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 |
|---|---|---|---|---|
| Barrington, IL | $113.00 | $94.44 – $114.45 | 207 | 2 |
| Sturtevant, WI | $207.30 | $207.30 – $207.30 | 203 | 1 |
| Catonsville, MD | $57.51 | $57.51 – $57.51 | 202 | 1 |
| Tinley Park, IL | $169.20 | $142.41 – $185.70 | 202 | 2 |
| Methuen, MA | $110.20 | $77.83 – $117.54 | 200 | 2 |
| Rio Rancho, NM | $221.19 | $143.58 – $534.68 | 200 | 4 |
| Stevens Point, WI | $169.95 | $169.95 – $169.95 | 200 | 1 |
| Plattsburgh, NY | $697.77 | $204.65 – $737.97 | 199 | 2 |
| Mequon, WI | $203.37 | $93.31 – $332.08 | 199 | 5 |
| Aberdeen, WA | $308.78 | $308.78 – $308.78 | 195 | 1 |
| Salem, OH | $324.64 | $161.10 – $580.71 | 195 | 2 |
| Ridgewood, NJ | $893.00 | $84.28 – $1,301 | 195 | 3 |
| Normal, IL | $129.52 | $129.52 – $129.52 | 195 | 1 |
| Jackson, OH | $339.18 | $339.18 – $339.18 | 195 | 1 |
| Waukesha, WI | $163.73 | $159.53 – $220.81 | 194 | 3 |
| Du Bois, PA | $223.46 | $223.46 – $223.46 | 194 | 1 |
| Hollis, NY | $277.93 | $277.93 – $277.93 | 191 | 1 |
| Linwood, NJ | $206.55 | $206.55 – $206.55 | 190 | 1 |
| Bethpage, NY | $456.46 | $452.02 – $464.54 | 188 | 3 |
| Newport Beach, CA | $224.31 | $0.00 – $239.87 | 185 | 2 |
| Shelby, NC | $113.39 | $113.17 – $114.57 | 185 | 2 |
| Mcallen, TX | $317.69 | $56.07 – $335.84 | 185 | 2 |
| Sebring, FL | $75.11 | $71.80 – $122.79 | 185 | 2 |
| Vega Baja, PR | $23.43 | $23.43 – $23.43 | 184 | 1 |
| Port Orange, FL | $192.13 | $147.02 – $785.55 | 184 | 2 |
| Rutland, VT | $55.33 | $51.11 – $64.49 | 184 | 2 |
| Bossier City, LA | $226.94 | $211.52 – $256.03 | 183 | 3 |
| Clinton, MD | $127.93 | $127.93 – $127.93 | 183 | 1 |
| Sahuarita, AZ | $281.79 | $281.79 – $281.79 | 183 | 1 |
| San Ramon, CA | $80.22 | $80.22 – $80.22 | 182 | 1 |
| Caribou, ME | $46.07 | $46.07 – $46.07 | 181 | 1 |
| Winfield, IL | $223.02 | $104.66 – $232.18 | 181 | 2 |
| Arlington, WA | $207.77 | $207.77 – $207.77 | 181 | 1 |
| Smithtown, NY | $690.28 | $690.28 – $690.28 | 181 | 1 |
| Rochester, MN | $457.08 | $257.49 – $539.79 | 180 | 5 |
| Fountain Hill, PA | $274.14 | $134.54 – $364.71 | 180 | 4 |
| Pottsville, PA | $227.84 | $227.84 – $227.84 | 179 | 1 |
| Hamlet, NC | $98.65 | $98.65 – $98.65 | 179 | 1 |
| Sumter, SC | $31.79 | $0.00 – $80.37 | 177 | 4 |
| Santa Rosa Beach, FL | $180.13 | $180.13 – $180.13 | 176 | 1 |
| Santa Paula, CA | $232.86 | $232.86 – $232.86 | 176 | 1 |
| Waterford, CT | $144.44 | $144.44 – $144.44 | 175 | 1 |
| Cape Girardeau, MO | $224.32 | $58.21 – $237.82 | 173 | 2 |
| Dakota Dunes, SD | $133.75 | $133.75 – $133.75 | 173 | 1 |
| Campbellsville, KY | $455.36 | $455.36 – $455.36 | 173 | 1 |
| Lewiston, ID | $120.79 | $49.19 – $129.16 | 172 | 2 |
| Bladensburg, MD | $136.48 | $136.48 – $136.48 | 172 | 1 |
| Muncie, IN | $116.04 | $72.40 – $198.04 | 171 | 4 |
| Westfield, MA | $647.58 | $57.06 – $784.51 | 170 | 2 |
| Beverly Hills, CA | $239.60 | $55.00 – $253.62 | 170 | 2 |
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.