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 |
|---|---|---|---|---|
| Greenville, TX | $87.15 | $87.15 – $87.15 | 13 | 1 |
| Clarksdale, MS | $0.00 | $0.00 – $0.00 | 13 | 1 |
| Fort Payne, AL | $181.77 | $181.77 – $181.77 | 13 | 1 |
| Rockwall, TX | $142.54 | $142.54 – $142.54 | 13 | 1 |
| Pomona, NY | $390.36 | $390.36 – $390.36 | 13 | 1 |
| New Port Richey, FL | $118.10 | $118.10 – $118.10 | 13 | 1 |
| Granite City, IL | $214.99 | $214.99 – $214.99 | 13 | 1 |
| Andalusia, AL | $72.39 | $72.39 – $72.39 | 13 | 1 |
| Cranston, RI | $238.11 | $238.11 – $238.11 | 13 | 1 |
| Fort Thomas, KY | $758.51 | $758.51 – $758.51 | 13 | 1 |
| Canonsburg, PA | $108.39 | $108.39 – $108.39 | 13 | 1 |
| Norwood, MA | $282.01 | $282.01 – $282.01 | 13 | 1 |
| Peabody, MA | $263.90 | $263.90 – $263.90 | 13 | 1 |
| Rockaway, NJ | $290.99 | $290.99 – $290.99 | 13 | 1 |
| Rio Grande, PR | $324.00 | $324.00 – $324.00 | 13 | 1 |
| Burlingame, CA | $765.85 | $765.85 – $765.85 | 13 | 1 |
| Robbinsdale, MN | $122.69 | $122.69 – $122.69 | 13 | 1 |
| Wellsville, NY | $1,410 | $1,410 – $1,410 | 13 | 1 |
| Weston, WI | $335.06 | $335.06 – $335.06 | 13 | 1 |
| Columbia, MS | $166.01 | $166.01 – $166.01 | 13 | 1 |
| Cumberland, MD | $263.70 | $263.70 – $263.70 | 12 | 1 |
| Decatur, AL | $19.85 | $19.85 – $19.85 | 12 | 1 |
| Hanover, PA | $144.35 | $144.35 – $144.35 | 12 | 1 |
| Doylestown, PA | $220.32 | $220.32 – $220.32 | 12 | 1 |
| Seneca, SC | $0.00 | $0.00 – $0.00 | 12 | 1 |
| Visalia, CA | $253.47 | $253.47 – $253.47 | 12 | 1 |
| Mount Kisco, NY | $133.08 | $133.08 – $133.08 | 12 | 1 |
| Omak, WA | $256.26 | $256.26 – $256.26 | 12 | 1 |
| Allen, TX | $107.92 | $107.92 – $107.92 | 12 | 1 |
| Bedford, NH | $90.96 | $90.96 – $90.96 | 12 | 1 |
| Lakeport, CA | $222.37 | $222.37 – $222.37 | 12 | 1 |
| Salina, KS | $104.65 | $104.65 – $104.65 | 12 | 1 |
| Greensburg, PA | $139.48 | $139.48 – $139.48 | 12 | 1 |
| Port Jefferson, NY | $562.42 | $562.42 – $562.42 | 12 | 1 |
| Odessa, TX | $114.32 | $114.32 – $114.32 | 12 | 1 |
| Delaware, OH | $139.63 | $139.63 – $139.63 | 12 | 1 |
| Orchard Park, NY | $439.42 | $439.42 – $439.42 | 12 | 1 |
| Palm Coast, FL | $103.84 | $103.84 – $103.84 | 12 | 1 |
| Hamburg, NY | $302.05 | $302.05 – $302.05 | 12 | 1 |
| Riverhead, NY | $232.05 | $232.05 – $232.05 | 12 | 1 |
| Malone, NY | $586.46 | $586.46 – $586.46 | 12 | 1 |
| Freeport, IL | $188.55 | $188.55 – $188.55 | 12 | 1 |
| Media, PA | $291.55 | $291.55 – $291.55 | 12 | 1 |
| Reston, VA | $306.18 | $306.18 – $306.18 | 12 | 1 |
| Orwigsburg, PA | $265.12 | $265.12 – $265.12 | 12 | 1 |
| Anoka, MN | $235.28 | $235.28 – $235.28 | 12 | 1 |
| Ville Platte, LA | $172.16 | $172.16 – $172.16 | 12 | 1 |
| New City, NY | $378.65 | $378.65 – $378.65 | 12 | 1 |
| Palm Harbor, FL | $121.08 | $121.08 – $121.08 | 12 | 1 |
| Farmington, MO | $329.76 | $329.76 – $329.76 | 12 | 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.