angeles, WA | $517.06 | $110.22 – $567.22 | 993 | 2 |
| Alliance, OH | $313.73 | $183.98 – $584.18 | 987 | 2 |
| Oneida, NY | $554.62 | $133.24 – $653.61 | 983 | 2 |
| Princeton, WV | $218.99 | $108.46 – $232.28 | 982 | 3 |
| Silverdale, WA | $212.82 | $121.70 – $325.28 | 979 | 3 |
| Glasgow, KY | $378.05 | $148.81 – $498.80 | 971 | 2 |
| Syracuse, NY | $546.10 | $127.81 – $649.88 | 970 | 4 |
| Valhalla, NY | $784.52 | $784.52 – $784.52 | 970 | 1 |
| Harrisonburg, VA | $532.97 | $98.02 – $582.67 | 967 | 5 |
| Santee, CA | $274.78 | $274.78 – $274.78 | 967 | 1 |
| Lovington, NM | $454.18 | $355.44 – $565.28 | 967 | 2 |
| Vallejo, CA | $6.78 | $0.39 – $220.28 | 963 | 2 |
| West Chester, OH | $291.89 | $162.82 – $430.51 | 962 | 3 |
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.