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 |
|---|---|---|---|---|
| Arcadia, CA | $174.04 | $33.87 – $207.99 | 4,026 | 6 |
| Lewiston, ME | $401.66 | $69.73 – $434.63 | 4,017 | 8 |
| Mayaguez, PR | $200.89 | $99.35 – $268.69 | 4,004 | 7 |
| Billings, MT | $9.17 | $1.95 – $193.71 | 4,001 | 4 |
| Gulfport, MS | $251.99 | $0.00 – $503.10 | 3,992 | 6 |
| Yakima, WA | $212.36 | $66.33 – $287.47 | 3,952 | 7 |
| Loma Linda, CA | $230.60 | $47.78 – $516.47 | 3,908 | 9 |
| Stockton, CA | $732.57 | $115.50 – $761.24 | 3,873 | 3 |
| Burnt Hills, NY | $442.04 | $95.59 – $494.43 | 3,858 | 5 |
| Huntington, WV | $178.89 | $63.85 – $246.04 | 3,852 | 7 |
| Grand Junction, CO | $211.03 | $99.55 – $222.95 | 3,843 | 7 |
| Greenville, SC | $16.63 | $0.00 – $336.92 | 3,842 | 6 |
| Pittsfield, MA | $886.18 | $57.19 – $1,014 | 3,839 | 5 |
| Jacksonville, NC | $134.78 | $113.76 – $185.00 | 3,824 | 4 |
| Stanford, CA | $274.76 | $30.38 – $454.92 | 3,815 | 12 |
| Lompoc, CA | $260.76 | $259.70 – $260.77 | 3,811 | 2 |
| Jackson, MS | $343.32 | $23.53 – $410.89 | 3,811 | 4 |
| Upland, CA | $308.11 | $37.56 – $403.70 | 3,795 | 7 |
| Monroe, LA | $163.20 | $83.42 – $212.58 | 3,787 | 7 |
| Madison Heights, MI | $401.11 | $401.11 – $401.11 | 3,765 | 1 |
| Rosemead, CA | $163.53 | $150.85 – $197.00 | 3,758 | 2 |
| La Quinta, CA | $278.33 | $278.33 – $278.33 | 3,735 | 1 |
| Bogalusa, LA | $173.89 | $172.50 – $198.13 | 3,669 | 2 |
| Mechanicsville, VA | $620.55 | $80.71 – $625.00 | 3,668 | 2 |
| Grand Blanc, MI | $160.53 | $117.47 – $361.81 | 3,651 | 3 |
| Chino Hills, CA | $312.88 | $0.00 – $370.09 | 3,642 | 2 |
| Joplin, MO | $289.05 | $138.08 – $428.13 | 3,625 | 4 |
| Staten Island, NY | $723.13 | $88.37 – $1,328 | 3,622 | 6 |
| Oxnard, CA | $342.72 | $89.97 – $704.56 | 3,619 | 7 |
| Fairfield, CA | $298.76 | $48.11 – $551.08 | 3,618 | 7 |
| Ypsilanti, MI | $202.13 | $115.42 – $477.97 | 3,565 | 3 |
| Aguadilla, PR | $425.38 | $103.50 – $463.76 | 3,552 | 4 |
| Burien, WA | $329.85 | $71.87 – $339.45 | 3,520 | 4 |
| Maywood, NJ | $292.53 | $270.09 – $292.69 | 3,515 | 2 |
| Auburn, MA | $233.58 | $152.03 – $249.70 | 3,513 | 3 |
| Wichita, KS | $196.90 | $130.42 – $315.67 | 3,477 | 7 |
| Rancho Cucamonga, CA | $283.98 | $258.37 – $477.18 | 3,473 | 6 |
| Ashtabula, OH | $293.40 | $203.84 – $517.18 | 3,469 | 3 |
| Silver Spring, MD | $30.70 | $25.65 – $128.51 | 3,463 | 2 |
| Columbia, MD | $199.61 | $3.89 – $255.82 | 3,448 | 5 |
| Nashville, TN | $195.05 | $39.27 – $592.31 | 3,430 | 10 |
| Passaic, NJ | $410.14 | $410.14 – $410.14 | 3,422 | 1 |
| Union City, TN | $102.30 | $96.02 – $125.96 | 3,391 | 2 |
| Logan, WV | $174.38 | $118.88 – $251.78 | 3,373 | 3 |
| Owensboro, KY | $193.81 | $155.05 – $299.01 | 3,367 | 4 |
| Morgantown, WV | $241.90 | $94.27 – $1,449 | 3,359 | 5 |
| Worcester, MA | $744.74 | $64.26 – $992.36 | 3,350 | 19 |
| Pomona, CA | $408.27 | $44.70 – $565.14 | 3,349 | 6 |
| Pinehurst, NC | $168.01 | $70.68 – $179.15 | 3,338 | 5 |
| Madera, CA | $18.12 | $0.54 – $260.10 | 3,324 | 7 |
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.