# CPT 45300: Proctosgmdsc Rgd Dx W/wo Collj Spec Br/wa Spx

Medicare 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.

Web page: https://www.med-reveal.com/rates/45300-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $148.63 |
| National facility | $45.09 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $171.58 | $49.60 |
| California | $169.25 | $46.73 |
| Alaska | $167.40 | $57.12 |
| New Jersey | $165.24 | $48.65 |
| New York | $165.10 | $49.59 |
| Washington | $165.09 | $47.06 |
| Massachusetts | $163.30 | $46.97 |
| Hawaii | $163.00 | $45.28 |
| Connecticut | $159.17 | $47.66 |
| Colorado | $155.56 | $45.39 |
| Maryland | $154.34 | $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 | $146.75 | $45.33 |
| 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 | $45.97 |
| 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 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 45300 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules