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 |
|---|---|---|---|---|
| Forest Hills, NY | $219.95 | $98.92 – $324.67 | 9,049 | 8 |
| Rochester, NY | $663.63 | $133.33 – $908.67 | 8,920 | 13 |
| Bowling Green, KY | $254.72 | $121.82 – $426.19 | 8,903 | 8 |
| Muskegon, MI | $264.14 | $104.41 – $437.87 | 8,879 | 2 |
| Salinas, CA | $231.37 | $46.20 – $453.01 | 8,836 | 6 |
| Philadelphia, PA | $563.00 | $94.98 – $1,575 | 8,834 | 42 |
| Bangor, ME | $402.08 | $52.34 – $432.69 | 8,807 | 10 |
| Minneapolis, MN | $443.82 | $408.66 – $782.89 | 8,778 | 6 |
| Southfield, MI | $110.62 | $89.48 – $136.22 | 8,724 | 5 |
| Avondale, AZ | $229.82 | $173.46 – $247.77 | 8,659 | 5 |
| Madison, WI | $185.94 | $167.93 – $268.33 | 8,651 | 4 |
| Englewood, NJ | $378.32 | $378.32 – $378.32 | 8,632 | 1 |
| Kalamazoo, MI | $190.03 | $95.60 – $494.87 | 8,591 | 5 |
| Wyoming, MI | $254.49 | $128.26 – $262.36 | 8,463 | 3 |
| Salt Lake City, UT | $71.58 | $1.39 – $257.52 | 8,395 | 9 |
| Haverhill, MA | $213.93 | $66.93 – $242.66 | 8,309 | 3 |
| Inglewood, CA | $243.05 | $0.00 – $262.46 | 8,266 | 5 |
| Monterey, CA | $468.59 | $125.34 – $522.45 | 8,092 | 9 |
| Canton, OH | $266.05 | $223.19 – $494.84 | 8,075 | 6 |
| Oklahoma City, OK | $316.74 | $90.86 – $731.28 | 7,969 | 22 |
| Roswell, NM | $308.43 | $215.82 – $555.73 | 7,943 | 4 |
| Jackson, MI | $200.76 | $101.60 – $397.18 | 7,919 | 4 |
| Murrieta, CA | $383.08 | $27.20 – $509.30 | 7,685 | 6 |
| Oceanside, CA | $231.35 | $209.44 – $430.66 | 7,675 | 8 |
| Hattiesburg, MS | $177.38 | $40.34 – $212.91 | 7,665 | 8 |
| Coral Gables, FL | $267.82 | $63.56 – $319.59 | 7,625 | 3 |
| Charlottesville, VA | $816.18 | $48.06 – $827.79 | 7,596 | 4 |
| Stamford, CT | $571.46 | $85.99 – $647.31 | 7,514 | 4 |
| Poplar Bluff, MO | $307.66 | $307.66 – $307.66 | 7,495 | 1 |
| Garden Grove, CA | $257.61 | $7.20 – $399.04 | 7,469 | 5 |
| New Brunswick, NJ | $693.40 | $162.96 – $811.83 | 7,448 | 7 |
| Cambridge, MA | $654.98 | $67.95 – $1,028 | 7,448 | 5 |
| Fresh Meadows, NY | $470.18 | $137.47 – $471.40 | 7,360 | 2 |
| Edison, NJ | $494.99 | $0.00 – $771.00 | 7,352 | 6 |
| Corbin, KY | $236.09 | $118.43 – $321.10 | 7,348 | 8 |
| Baltimore, MD | $133.59 | $-6.17 – $666.88 | 7,343 | 31 |
| Dearborn, MI | $252.69 | $24.59 – $503.91 | 7,293 | 9 |
| Coto Laurel, PR | $312.66 | $255.18 – $332.23 | 7,263 | 2 |
| Richmond, IN | $823.18 | $8.38 – $872.18 | 7,213 | 3 |
| Albany, NY | $553.67 | $189.48 – $866.41 | 7,170 | 4 |
| Covington, LA | $134.40 | $97.79 – $197.20 | 7,101 | 2 |
| Akron, OH | $412.78 | $152.08 – $808.99 | 7,032 | 10 |
| Thornton, CO | $183.27 | $102.78 – $193.61 | 6,954 | 5 |
| Liverpool, NY | $335.02 | $136.64 – $417.44 | 6,832 | 6 |
| Freedom, CA | $415.70 | $138.91 – $423.06 | 6,799 | 3 |
| Voorhees, NJ | $361.58 | $110.49 – $1,131 | 6,715 | 7 |
| Norwalk, CT | $630.64 | $56.33 – $732.27 | 6,571 | 7 |
| Fountain Valley, CA | $203.14 | $0.00 – $498.34 | 6,510 | 12 |
| East Lansing, MI | $107.37 | $105.43 – $156.85 | 6,424 | 3 |
| Willimantic, CT | $385.29 | $82.40 – $690.84 | 6,392 | 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.