CPT 45379

Colonoscopy Flx W/Removal of Foreign Body(S)

CPT 45379 pays $479.30 in a non-facility setting and $210.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $425.73 in Arkansas to $562.63 in Alaska, a 32% spread.

National non-facility rate

$479.30

Office and other outpatient settings

Facility rate
$210.09

Hospital and ASC settings

Highest state
$562.63

Alaska

Lowest state
$425.73

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 $479.30
CPT 45379 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $479.30, national facility $210.09.
StateRate compared visuallyNon-facilityFacility
Alaska
$562.63$275.92
District of Columbia
$546.28$229.15
California
$536.12$217.57
New York
$529.20$228.87
New Jersey
$528.61$225.47
Washington
$525.55$218.65
Massachusetts
$520.68$218.22
Hawaii
$516.75$210.66
Connecticut
$510.45$220.51
Colorado
$498.10$211.66
Maryland
$496.14$215.48
Florida
$495.88$225.77
Oregon
$493.21$209.59
Rhode Island
$490.86$212.77
New Hampshire
$490.53$210.28
Illinois
$483.78$223.65
Puerto Rico
$482.62$210.45
Virgin Islands
$482.62$210.45
Montana
$479.27$210.06
Minnesota
$477.17$200.15
Nevada
$476.89$207.41
Pennsylvania
$475.05$211.36
Wyoming
$475.05$205.84
Delaware
$474.46$208.48
Texas
$473.89$208.85
North Dakota
$469.58$200.37
Virginia
$468.99$204.35
South Dakota
$468.44$199.22
Vermont
$467.98$201.46
Georgia
$467.84$211.01
Arizona
$466.91$206.05
Michigan
$466.23$213.44
Maine
$458.79$201.56
Utah
$458.21$205.16
New Mexico
$455.73$208.86
Wisconsin
$454.38$196.48
Missouri
$452.40$205.35
South Carolina
$452.25$203.50
Louisiana
$451.91$206.12
North Carolina
$451.71$200.54
Ohio
$451.28$205.49
Indiana
$447.26$197.70
Idaho
$444.79$197.11
Nebraska
$444.20$195.72
West Virginia
$443.96$210.01
Tennessee
$442.27$197.56
Kentucky
$441.99$202.66
Iowa
$441.92$195.60
Oklahoma
$441.02$200.62
Kansas
$440.11$196.75
Alabama
$431.74$196.18
Mississippi
$430.04$198.25
Arkansas
$425.73$194.48

Billed by 1 specialties

Commercial rates for 45379

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

See negotiated rates