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 |
|---|---|---|---|---|
| Union, NJ | $161.02 | $117.98 – $429.45 | 803 | 5 |
| Lancaster, OH | $504.13 | $141.69 – $509.64 | 802 | 2 |
| Oregon, OH | $178.02 | $91.39 – $213.11 | 802 | 5 |
| Rockport, ME | $429.47 | $111.79 – $508.31 | 800 | 3 |
| Evansville, IN | $791.46 | $92.18 – $881.41 | 797 | 6 |
| Lafayette, IN | $521.27 | $138.69 – $2,354 | 792 | 6 |
| Woonsocket, RI | $188.77 | $188.77 – $188.77 | 789 | 1 |
| Laquinta, CA | $267.08 | $267.08 – $267.08 | 788 | 1 |
| Carson City, NV | $166.56 | $166.23 – $184.51 | 787 | 2 |
| Centralia, WA | $359.55 | $66.42 – $381.15 | 787 | 2 |
| Pensacola, FL | $163.25 | $121.58 – $231.57 | 784 | 3 |
| Morton Grove, IL | $124.00 | $124.00 – $124.00 | 784 | 1 |
| Bronxville, NY | $901.02 | $901.02 – $901.02 | 783 | 1 |
| Martinsburg, WV | $214.44 | $120.18 – $279.33 | 777 | 3 |
| South Hill, VA | $228.30 | $88.48 – $297.00 | 774 | 2 |
| Bristol, CT | $600.69 | $600.69 – $600.69 | 772 | 1 |
| Bay Shore, NY | $828.57 | $828.57 – $828.57 | 771 | 1 |
| Mattoon, IL | $134.69 | $134.69 – $134.69 | 769 | 1 |
| Fairhaven, MA | $90.04 | $73.48 – $105.52 | 769 | 4 |
| Glen Burnie, MD | $314.39 | $150.67 – $317.21 | 768 | 2 |
| Sandusky, OH | $447.22 | $200.91 – $484.14 | 762 | 4 |
| Newberg, OR | $747.75 | $747.75 – $747.75 | 758 | 1 |
| Battle Creek, MI | $446.95 | $104.29 – $532.94 | 752 | 3 |
| Des Moines, IA | $437.65 | $437.65 – $437.65 | 748 | 1 |
| West Hollywood, CA | $61.09 | $41.83 – $644.31 | 748 | 3 |
| Norwood, OH | $315.24 | $315.24 – $315.24 | 738 | 1 |
| Ansonia, CT | $96.24 | $84.31 – $96.47 | 737 | 3 |
| Concord, CA | $530.35 | $308.07 – $542.59 | 728 | 2 |
| Meridian, MS | $253.74 | $251.75 – $287.96 | 728 | 2 |
| Machias, ME | $71.10 | $67.13 – $187.60 | 728 | 2 |
| Parkersburg, WV | $125.64 | $121.90 – $151.43 | 727 | 2 |
| Huber Heights, OH | $276.15 | $155.56 – $289.06 | 724 | 2 |
| Sleepy Hollow, NY | $788.36 | $788.36 – $788.36 | 724 | 1 |
| Walla Walla, WA | $195.04 | $64.71 – $268.97 | 723 | 4 |
| Waterford, MI | $188.87 | $102.34 – $200.48 | 718 | 2 |
| Downers Grove, IL | $176.00 | $176.00 – $176.00 | 716 | 1 |
| Gloversville, NY | $532.88 | $90.89 – $561.51 | 712 | 3 |
| Batavia, OH | $244.35 | $149.96 – $525.95 | 710 | 3 |
| Oak Hill, WV | $710.42 | $133.75 – $881.83 | 707 | 2 |
| San German, PR | $139.64 | $104.70 – $205.77 | 707 | 4 |
| Sylmar, CA | $27.66 | $5.61 – $397.06 | 704 | 3 |
| Biloxi, MS | $565.42 | $303.87 – $578.71 | 703 | 2 |
| Summersville, WV | $303.56 | $108.10 – $382.92 | 695 | 3 |
| Newark, NY | $422.59 | $77.46 – $590.33 | 691 | 2 |
| Bisbee, AZ | $558.42 | $558.42 – $558.42 | 691 | 1 |
| Ocean Springs, MS | $328.32 | $48.04 – $460.61 | 689 | 6 |
| Bayside, NY | $204.52 | $121.30 – $392.99 | 689 | 3 |
| Maryville, TN | $204.30 | $203.31 – $226.68 | 680 | 2 |
| Edinburg, TX | $215.93 | $67.73 – $266.88 | 673 | 3 |
| Willingboro, NJ | $338.40 | $117.30 – $971.19 | 673 | 4 |
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.