# CPT 45388: Colonoscopy with ablation of tumor/polyp

Medicare CPT 45388 pays $2,659.38 in a non-facility setting and $238.48 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $2,299.93 in Arkansas to $3,111.73 in District of Columbia, a 35% spread.

Web page: https://www.med-reveal.com/rates/45388-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $2,659.38 |
| National facility | $238.48 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $3,111.73 | $259.92 |
| California | $3,110.49 | $245.90 |
| Washington | $3,007.41 | $247.58 |
| Hawaii | $2,990.75 | $238.19 |
| New Jersey | $2,981.75 | $255.82 |
| Massachusetts | $2,967.10 | $247.22 |
| New York | $2,960.85 | $260.10 |
| Alaska | $2,891.10 | $312.84 |
| Connecticut | $2,857.75 | $250.45 |
| Colorado | $2,815.64 | $239.81 |
| Oregon | $2,787.81 | $237.40 |
| Maryland | $2,768.42 | $244.63 |
| New Hampshire | $2,758.57 | $238.41 |
| Rhode Island | $2,742.09 | $241.30 |
| Minnesota | $2,717.20 | $226.10 |
| Florida | $2,686.62 | $257.65 |
| Puerto Rico | $2,686.36 | $238.84 |
| Virgin Islands | $2,686.36 | $238.84 |
| Montana | $2,659.34 | $238.44 |
| Nevada | $2,658.51 | $235.20 |
| Wyoming | $2,654.17 | $233.27 |
| North Dakota | $2,647.48 | $226.58 |
| South Dakota | $2,646.07 | $225.18 |
| Delaware | $2,628.39 | $236.54 |
| Vermont | $2,624.68 | $227.99 |
| Texas | $2,620.38 | $237.01 |
| Pennsylvania | $2,611.35 | $240.08 |
| Virginia | $2,611.32 | $231.58 |
| Illinois | $2,594.48 | $255.29 |
| Arizona | $2,579.60 | $233.75 |
| Georgia | $2,549.46 | $239.93 |
| Maine | $2,541.52 | $228.35 |
| Wisconsin | $2,541.34 | $222.12 |
| Michigan | $2,516.25 | $243.03 |
| Utah | $2,508.51 | $232.87 |
| North Carolina | $2,485.96 | $227.26 |
| Indiana | $2,468.01 | $223.84 |
| South Carolina | $2,467.87 | $230.96 |
| New Mexico | $2,457.54 | $237.58 |
| Nebraska | $2,455.93 | $221.44 |
| Missouri | $2,454.85 | $233.27 |
| Idaho | $2,450.39 | $223.16 |
| Louisiana | $2,444.53 | $234.25 |
| Ohio | $2,443.75 | $233.47 |
| Iowa | $2,436.47 | $221.34 |
| Tennessee | $2,424.39 | $223.79 |
| Kansas | $2,411.33 | $222.83 |
| Oklahoma | $2,389.51 | $227.65 |
| Kentucky | $2,382.36 | $230.18 |
| West Virginia | $2,343.09 | $239.33 |
| Alabama | $2,340.64 | $222.35 |
| Mississippi | $2,309.38 | $224.99 |
| Arkansas | $2,299.93 | $220.38 |

## 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 45388 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