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 |
|---|---|---|---|---|
| Marinette, WI | $363.79 | $363.79 – $363.79 | 12 | 1 |
| Bayonne, NJ | $95.68 | $95.68 – $95.68 | 12 | 1 |
| Taos, NM | $647.90 | $647.90 – $647.90 | 12 | 1 |
| Princeton, NJ | $118.08 | $118.08 – $118.08 | 12 | 1 |
| Poulsbo, WA | $74.04 | $74.04 – $74.04 | 12 | 1 |
| Concord, MA | $246.11 | $246.11 – $246.11 | 12 | 1 |
| Patchogue, NY | $749.93 | $749.93 – $749.93 | 12 | 1 |
| Calexico, CA | $0.00 | $0.00 – $0.00 | 12 | 1 |
| Washington, MO | $266.92 | $266.92 – $266.92 | 12 | 1 |
| Clanton, AL | $167.76 | $167.76 – $167.76 | 12 | 1 |
| Winslow, AZ | $909.41 | $909.41 – $909.41 | 12 | 1 |
| Hercules, CA | $0.00 | $0.00 – $0.00 | 12 | 1 |
| Lowville, NY | $1,012 | $1,012 – $1,012 | 12 | 1 |
| South Portland, ME | $119.20 | $119.20 – $119.20 | 12 | 1 |
| Rutherfordton, NC | $110.94 | $110.94 – $110.94 | 12 | 1 |
| Canon City, CO | $312.52 | $312.52 – $312.52 | 12 | 1 |
| Dedham, MA | $14.39 | $14.39 – $14.39 | 12 | 1 |
| Burgettstown, PA | $162.90 | $162.90 – $162.90 | 12 | 1 |
| Windsor, CT | $320.17 | $320.17 – $320.17 | 12 | 1 |
| York, ME | $44.51 | $44.51 – $44.51 | 12 | 1 |
| Hobbs, NM | $379.74 | $379.74 – $379.74 | 12 | 1 |
| Chagrin Falls, OH | $221.39 | $221.39 – $221.39 | 12 | 1 |
| Midwest City, OK | $170.44 | $170.44 – $170.44 | 12 | 1 |
| West Bend, WI | $401.32 | $401.32 – $401.32 | 12 | 1 |
| Atlantic City, NJ | $0.00 | $0.00 – $0.00 | 12 | 1 |
| Jamaica Plain, MA | $95.67 | $95.67 – $95.67 | 12 | 1 |
| Allen Park, MI | $209.26 | $209.26 – $209.26 | 12 | 1 |
| Maspeth, NY | $133.87 | $133.87 – $133.87 | 12 | 1 |
| Tuba City, AZ | $357.30 | $357.30 – $357.30 | 12 | 1 |
| Monroe, WI | $148.04 | $148.04 – $148.04 | 12 | 1 |
| Advance, NC | $336.23 | $336.23 – $336.23 | 12 | 1 |
| Fort Gratiot, MI | $102.50 | $102.50 – $102.50 | 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.