CPT 45378

Colonoscopy Flx Dx W/Collj Spec When Pfrmd

CPT 45378 pays $378.10 in a non-facility setting and $164.67 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $335.05 in Arkansas to $441.84 in Alaska, a 32% spread.

National non-facility rate

$378.10

Office and other outpatient settings

Facility rate
$164.67

Hospital and ASC settings

Highest state
$441.84

Alaska

Lowest state
$335.05

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 $378.10
CPT 45378 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $378.10, national facility $164.67.
StateRate compared visuallyNon-facilityFacility
Alaska
$441.84$214.53
District of Columbia
$431.34$179.92
California
$422.96$170.41
New York
$417.90$179.80
New Jersey
$417.23$176.91
Washington
$414.70$171.39
Massachusetts
$410.87$171.08
Hawaii
$407.70$165.03
Connecticut
$402.98$173.11
Colorado
$392.90$165.81
Florida
$391.92$177.78
Maryland
$391.51$169.01
Oregon
$388.97$164.12
Rhode Island
$387.16$166.68
New Hampshire
$386.97$164.79
Illinois
$382.23$176.00
Puerto Rico
$380.73$164.95
Virgin Islands
$380.73$164.95
Montana
$378.07$164.64
Nevada
$376.07$162.42
Minnesota
$375.94$156.32
Pennsylvania
$374.71$165.65
Wyoming
$374.54$161.11
Delaware
$374.15$163.28
Texas
$373.71$163.58
North Dakota
$369.96$156.53
Virginia
$369.68$159.88
Georgia
$369.07$165.46
South Dakota
$369.01$155.57
Vermont
$368.75$157.45
Arizona
$368.12$161.31
Michigan
$367.93$167.52
Maine
$361.49$157.56
Utah
$361.21$160.58
New Mexico
$359.42$163.70
Wisconsin
$357.78$153.31
Missouri
$356.63$160.77
South Carolina
$356.42$159.21
Louisiana
$356.28$161.42
North Carolina
$355.86$156.72
Ohio
$355.75$160.88
Indiana
$352.21$154.36
Idaho
$350.23$153.87
West Virginia
$350.18$164.71
Nebraska
$349.70$152.70
Kentucky
$348.28$158.53
Tennessee
$348.26$154.25
Iowa
$347.89$152.60
Oklahoma
$347.42$156.82
Kansas
$346.52$153.58
Alabama
$339.88$153.13
Mississippi
$338.64$154.87
Arkansas
$335.05$151.71

Billed by 2 specialties

Commercial rates for 45378

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

See negotiated rates