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 |
|---|---|---|---|---|
| Freeport, NY | $120.39 | $120.39 – $120.39 | 69 | 1 |
| Colville, WA | $1,668 | $1,668 – $1,668 | 69 | 1 |
| Harrington Park, NJ | $102.35 | $102.35 – $102.35 | 69 | 1 |
| Brattleboro, VT | $123.83 | $123.83 – $123.83 | 68 | 1 |
| Lake Worth, FL | $178.93 | $98.04 – $285.16 | 68 | 3 |
| Corte Madera, CA | $57.73 | $31.81 – $167.36 | 68 | 2 |
| Pickerington, OH | $175.73 | $175.73 – $175.73 | 67 | 1 |
| Angola, IN | $1,181 | $1,175 – $1,189 | 67 | 2 |
| Cambridge, OH | $250.76 | $250.76 – $250.76 | 67 | 1 |
| East Setauket, NY | $158.07 | $158.07 – $158.07 | 67 | 1 |
| Jacksonville Beach, FL | $106.14 | $106.14 – $106.14 | 67 | 1 |
| Coon Rapids, MN | $232.53 | $145.11 – $371.10 | 66 | 4 |
| Dixon, IL | $187.31 | $187.31 – $187.31 | 66 | 1 |
| Rio Grande City, TX | $6.97 | $6.97 – $6.97 | 66 | 1 |
| Ronceverte, WV | $159.34 | $99.74 – $176.87 | 66 | 2 |
| Pulaski, VA | $623.26 | $623.26 – $623.26 | 66 | 1 |
| Northampton, MA | $167.32 | $167.32 – $167.32 | 65 | 1 |
| Sylacauga, AL | $186.48 | $186.48 – $186.48 | 65 | 1 |
| Richmond Heights, MO | $221.62 | $221.62 – $221.62 | 65 | 1 |
| Howell, MI | $467.66 | $467.66 – $467.66 | 64 | 1 |
| Reed City, MI | $604.91 | $604.91 – $604.91 | 64 | 1 |
| Surprise, AZ | $152.45 | $152.45 – $152.45 | 63 | 1 |
| Sonora, CA | $57.19 | $37.25 – $74.19 | 63 | 2 |
| Harlan, KY | $314.29 | $162.56 – $353.74 | 63 | 2 |
| Atlantis, FL | $59.73 | $59.73 – $59.73 | 63 | 1 |
| Hammonton, NJ | $0.00 | $0.00 – $0.00 | 63 | 1 |
| Rockledge, FL | $97.99 | $97.99 – $97.99 | 61 | 1 |
| Texarkana, TX | $171.67 | $147.99 – $200.80 | 60 | 3 |
| Sonoma, CA | $332.31 | $251.02 – $419.20 | 60 | 2 |
| Parma, OH | $399.56 | $399.56 – $399.56 | 60 | 1 |
| Natchez, MS | $223.21 | $223.21 – $223.21 | 60 | 1 |
| Marlton, NJ | $0.00 | $0.00 – $0.00 | 60 | 1 |
| Decatur, IL | $159.00 | $121.71 – $182.28 | 59 | 3 |
| Dubuque, IA | $287.71 | $287.71 – $287.71 | 59 | 1 |
| Forest City, NC | $93.14 | $93.14 – $93.14 | 59 | 1 |
| Martins Ferry, OH | $189.40 | $189.40 – $189.40 | 59 | 1 |
| Wooster, OH | $144.15 | $144.15 – $144.15 | 58 | 1 |
| Fayetteville, GA | $125.18 | $125.18 – $125.18 | 58 | 1 |
| Mobile, AL | $365.85 | $118.72 – $470.88 | 57 | 2 |
| Alexandria, LA | $149.51 | $68.67 – $339.72 | 57 | 2 |
| Lynchburg, VA | $294.36 | $294.36 – $294.36 | 57 | 1 |
| Rye Brook, NY | $346.00 | $346.00 – $346.00 | 57 | 1 |
| West Haven, CT | $104.25 | $104.25 – $104.25 | 57 | 1 |
| Lagrange, GA | $259.09 | $259.09 – $259.09 | 57 | 1 |
| Bourbonnais, IL | $146.03 | $108.89 – $174.91 | 57 | 4 |
| Shawano, WI | $810.46 | $810.46 – $810.46 | 57 | 1 |
| Chester, VA | $123.48 | $123.48 – $123.48 | 57 | 1 |
| Colusa, CA | $463.38 | $463.38 – $463.38 | 56 | 1 |
| Lawrenceburg, IN | $108.15 | $102.22 – $109.98 | 55 | 2 |
| Drexel Hill, PA | $630.08 | $630.08 – $630.08 | 55 | 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.