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 |
|---|---|---|---|---|
| Grafton, WI | $175.84 | $175.84 – $175.84 | 673 | 1 |
| New Rochelle, NY | $740.40 | $740.40 – $740.40 | 669 | 1 |
| Plainville, CT | $198.62 | $198.62 – $198.62 | 669 | 1 |
| Fond Du Lac, WI | $173.01 | $172.85 – $175.50 | 668 | 2 |
| Gallatin, TN | $244.71 | $123.75 – $248.26 | 667 | 2 |
| Albemarle, NC | $142.10 | $142.10 – $142.10 | 664 | 1 |
| Milwaukie, OR | $195.25 | $188.73 – $223.55 | 662 | 2 |
| Henderson, KY | $386.03 | $166.80 – $477.09 | 660 | 3 |
| Wailuku, HI | $38.52 | $38.52 – $38.52 | 659 | 1 |
| Attleboro, MA | $1,064 | $113.36 – $1,327 | 658 | 2 |
| Munster, IN | $719.24 | $54.69 – $1,113 | 654 | 5 |
| Exeter, NH | $295.87 | $69.58 – $302.32 | 649 | 2 |
| Brawley, CA | $219.87 | $210.83 – $288.36 | 643 | 3 |
| Santa Barbara, CA | $240.59 | $121.82 – $430.00 | 642 | 7 |
| Bellevue, WA | $184.91 | $176.32 – $187.44 | 642 | 2 |
| Oceanside, NY | $705.65 | $705.65 – $705.65 | 641 | 1 |
| San Antonio, TX | $253.71 | $167.33 – $337.18 | 639 | 6 |
| Waterville, ME | $104.55 | $104.55 – $104.55 | 638 | 1 |
| Grants Pass, OR | $223.21 | $87.44 – $334.42 | 637 | 5 |
| Berwyn, IL | $205.61 | $205.61 – $205.61 | 636 | 1 |
| Fowler, CA | $28.53 | $28.53 – $28.53 | 635 | 1 |
| Littleton, CO | $282.22 | $244.64 – $287.26 | 634 | 2 |
| Placentia, CA | $7.46 | $7.46 – $7.46 | 633 | 1 |
| Marion, OH | $396.57 | $153.41 – $407.84 | 632 | 2 |
| Livonia, MI | $364.56 | $92.53 – $537.27 | 623 | 3 |
| Dublin, OH | $300.24 | $175.00 – $356.62 | 620 | 4 |
| Mansfield, OH | $419.05 | $101.35 – $440.51 | 620 | 3 |
| Burbank, CA | $60.01 | $56.59 – $119.06 | 620 | 2 |
| Chaska, MN | $185.66 | $185.66 – $185.66 | 619 | 1 |
| Greenbelt, MD | $114.46 | $75.57 – $145.67 | 618 | 4 |
| South Bend, IN | $168.62 | $82.53 – $254.66 | 613 | 6 |
| Anniston, AL | $164.61 | $158.96 – $164.75 | 609 | 2 |
| Edgewood, KY | $537.16 | $537.16 – $537.16 | 608 | 1 |
| Hoboken, NJ | $457.40 | $79.90 – $756.28 | 606 | 3 |
| Vineland, NJ | $415.50 | $280.86 – $835.89 | 605 | 3 |
| Teaneck, NJ | $651.55 | $651.55 – $651.55 | 602 | 1 |
| Hollywood, CA | $12.23 | $12.23 – $12.23 | 598 | 1 |
| North Chelmsford, MA | $100.57 | $76.13 – $115.36 | 596 | 5 |
| Long Island City, NY | $717.35 | $717.35 – $717.35 | 594 | 1 |
| Troy, OH | $367.15 | $218.79 – $408.47 | 583 | 2 |
| Skowhegan, ME | $54.90 | $51.20 – $159.04 | 582 | 2 |
| Tarzana, CA | $22.41 | $11.36 – $27.28 | 581 | 2 |
| Ravenna, OH | $472.21 | $472.21 – $472.21 | 578 | 1 |
| Bloomington, IN | $582.79 | $568.37 – $614.20 | 577 | 3 |
| Apple Valley, CA | $266.40 | $24.47 – $311.98 | 574 | 2 |
| Wartburg, TN | $13.34 | $13.34 – $13.34 | 573 | 1 |
| Port St Lucie, FL | $148.89 | $134.06 – $199.70 | 571 | 2 |
| Hopewell, VA | $540.68 | $540.68 – $540.68 | 570 | 1 |
| Greeley, CO | $187.83 | $132.93 – $474.96 | 568 | 8 |
| Wauwatosa, WI | $225.30 | $225.30 – $225.30 | 567 | 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.