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 |
|---|---|---|---|---|
| Roswell, GA | $402.78 | $402.78 – $402.78 | 169 | 1 |
| Sherman Oaks, CA | $188.81 | $188.81 – $188.81 | 168 | 1 |
| Phila, PA | $700.09 | $215.71 – $1,587 | 167 | 2 |
| Suffern, NY | $927.29 | $927.29 – $927.29 | 166 | 1 |
| Winter Haven, FL | $274.67 | $274.67 – $274.67 | 166 | 1 |
| Leesville, LA | $176.60 | $169.07 – $273.18 | 166 | 2 |
| Greenfield, MA | $145.39 | $96.97 – $694.92 | 165 | 3 |
| Verona, NJ | $192.81 | $192.81 – $192.81 | 165 | 1 |
| Milford, MA | $403.96 | $100.44 – $427.76 | 165 | 2 |
| Bethesda, MD | $322.42 | $322.42 – $322.42 | 163 | 1 |
| Suffolk, VA | $362.30 | $89.27 – $775.83 | 163 | 4 |
| Covina, CA | $18.09 | $3.97 – $179.93 | 162 | 2 |
| Spring Hill, FL | $217.31 | $217.31 – $217.31 | 162 | 1 |
| Edina, MN | $454.18 | $123.97 – $590.31 | 161 | 2 |
| Minden, LA | $178.40 | $178.40 – $178.40 | 161 | 1 |
| Atoka, TN | $98.87 | $98.87 – $98.87 | 161 | 1 |
| Lapeer, MI | $289.96 | $89.45 – $425.34 | 161 | 3 |
| Monroe, MI | $341.07 | $105.47 – $532.37 | 160 | 3 |
| Orange, NJ | $152.58 | $152.58 – $152.58 | 160 | 1 |
| Englewood, CO | $236.08 | $236.08 – $236.08 | 159 | 1 |
| Farmington, MI | $97.72 | $97.72 – $97.72 | 157 | 1 |
| Amsterdam, NY | $595.26 | $595.26 – $595.26 | 156 | 1 |
| Peoria, IL | $176.97 | $157.35 – $189.67 | 156 | 4 |
| Greenwood, SC | $259.36 | $259.36 – $259.36 | 155 | 1 |
| Washington, NC | $80.83 | $80.83 – $80.83 | 155 | 1 |
| Naples, FL | $143.18 | $139.13 – $191.43 | 155 | 2 |
| Red Bluff, CA | $252.79 | $252.79 – $252.79 | 155 | 1 |
| Somers Point, NJ | $468.27 | $468.27 – $468.27 | 154 | 1 |
| Harvey, IL | $133.37 | $133.37 – $133.37 | 154 | 1 |
| Largo, MD | $88.30 | $88.30 – $88.30 | 153 | 1 |
| Winchester, MA | $1,351 | $1,351 – $1,351 | 153 | 1 |
| Whippany, NJ | $534.58 | $534.58 – $534.58 | 153 | 1 |
| Geneva, IL | $158.50 | $158.50 – $158.50 | 152 | 1 |
| Orange City, FL | $168.55 | $110.78 – $269.51 | 151 | 4 |
| Saranac Lake, NY | $579.41 | $134.62 – $704.86 | 150 | 2 |
| Plantation, FL | $336.77 | $17.80 – $447.46 | 150 | 3 |
| Layton, UT | $97.48 | $0.00 – $213.60 | 149 | 2 |
| Riverdale, MD | $359.03 | $359.03 – $359.03 | 148 | 1 |
| Apopka, FL | $25.57 | $5.83 – $94.36 | 148 | 2 |
| Lafayette, CO | $247.29 | $200.37 – $254.46 | 146 | 3 |
| Gardner, MA | $581.37 | $93.35 – $962.27 | 146 | 2 |
| Elmhurst, IL | $139.25 | $124.80 – $264.71 | 145 | 3 |
| Ketchum, ID | $275.90 | $275.90 – $275.90 | 145 | 1 |
| Wheeling, WV | $169.62 | $90.39 – $189.01 | 145 | 3 |
| Athens, OH | $326.10 | $191.69 – $354.34 | 144 | 2 |
| Maple Grove, MN | $184.33 | $118.19 – $262.44 | 144 | 6 |
| Bellflower, CA | $503.60 | $378.50 – $817.85 | 144 | 2 |
| Hartsdale, NY | $117.70 | $117.70 – $117.70 | 144 | 1 |
| Danville, CA | $757.30 | $757.30 – $757.30 | 144 | 1 |
| Richmond Heights, OH | $275.33 | $275.33 – $275.33 | 144 | 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.