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 |
|---|---|---|---|---|
| Parker, CO | $472.98 | $472.98 – $472.98 | 302 | 1 |
| Beachwood, OH | $486.36 | $486.36 – $486.36 | 299 | 1 |
| Hagerstown, MD | $157.63 | $80.53 – $339.57 | 297 | 6 |
| Goldsboro, NC | $110.53 | $110.53 – $110.53 | 297 | 1 |
| Georgetown, KY | $254.46 | $254.46 – $254.46 | 297 | 1 |
| Bismarck, ND | $496.28 | $106.16 – $522.85 | 294 | 3 |
| Woodland Hills, CA | $89.03 | $0.00 – $235.61 | 291 | 3 |
| Bartlesville, OK | $410.49 | $410.49 – $410.49 | 288 | 1 |
| Newbury Park, CA | $355.17 | $355.17 – $355.17 | 288 | 1 |
| Wildomar, CA | $190.98 | $190.98 – $190.98 | 287 | 1 |
| Wayne, NJ | $366.15 | $156.72 – $383.93 | 287 | 3 |
| Gold Beach, OR | $547.35 | $547.35 – $547.35 | 284 | 1 |
| Saratoga Springs, NY | $568.12 | $568.12 – $568.12 | 284 | 1 |
| Aurora, IL | $156.20 | $112.94 – $202.13 | 284 | 8 |
| Wexford, PA | $124.09 | $124.09 – $124.09 | 282 | 1 |
| Canandaigua, NY | $703.22 | $703.22 – $703.22 | 281 | 1 |
| Hartford, KY | $260.22 | $122.46 – $299.41 | 280 | 2 |
| Midlothian, TX | $255.98 | $255.98 – $255.98 | 279 | 1 |
| Concord, NH | $210.21 | $207.80 – $263.42 | 277 | 2 |
| South Plainfield, NJ | $205.25 | $205.25 – $205.25 | 276 | 1 |
| Hickory, NC | $226.51 | $226.51 – $226.51 | 274 | 1 |
| Cadillac, MI | $173.77 | $134.90 – $400.15 | 273 | 2 |
| Toms River, NJ | $260.47 | $238.85 – $689.56 | 271 | 2 |
| Paintsville, KY | $243.64 | $126.34 – $494.15 | 270 | 3 |
| Kailua, HI | $430.63 | $225.84 – $484.22 | 270 | 2 |
| Conway, SC | $83.51 | $0.00 – $149.76 | 269 | 2 |
| Orangeburg, SC | $80.10 | $80.10 – $80.10 | 267 | 1 |
| Rio Piedras, PR | $369.85 | $151.34 – $396.88 | 266 | 3 |
| Berkeley, CA | $31.01 | $9.69 – $411.70 | 264 | 2 |
| Ridgefield, CT | $141.55 | $141.55 – $141.55 | 264 | 1 |
| Niles, IL | $165.30 | $147.76 – $250.22 | 264 | 4 |
| Davenport, FL | $176.12 | $176.12 – $176.12 | 263 | 1 |
| Murfreesboro, TN | $135.51 | $85.57 – $245.52 | 262 | 4 |
| Trenton, MI | $582.49 | $582.49 – $582.49 | 261 | 1 |
| Oshkosh, WI | $221.00 | $221.00 – $221.00 | 260 | 1 |
| Rocky Mount, NC | $98.84 | $91.61 – $111.38 | 260 | 2 |
| Greer, SC | $15.02 | $4.64 – $229.35 | 260 | 2 |
| Prince Frederick, MD | $125.24 | $125.24 – $125.24 | 260 | 1 |
| Stoneham, MA | $114.24 | $94.69 – $117.59 | 260 | 2 |
| Highland, IN | $1,022 | $1,022 – $1,022 | 259 | 1 |
| Foothill Ranch, CA | $476.06 | $476.06 – $476.06 | 259 | 1 |
| Barnegat, NJ | $430.85 | $429.19 – $459.73 | 258 | 2 |
| Phillipsburg, NJ | $656.56 | $656.56 – $656.56 | 257 | 1 |
| Pocatello, ID | $291.07 | $208.33 – $339.77 | 256 | 4 |
| Highland Park, NJ | $132.98 | $132.98 – $132.98 | 256 | 1 |
| Pinellas Park, FL | $88.66 | $87.91 – $103.84 | 255 | 2 |
| Erie, PA | $232.67 | $203.54 – $251.35 | 254 | 5 |
| Bloomfield, CT | $94.38 | $2.95 – $237.26 | 251 | 3 |
| Hermitage, TN | $90.46 | $90.46 – $90.46 | 250 | 1 |
| Raleigh, NC | $139.19 | $54.62 – $251.19 | 250 | 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.