# CPT 45385: Colonoscopy with removal of tumor/polyp by snare

Medicare CPT 45385 pays $500.01 in a non-facility setting and $223.45 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $444.65 in Arkansas to $588.56 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/45385-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology, General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $500.01 |
| National facility | $223.45 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $588.56 | $294.02 |
| District of Columbia | $569.43 | $243.65 |
| California | $558.77 | $231.52 |
| New York | $551.81 | $243.28 |
| New Jersey | $551.17 | $239.77 |
| Washington | $547.87 | $232.59 |
| Massachusetts | $542.84 | $232.13 |
| Hawaii | $538.60 | $224.15 |
| Connecticut | $532.29 | $234.43 |
| Colorado | $519.45 | $225.19 |
| Maryland | $517.46 | $229.15 |
| Florida | $517.25 | $239.77 |
| Oregon | $514.37 | $223.01 |
| Rhode Island | $512.02 | $226.34 |
| New Hampshire | $511.58 | $223.68 |
| Illinois | $504.78 | $237.55 |
| Puerto Rico | $503.43 | $223.83 |
| Virgin Islands | $503.43 | $223.83 |
| Montana | $499.98 | $223.42 |
| Minnesota | $497.71 | $213.13 |
| Nevada | $497.50 | $220.66 |
| Pennsylvania | $495.68 | $224.79 |
| Wyoming | $495.58 | $219.02 |
| Delaware | $495.03 | $221.79 |
| Texas | $494.44 | $222.17 |
| North Dakota | $489.89 | $213.33 |
| Virginia | $489.33 | $217.47 |
| South Dakota | $488.70 | $212.14 |
| Vermont | $488.26 | $214.46 |
| Georgia | $488.22 | $224.38 |
| Arizona | $487.20 | $219.22 |
| Michigan | $486.58 | $226.89 |
| Maine | $478.79 | $214.54 |
| Utah | $478.23 | $218.27 |
| New Mexico | $475.71 | $222.11 |
| Wisconsin | $474.20 | $209.25 |
| Missouri | $472.25 | $218.46 |
| South Carolina | $472.07 | $216.53 |
| Louisiana | $471.75 | $219.26 |
| North Carolina | $471.48 | $213.45 |
| Ohio | $471.09 | $218.59 |
| Indiana | $466.87 | $210.50 |
| Idaho | $464.31 | $209.88 |
| Nebraska | $463.70 | $208.43 |
| West Virginia | $463.60 | $223.27 |
| Tennessee | $461.73 | $210.34 |
| Kentucky | $461.49 | $215.63 |
| Iowa | $461.35 | $208.30 |
| Oklahoma | $460.47 | $213.51 |
| Kansas | $459.50 | $209.49 |
| Alabama | $450.87 | $208.88 |
| Mississippi | $449.14 | $211.02 |
| Arkansas | $444.65 | $207.09 |

## Related codes

- 40490: Biopsy of lip — https://www.med-reveal.com/rates/40490-cpt-fee-schedule
- 40650: Repair lip, vermilion only — https://www.med-reveal.com/rates/40650-cpt-fee-schedule
- 41010: Frenotomy, lingual — https://www.med-reveal.com/rates/41010-cpt-fee-schedule
- 41112: Excision of lesion of tongue — https://www.med-reveal.com/rates/41112-cpt-fee-schedule
- 41599: Unlisted procedure, tongue/floor of mouth — https://www.med-reveal.com/rates/41599-cpt-fee-schedule
- 42700: Incision and drainage of peritonsillar abscess — https://www.med-reveal.com/rates/42700-cpt-fee-schedule
- 42820: Tonsillectomy and adenoidectomy, under age 12 — https://www.med-reveal.com/rates/42820-cpt-fee-schedule
- 42821: Tonsillectomy and adenoidectomy, age 12 or over — https://www.med-reveal.com/rates/42821-cpt-fee-schedule

Commercial negotiated rates for 45385 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