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 |
|---|---|---|---|---|
| Houma, LA | $212.24 | $183.87 – $212.38 | 2,728 | 2 |
| Brockton, MA | $1,028 | $71.79 – $1,171 | 2,720 | 8 |
| Virginia Beach, VA | $623.49 | $623.49 – $623.49 | 2,719 | 1 |
| Paramount, CA | $188.96 | $150.56 – $189.49 | 2,708 | 2 |
| Bettendorf, IA | $229.25 | $84.11 – $268.23 | 2,705 | 6 |
| Mt Sterling, KY | $222.42 | $185.43 – $255.61 | 2,696 | 2 |
| Arecibo, PR | $126.08 | $93.77 – $291.07 | 2,694 | 8 |
| Mount Laurel, NJ | $451.37 | $208.70 – $529.49 | 2,694 | 13 |
| Portsmouth, OH | $299.09 | $172.21 – $531.77 | 2,684 | 4 |
| Pearl City, HI | $515.68 | $515.68 – $515.68 | 2,673 | 1 |
| New Britain, CT | $564.58 | $55.85 – $611.03 | 2,664 | 5 |
| Kalispell, MT | $60.55 | $0.00 – $235.50 | 2,662 | 7 |
| Newport, TN | $128.78 | $128.78 – $128.78 | 2,655 | 1 |
| South Charleston, WV | $192.97 | $119.13 – $232.81 | 2,609 | 3 |
| Pueblo, CO | $313.59 | $170.17 – $328.78 | 2,586 | 9 |
| Fort Collins, CO | $252.85 | $161.01 – $253.69 | 2,572 | 4 |
| Powell, TN | $169.18 | $128.58 – $176.10 | 2,554 | 2 |
| Hyannis, MA | $298.31 | $151.98 – $299.70 | 2,550 | 2 |
| Marshfield, WI | $201.14 | $177.29 – $227.14 | 2,548 | 3 |
| Eau Claire, WI | $129.80 | $109.74 – $173.61 | 2,539 | 4 |
| Florence, KY | $445.35 | $127.87 – $576.60 | 2,537 | 6 |
| Pleasant Prairie, WI | $160.52 | $160.52 – $160.52 | 2,523 | 1 |
| Old Bridge, NJ | $371.50 | $114.11 – $1,248 | 2,507 | 3 |
| Southaven, MS | $102.20 | $85.88 – $124.81 | 2,495 | 2 |
| Fairbanks, AK | $391.30 | $236.61 – $395.85 | 2,494 | 4 |
| Carolina, PR | $370.18 | $367.86 – $370.49 | 2,477 | 2 |
| Wilmington, NC | $122.39 | $81.77 – $156.44 | 2,469 | 3 |
| Chico, CA | $134.72 | $69.49 – $403.38 | 2,468 | 8 |
| Whittier, CA | $233.84 | $46.47 – $241.66 | 2,460 | 4 |
| Salinas, PR | $252.49 | $252.49 – $252.49 | 2,456 | 1 |
| Middletown, CT | $326.99 | $42.29 – $428.42 | 2,452 | 11 |
| Clarksville, TN | $154.50 | $153.68 – $177.74 | 2,451 | 2 |
| Springfield, OH | $277.72 | $151.41 – $376.07 | 2,445 | 5 |
| Chattanooga, TN | $268.61 | $215.96 – $393.51 | 2,443 | 5 |
| Boynton Beach, FL | $255.68 | $186.26 – $256.11 | 2,430 | 2 |
| Clive, IA | $323.13 | $137.95 – $332.36 | 2,428 | 5 |
| Smithfield, NC | $105.98 | $57.13 – $108.61 | 2,422 | 2 |
| Harlingen, TX | $157.27 | $29.22 – $331.24 | 2,417 | 6 |
| Stony Brook, NY | $699.01 | $699.01 – $699.01 | 2,410 | 1 |
| Little Rock, AR | $220.22 | $105.87 – $368.85 | 2,383 | 4 |
| Mayfield, KY | $279.62 | $109.90 – $434.76 | 2,381 | 3 |
| Yonkers, NY | $532.46 | $168.42 – $1,392 | 2,373 | 5 |
| Cedar Falls, IA | $305.75 | $305.75 – $305.75 | 2,354 | 1 |
| Winchester, KY | $264.45 | $160.67 – $269.71 | 2,343 | 2 |
| Richmond Hill, NY | $815.42 | $209.26 – $840.77 | 2,341 | 2 |
| Columbus, MS | $140.57 | $0.00 – $141.54 | 2,335 | 2 |
| Westbury, NY | $433.89 | $433.89 – $433.89 | 2,333 | 1 |
| Danville, KY | $261.88 | $83.05 – $270.78 | 2,321 | 4 |
| Lorain, OH | $298.87 | $180.66 – $447.31 | 2,311 | 4 |
| Ogden, UT | $81.41 | $11.92 – $266.30 | 2,298 | 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.