CPT 45330

Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa If Pfrmd

CPT 45330 pays $215.10 in a non-facility setting and $53.78 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $187.26 in Arkansas to $249.73 in District of Columbia, a 33% spread.

National non-facility rate

$215.10

Office and other outpatient settings

Facility rate
$53.78

Hospital and ASC settings

Highest state
$249.73

District of Columbia

Lowest state
$187.26

Arkansas · 33% 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 $215.10
CPT 45330 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $215.10, national facility $53.78.
StateRate compared visuallyNon-facilityFacility
District of Columbia
$249.73$59.69
California
$247.92$57.02
Washington
$240.84$56.93
New Jersey
$239.99$58.34
New York
$239.08$59.10
Alaska
$238.94$67.12
Hawaii
$238.58$55.15
Massachusetts
$237.94$56.69
Connecticut
$230.64$56.89
Colorado
$226.31$54.66
Oregon
$224.04$54.08
Maryland
$223.58$55.39
New Hampshire
$222.13$54.19
Rhode Island
$221.25$54.60
Florida
$219.51$57.64
Minnesota
$217.61$51.60
Puerto Rico
$217.06$53.96
Virgin Islands
$217.06$53.96
Montana
$215.09$53.77
Nevada
$214.62$53.13
Wyoming
$214.06$52.73
North Dakota
$212.72$51.39
Illinois
$212.65$56.77
Delaware
$212.63$53.24
South Dakota
$212.44$51.11
Texas
$212.12$53.29
Pennsylvania
$211.86$53.84
Vermont
$211.28$51.57
Virginia
$210.80$52.22
Arizona
$208.83$52.50
Georgia
$207.48$53.57
Michigan
$205.53$54.04
Maine
$205.43$51.28
Wisconsin
$204.61$50.06
Utah
$203.67$52.02
North Carolina
$201.35$50.83
New Mexico
$200.66$52.72
South Carolina
$200.54$51.47
Missouri
$199.91$51.87
Indiana
$199.63$50.08
Louisiana
$199.31$52.02
Ohio
$199.15$51.86
Nebraska
$198.46$49.56
Idaho
$198.29$49.87
Iowa
$197.07$49.46
Tennessee
$196.53$49.88
Kansas
$195.48$49.64
Oklahoma
$194.55$50.49
Kentucky
$194.37$50.95
West Virginia
$192.76$52.57
Alabama
$190.40$49.24
Mississippi
$188.52$49.62
Arkansas
$187.26$48.68

Billed by 1 specialties

Commercial rates for 45330

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

See negotiated rates