# CPT 45330: Sigmoidoscopy Flx Dx W/collj Spec Br/wa If Pfrmd

Medicare 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.

Web page: https://www.med-reveal.com/rates/45330-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $215.10 |
| National facility | $53.78 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| 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 | $56.70 |
| Connecticut | $230.64 | $56.89 |
| Colorado | $226.31 | $54.66 |
| Oregon | $224.05 | $54.09 |
| Maryland | $223.58 | $55.40 |
| 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 | $53.58 |
| Michigan | $205.53 | $54.05 |
| Maine | $205.43 | $51.29 |
| 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 |

## 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 45330 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