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 |
|---|---|---|---|---|
| Bedford, IN | $482.85 | $482.85 – $482.85 | 368 | 1 |
| Hampton, VA | $454.86 | $377.17 – $981.25 | 363 | 3 |
| Riverton, UT | $105.44 | $0.00 – $274.53 | 362 | 5 |
| Southbridge, MA | $1,115 | $1,115 – $1,115 | 361 | 1 |
| Kahului, HI | $464.53 | $235.94 – $502.39 | 359 | 2 |
| Port Townsend, WA | $310.84 | $310.84 – $310.84 | 357 | 1 |
| North Ridgeville, OH | $342.96 | $342.96 – $342.96 | 355 | 1 |
| Highland, CA | $173.33 | $173.33 – $173.33 | 355 | 1 |
| E Patchogue, NY | $143.36 | $143.04 – $151.25 | 355 | 2 |
| Homewood, IL | $243.06 | $229.69 – $248.14 | 352 | 2 |
| Evanston, IL | $202.65 | $132.76 – $293.41 | 349 | 4 |
| Keene, NH | $217.26 | $217.26 – $217.26 | 349 | 1 |
| Montclair, NJ | $358.96 | $358.96 – $358.96 | 349 | 1 |
| Jonesboro, AR | $212.42 | $208.31 – $222.69 | 345 | 3 |
| Harrisburg, PA | $397.57 | $397.57 – $397.57 | 343 | 1 |
| Newburgh, IN | $461.08 | $113.15 – $609.39 | 342 | 4 |
| Manhasset, NY | $680.97 | $680.97 – $680.97 | 341 | 1 |
| Buckhannon, WV | $359.02 | $130.22 – $934.24 | 341 | 3 |
| Franklin, MI | $103.53 | $103.53 – $103.53 | 339 | 1 |
| Frankfort, KY | $432.52 | $202.81 – $466.12 | 337 | 2 |
| Plano, TX | $496.29 | $496.29 – $496.29 | 333 | 1 |
| La Jolla, CA | $228.55 | $156.44 – $468.39 | 333 | 4 |
| Thibodaux, LA | $177.74 | $107.13 – $188.77 | 333 | 2 |
| Kokomo, IN | $141.98 | $141.98 – $141.98 | 333 | 1 |
| Glastonbury, CT | $211.86 | $101.59 – $279.30 | 332 | 2 |
| Cookeville, TN | $114.87 | $44.34 – $417.22 | 328 | 3 |
| Pasco, WA | $520.86 | $110.75 – $664.91 | 327 | 2 |
| Zephyrhills, FL | $167.95 | $167.95 – $167.95 | 326 | 1 |
| Princeton, IL | $181.62 | $181.62 – $181.62 | 323 | 1 |
| Ithaca, NY | $955.70 | $955.70 – $955.70 | 323 | 1 |
| El Paso, TX | $166.10 | $103.99 – $180.13 | 322 | 3 |
| New Hartford, NY | $123.16 | $123.16 – $123.16 | 322 | 1 |
| Middletown, OH | $243.65 | $182.34 – $252.14 | 321 | 3 |
| Soldotna, AK | $701.67 | $701.67 – $701.67 | 321 | 1 |
| Fairfield, CT | $65.83 | $61.07 – $88.36 | 321 | 3 |
| Statesville, NC | $166.53 | $90.70 – $191.56 | 321 | 3 |
| Eureka, CA | $50.51 | $41.47 – $63.44 | 321 | 2 |
| Lumberton, NC | $119.14 | $119.14 – $119.14 | 317 | 1 |
| Fuquay Varina, NC | $128.01 | $128.01 – $128.01 | 316 | 1 |
| Maywood, IL | $132.84 | $73.06 – $243.87 | 315 | 5 |
| Gainesville, GA | $170.01 | $167.84 – $224.76 | 315 | 2 |
| Napa, CA | $46.62 | $40.68 – $115.04 | 313 | 2 |
| Torrington, CT | $207.24 | $58.12 – $415.16 | 313 | 5 |
| Oro Valley, AZ | $240.84 | $51.65 – $251.70 | 313 | 2 |
| Palmer, AK | $303.36 | $266.38 – $729.42 | 313 | 2 |
| Burbank, IL | $177.30 | $177.30 – $177.30 | 311 | 1 |
| Clinton Twp, MI | $237.34 | $45.94 – $390.01 | 311 | 2 |
| Findlay, OH | $303.11 | $303.11 – $303.11 | 306 | 1 |
| Cortlandt Manor, NY | $783.77 | $783.77 – $783.77 | 306 | 1 |
| Porterville, CA | $111.32 | $91.80 – $145.06 | 303 | 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.