# CPT 45386: Colsc Flexible W/transendoscopic Balloon Dilat

Medicare CPT 45386 pays $670.36 in a non-facility setting and $187.38 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $588.11 in Arkansas to $773.48 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/45386-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $670.36 |
| National facility | $187.38 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $773.48 | $204.54 |
| California | $765.67 | $194.18 |
| Alaska | $759.84 | $245.47 |
| Washington | $745.71 | $195.12 |
| New Jersey | $745.03 | $201.19 |
| New York | $743.05 | $204.24 |
| Massachusetts | $737.35 | $194.73 |
| Hawaii | $737.15 | $188.01 |
| Connecticut | $716.92 | $196.76 |
| Colorado | $702.71 | $188.82 |
| Oregon | $695.78 | $186.97 |
| Maryland | $695.74 | $192.23 |
| New Hampshire | $690.36 | $187.58 |
| Rhode Island | $688.68 | $189.77 |
| Florida | $686.05 | $201.46 |
| Puerto Rico | $676.00 | $187.71 |
| Virgin Islands | $676.00 | $187.71 |
| Minnesota | $675.46 | $178.48 |
| Montana | $670.33 | $187.35 |
| Nevada | $668.43 | $184.97 |
| Wyoming | $666.54 | $183.56 |
| Illinois | $666.20 | $199.52 |
| Delaware | $663.09 | $185.91 |
| Texas | $661.73 | $186.24 |
| North Dakota | $661.63 | $178.65 |
| Pennsylvania | $661.56 | $188.48 |
| South Dakota | $660.60 | $177.62 |
| Vermont | $657.77 | $179.62 |
| Virginia | $656.98 | $182.21 |
| Arizona | $651.72 | $183.72 |
| Georgia | $648.92 | $188.17 |
| Michigan | $643.85 | $190.33 |
| Maine | $641.16 | $179.68 |
| Wisconsin | $637.81 | $175.12 |
| Utah | $636.89 | $182.89 |
| North Carolina | $629.36 | $178.74 |
| New Mexico | $629.09 | $186.20 |
| South Carolina | $627.66 | $181.39 |
| Missouri | $626.26 | $183.05 |
| Louisiana | $624.69 | $183.74 |
| Ohio | $624.12 | $183.17 |
| Indiana | $623.91 | $176.19 |
| Nebraska | $620.19 | $174.41 |
| Idaho | $619.99 | $175.65 |
| Iowa | $616.21 | $174.29 |
| Tennessee | $615.07 | $176.05 |
| Kansas | $611.92 | $175.31 |
| Oklahoma | $610.08 | $178.78 |
| Kentucky | $609.97 | $180.61 |
| West Virginia | $606.90 | $187.19 |
| Alabama | $597.38 | $174.78 |
| Mississippi | $592.47 | $176.63 |
| Arkansas | $588.11 | $173.23 |

## 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 45386 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