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 |
|---|---|---|---|---|
| Fort Defiance, AZ | $244.89 | $244.89 – $244.89 | 91 | 1 |
| Shelbyville, TN | $292.19 | $292.19 – $292.19 | 91 | 1 |
| Pasadena, CA | $122.75 | $0.00 – $368.01 | 90 | 3 |
| Park City, UT | $83.84 | $83.84 – $83.84 | 90 | 1 |
| Louisburg, NC | $121.69 | $121.69 – $121.69 | 90 | 1 |
| Loveland, CO | $184.20 | $184.20 – $184.20 | 89 | 1 |
| Henderson, NC | $89.14 | $89.14 – $89.14 | 89 | 1 |
| Florence, MA | $98.24 | $85.48 – $108.75 | 89 | 4 |
| Brownsville, TX | $23.43 | $23.43 – $23.43 | 88 | 1 |
| Farmington, ME | $241.39 | $37.70 – $535.61 | 88 | 2 |
| Elkhorn, WI | $296.21 | $296.21 – $296.21 | 88 | 1 |
| Yreka, CA | $117.36 | $117.36 – $117.36 | 87 | 1 |
| Gautier, MS | $15.63 | $15.63 – $15.63 | 86 | 1 |
| Norwalk, OH | $279.23 | $219.18 – $305.25 | 86 | 2 |
| Franklin, WI | $136.80 | $136.80 – $136.80 | 84 | 1 |
| Bristol, TN | $170.51 | $105.74 – $351.92 | 84 | 3 |
| Bridgewater, NJ | $369.74 | $354.84 – $395.23 | 84 | 2 |
| Plainview, NY | $572.08 | $572.08 – $572.08 | 84 | 1 |
| Oxford, MS | $244.59 | $195.82 – $282.98 | 84 | 2 |
| Sicklerville, NJ | $140.00 | $140.00 – $140.00 | 84 | 1 |
| Durango, CO | $375.46 | $375.46 – $375.46 | 83 | 1 |
| Augusta, GA | $171.82 | $171.82 – $171.82 | 82 | 1 |
| North Miami Beach, FL | $301.19 | $131.86 – $427.90 | 82 | 3 |
| Hendersonville, NC | $77.72 | $61.74 – $138.82 | 82 | 2 |
| Burlington, VT | $197.89 | $197.89 – $197.89 | 82 | 1 |
| Meridian, ID | $245.12 | $181.40 – $390.40 | 82 | 2 |
| Lincoln, NE | $266.60 | $117.35 – $378.65 | 81 | 4 |
| New Milford, CT | $523.26 | $78.29 – $882.72 | 81 | 3 |
| Orem, UT | $125.57 | $125.57 – $125.57 | 81 | 1 |
| Menasha, WI | $239.62 | $206.10 – $371.85 | 81 | 3 |
| Holland, MI | $427.70 | $427.70 – $427.70 | 81 | 1 |
| Grayling, MI | $165.87 | $103.49 – $303.12 | 80 | 2 |
| Duncan, OK | $241.52 | $241.52 – $241.52 | 79 | 1 |
| Acton, MA | $298.76 | $298.76 – $298.76 | 79 | 1 |
| Medford, NJ | $137.73 | $137.73 – $137.73 | 77 | 1 |
| Cudahy, WI | $224.73 | $223.36 – $227.00 | 77 | 2 |
| Bel Air, MD | $141.92 | $138.16 – $161.96 | 76 | 2 |
| Mcminnville, OR | $169.23 | $124.94 – $230.12 | 76 | 2 |
| Templeton, CA | $175.65 | $58.18 – $222.59 | 75 | 3 |
| Norwell, MA | $143.51 | $143.51 – $143.51 | 75 | 1 |
| Gresham, OR | $373.45 | $373.45 – $373.45 | 74 | 1 |
| Riverside, RI | $223.89 | $223.89 – $223.89 | 74 | 1 |
| Glen Allen, VA | $156.90 | $156.90 – $156.90 | 74 | 1 |
| Hartford, WI | $269.40 | $269.40 – $269.40 | 73 | 1 |
| Lake Wales, FL | $212.87 | $128.97 – $632.34 | 72 | 2 |
| Oxon Hill, MD | $659.18 | $659.18 – $659.18 | 72 | 1 |
| Beaumont, TX | $143.47 | $143.47 – $143.47 | 69 | 1 |
| Gloucester, VA | $736.37 | $736.37 – $736.37 | 69 | 1 |
| Beaufort, SC | $43.17 | $26.68 – $89.87 | 69 | 2 |
| Sterling, IL | $113.33 | $113.33 – $113.33 | 69 | 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.