# CPT 45305: Proctosgmdsc Rigid W/bx Single/multiple

Medicare CPT 45305 pays $198.40 in a non-facility setting and $69.14 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $173.40 in Arkansas to $228.64 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/45305-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $198.40 |
| National facility | $69.14 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $228.64 | $76.37 |
| California | $224.97 | $72.01 |
| Alaska | $224.14 | $86.47 |
| New York | $220.42 | $76.21 |
| New Jersey | $220.32 | $74.78 |
| Washington | $219.78 | $72.41 |
| Massachusetts | $217.48 | $72.26 |
| Hawaii | $216.73 | $69.76 |
| Connecticut | $212.43 | $73.22 |
| Colorado | $207.26 | $69.73 |
| Maryland | $205.97 | $71.21 |
| Florida | $205.24 | $75.55 |
| Oregon | $205.11 | $68.94 |
| New Hampshire | $203.89 | $69.33 |
| Rhode Island | $203.48 | $69.96 |
| Puerto Rico | $200.00 | $69.32 |
| Virgin Islands | $200.00 | $69.32 |
| Illinois | $199.41 | $74.51 |
| Montana | $198.39 | $69.13 |
| Minnesota | $198.17 | $65.16 |
| Nevada | $197.44 | $68.05 |
| Wyoming | $196.66 | $67.40 |
| Delaware | $196.06 | $68.35 |
| Pennsylvania | $196.04 | $69.43 |
| Texas | $195.74 | $68.48 |
| North Dakota | $194.43 | $65.17 |
| South Dakota | $193.97 | $64.70 |
| Virginia | $193.81 | $66.75 |
| Vermont | $193.56 | $65.59 |
| Georgia | $192.68 | $69.36 |
| Arizona | $192.66 | $67.40 |
| Michigan | $191.71 | $70.33 |
| Maine | $189.04 | $65.53 |
| Utah | $188.46 | $66.96 |
| Wisconsin | $187.30 | $63.47 |
| New Mexico | $186.94 | $68.40 |
| South Carolina | $185.67 | $66.23 |
| North Carolina | $185.65 | $65.05 |
| Missouri | $185.59 | $66.97 |
| Louisiana | $185.29 | $67.28 |
| Ohio | $185.03 | $67.01 |
| Indiana | $183.70 | $63.88 |
| Idaho | $182.54 | $63.62 |
| Nebraska | $182.36 | $63.06 |
| Tennessee | $181.27 | $63.77 |
| Iowa | $181.26 | $62.98 |
| West Virginia | $181.07 | $68.74 |
| Kentucky | $180.70 | $65.79 |
| Oklahoma | $180.40 | $64.97 |
| Kansas | $180.27 | $63.42 |
| Alabama | $176.21 | $63.11 |
| Mississippi | $175.21 | $63.91 |
| Arkansas | $173.40 | $62.37 |

## 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 45305 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