CPT 45300

Proctosgmdsc Rgd Dx W/Wo Collj Spec Br/Wa Spx

CPT 45300 pays $148.63 in a non-facility setting and $45.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $129.86 in Arkansas to $171.58 in District of Columbia, a 32% spread.

National non-facility rate

$148.63

Office and other outpatient settings

Facility rate
$45.09

Hospital and ASC settings

Highest state
$171.58

District of Columbia

Lowest state
$129.86

Arkansas · 32% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $148.63
CPT 45300 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $148.63, national facility $45.09.
StateRate compared visuallyNon-facilityFacility
District of Columbia
$171.58$49.60
California
$169.25$46.73
Alaska
$167.40$57.12
New Jersey
$165.23$48.64
New York
$165.10$49.59
Washington
$165.09$47.05
Massachusetts
$163.30$46.97
Hawaii
$163.00$45.28
Connecticut
$159.17$47.66
Colorado
$155.56$45.39
Maryland
$154.33$46.39
Oregon
$153.97$44.89
Florida
$153.14$49.25
New Hampshire
$152.94$45.15
Rhode Island
$152.56$45.60
Puerto Rico
$149.87$45.19
Virgin Islands
$149.87$45.19
Minnesota
$149.01$42.46
Illinois
$148.69$48.64
Montana
$148.63$45.08
Nevada
$148.03$44.38
Wyoming
$147.51$43.96
Delaware
$146.91$44.61
Pennsylvania
$146.74$45.32
Texas
$146.64$44.70
North Dakota
$146.05$42.51
South Dakota
$145.75$42.21
Virginia
$145.35$43.56
Vermont
$145.31$42.80
Arizona
$144.34$44.01
Georgia
$144.09$45.31
Michigan
$143.19$45.96
Maine
$141.75$42.82
Utah
$141.10$43.77
Wisconsin
$140.66$41.47
New Mexico
$139.69$44.74
North Carolina
$139.14$42.54
South Carolina
$139.00$43.32
Missouri
$138.83$43.81
Louisiana
$138.55$44.02
Ohio
$138.38$43.85
Indiana
$137.77$41.79
Idaho
$136.89$41.63
Nebraska
$136.83$41.26
Iowa
$135.97$41.22
Tennessee
$135.86$41.74
Kentucky
$135.14$43.09
Kansas
$135.13$41.53
West Virginia
$135.02$45.04
Oklahoma
$135.01$42.55
Alabama
$131.97$41.37
Mississippi
$131.07$41.92
Arkansas
$129.86$40.91

Billed by 1 specialties

Commercial rates for 45300

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates