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 |
|---|---|---|---|---|
| Newport, OR | $192.38 | $164.74 – $596.62 | 250 | 2 |
| Huntersville, NC | $131.07 | $110.24 – $139.28 | 249 | 3 |
| Corinth, MS | $144.84 | $107.59 – $173.38 | 249 | 2 |
| Gaithersburg, MD | $141.36 | $141.36 – $141.36 | 248 | 1 |
| West Jordan, UT | $147.60 | $113.08 – $149.52 | 247 | 2 |
| Montebello, CA | $279.99 | $132.86 – $295.89 | 246 | 2 |
| Fargo, ND | $323.17 | $232.37 – $657.37 | 245 | 4 |
| Plymouth, MN | $636.13 | $636.13 – $636.13 | 243 | 1 |
| Johnson City, TN | $143.14 | $115.35 – $146.53 | 239 | 2 |
| Norway, ME | $30.28 | $30.28 – $30.28 | 239 | 1 |
| New Bern, NC | $100.67 | $100.41 – $105.50 | 237 | 2 |
| Crown Point, IN | $398.97 | $105.08 – $485.26 | 237 | 3 |
| Alpena, MI | $459.69 | $459.69 – $459.69 | 236 | 1 |
| Laurel, MS | $150.89 | $150.89 – $150.89 | 236 | 1 |
| Sulphur, LA | $176.90 | $176.90 – $176.90 | 234 | 1 |
| Williamsburg, VA | $282.60 | $114.01 – $750.86 | 234 | 5 |
| Springboro, OH | $299.37 | $166.83 – $325.83 | 233 | 3 |
| Lake Havasu City, AZ | $459.15 | $149.62 – $501.63 | 232 | 2 |
| Hinsdale, IL | $169.75 | $169.14 – $171.49 | 229 | 2 |
| Portage, MI | $250.62 | $250.62 – $250.62 | 229 | 1 |
| Mountain View, CA | $103.85 | $94.10 – $105.74 | 228 | 2 |
| Gainesville, FL | $102.94 | $0.00 – $191.45 | 227 | 4 |
| Harrisburg, IL | $202.72 | $202.72 – $202.72 | 225 | 1 |
| Hollywood, MD | $44.39 | $40.46 – $84.66 | 225 | 2 |
| Wilmington, OH | $472.73 | $472.73 – $472.73 | 224 | 1 |
| Northbrook, IL | $188.75 | $188.75 – $188.75 | 223 | 1 |
| St Louis Park, MN | $397.83 | $72.91 – $555.10 | 223 | 6 |
| Rockville Centre, NY | $687.16 | $128.16 – $836.98 | 222 | 4 |
| Dorchester Center, MA | $640.99 | $640.99 – $640.99 | 220 | 1 |
| Valparaiso, IN | $149.61 | $62.37 – $157.90 | 219 | 2 |
| Park Ridge, IL | $380.82 | $163.00 – $925.42 | 219 | 4 |
| Aiken, SC | $62.06 | $25.47 – $105.23 | 218 | 2 |
| Los Banos, CA | $106.28 | $88.62 – $123.30 | 218 | 2 |
| Kingston, NY | $108.20 | $108.20 – $108.20 | 216 | 1 |
| Supply, NC | $98.51 | $97.57 – $114.35 | 216 | 2 |
| La Porte, IN | $296.09 | $296.09 – $296.09 | 216 | 1 |
| Wyandotte, MI | $408.30 | $348.42 – $435.82 | 216 | 2 |
| Aguada, PR | $540.73 | $540.73 – $540.73 | 215 | 1 |
| Honesdale, PA | $250.23 | $216.45 – $252.23 | 215 | 2 |
| Woodburn, OR | $679.28 | $679.28 – $679.28 | 215 | 1 |
| Braintree, MA | $92.28 | $92.28 – $92.28 | 214 | 1 |
| Antioch, CA | $431.90 | $23.95 – $465.03 | 213 | 2 |
| Hacienda Heights, CA | $166.86 | $166.86 – $166.86 | 212 | 1 |
| Springfield, IL | $393.82 | $177.13 – $589.44 | 211 | 3 |
| Macomb, IL | $182.93 | $182.93 – $182.93 | 211 | 1 |
| Galax, VA | $465.16 | $465.16 – $465.16 | 210 | 1 |
| Huntington, NY | $344.78 | $72.68 – $443.73 | 210 | 2 |
| Travis Afb, CA | $429.26 | $429.26 – $429.26 | 210 | 1 |
| Miami Beach, FL | $365.27 | $183.04 – $684.17 | 209 | 2 |
| Elma, WA | $1,202 | $1,202 – $1,202 | 208 | 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.