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 |
|---|---|---|---|---|
| Denver, CO | $247.84 | $120.24 – $879.91 | 5,033 | 15 |
| Florence, SC | $29.69 | $15.35 – $145.26 | 4,999 | 8 |
| Manchester, CT | $580.92 | $52.34 – $609.80 | 4,994 | 3 |
| Warren, OH | $213.47 | $113.12 – $360.67 | 4,982 | 10 |
| Troy, MI | $503.99 | $503.99 – $503.99 | 4,979 | 1 |
| New Hyde Park, NY | $557.83 | $274.88 – $675.87 | 4,935 | 4 |
| Everett, WA | $177.62 | $24.43 – $427.22 | 4,919 | 6 |
| Royal Oak, MI | $273.90 | $89.15 – $462.51 | 4,912 | 3 |
| Greenville, NC | $118.57 | $40.04 – $241.75 | 4,903 | 10 |
| Hazard, KY | $311.72 | $83.56 – $396.44 | 4,879 | 5 |
| East Patchogue, NY | $375.29 | $100.80 – $408.86 | 4,853 | 3 |
| Green Bay, WI | $196.26 | $120.06 – $344.86 | 4,812 | 11 |
| Issaquah, WA | $379.67 | $83.86 – $387.75 | 4,808 | 4 |
| Crestview Hills, KY | $252.51 | $61.01 – $311.55 | 4,790 | 5 |
| Lanham, MD | $265.98 | $247.01 – $267.64 | 4,786 | 2 |
| Franklin Lakes, NJ | $164.01 | $164.01 – $164.01 | 4,732 | 1 |
| Pine Bluff, AR | $225.24 | $129.14 – $228.03 | 4,705 | 4 |
| Colorado Springs, CO | $215.44 | $173.51 – $340.20 | 4,703 | 14 |
| Mission Viejo, CA | $376.95 | $200.72 – $391.13 | 4,657 | 3 |
| Ponce, PR | $242.89 | $96.00 – $299.35 | 4,654 | 13 |
| Roanoke, VA | $592.68 | $234.79 – $593.61 | 4,630 | 2 |
| Chandler, AZ | $208.61 | $91.21 – $277.43 | 4,617 | 11 |
| Prescott, AZ | $235.17 | $109.59 – $348.71 | 4,598 | 4 |
| Hawthorne, NJ | $360.22 | $360.22 – $360.22 | 4,590 | 1 |
| Montgomery, OH | $236.76 | $123.83 – $324.81 | 4,585 | 6 |
| Greeneville, TN | $130.93 | $95.25 – $131.51 | 4,569 | 2 |
| Paducah, KY | $283.13 | $120.00 – $427.12 | 4,524 | 8 |
| San Mateo, CA | $37.27 | $32.07 – $483.75 | 4,519 | 4 |
| Saint Joseph, MI | $330.19 | $84.90 – $486.72 | 4,510 | 4 |
| Binghamton, NY | $717.65 | $624.25 – $769.55 | 4,499 | 2 |
| Wenatchee, WA | $290.29 | $61.10 – $364.92 | 4,474 | 9 |
| Temecula, CA | $343.16 | $54.74 – $425.62 | 4,474 | 4 |
| Eatontown, NJ | $535.35 | $535.35 – $535.35 | 4,462 | 1 |
| Asheville, NC | $126.16 | $44.95 – $318.27 | 4,375 | 3 |
| Scottsdale, AZ | $249.94 | $109.31 – $703.28 | 4,286 | 12 |
| Rockville, MD | $141.17 | $15.36 – $157.97 | 4,277 | 5 |
| Beloit, WI | $134.62 | $40.56 – $145.01 | 4,262 | 4 |
| Bridgeport, WV | $233.27 | $131.68 – $332.53 | 4,223 | 2 |
| La Crosse, WI | $167.08 | $138.58 – $262.64 | 4,221 | 3 |
| Coronado, CA | $293.10 | $292.76 – $411.85 | 4,195 | 2 |
| Orange, CA | $164.92 | $0.00 – $772.36 | 4,147 | 8 |
| Alexandria, VA | $383.38 | $97.21 – $571.85 | 4,126 | 6 |
| Lakewood, NJ | $431.27 | $164.40 – $1,395 | 4,090 | 4 |
| Jackson Heights, NY | $183.96 | $151.21 – $310.85 | 4,088 | 4 |
| Olympia, WA | $229.68 | $50.17 – $240.81 | 4,081 | 6 |
| Egg Harbor Township, NJ | $410.87 | $223.90 – $454.91 | 4,079 | 4 |
| Manati, PR | $436.07 | $0.00 – $491.65 | 4,066 | 7 |
| Rochester Hills, MI | $108.78 | $100.54 – $109.67 | 4,065 | 3 |
| Charleston, SC | $54.54 | $17.39 – $647.72 | 4,049 | 6 |
| Mount Vernon, WA | $303.83 | $72.94 – $338.85 | 4,043 | 5 |
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.