CPT 45389

Colonoscopy Flx With Endoscopic Stent Placement

CPT 45389 pays $253.18 in a non-facility setting and $253.18 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $234.88 in Arkansas to $333.92 in Alaska, a 42% spread.

National non-facility rate

$253.18

Office and other outpatient settings

Facility rate
$253.18

Hospital and ASC settings

Highest state
$333.92

Alaska

Lowest state
$234.88

Arkansas · 42% 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 $253.18
CPT 45389 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $253.18, national facility $253.18.
StateRate compared visuallyNon-facilityFacility
Alaska
$333.92$333.92
District of Columbia
$275.82$275.82
New York
$275.53$275.53
Florida
$271.73$271.73
New Jersey
$271.52$271.52
Illinois
$269.29$269.29
Connecticut
$265.52$265.52
Washington
$263.31$263.31
Massachusetts
$262.81$262.81
California
$262.00$262.00
Maryland
$259.58$259.58
Michigan
$257.22$257.22
Rhode Island
$256.41$256.41
Colorado
$255.02$255.02
Pennsylvania
$254.76$254.76
Georgia
$254.34$254.34
Hawaii
$253.67$253.67
Puerto Rico
$253.58$253.58
Virgin Islands
$253.58$253.58
New Hampshire
$253.35$253.35
West Virginia
$253.26$253.26
Montana
$253.14$253.14
Oregon
$252.57$252.57
New Mexico
$251.83$251.83
Texas
$251.76$251.76
Delaware
$251.32$251.32
Nevada
$250.01$250.01
Louisiana
$248.60$248.60
Arizona
$248.43$248.43
Wyoming
$248.14$248.14
Ohio
$247.84$247.84
Missouri
$247.68$247.68
Utah
$247.42$247.42
Virginia
$246.41$246.41
South Carolina
$245.48$245.48
Kentucky
$244.52$244.52
Maine
$243.13$243.13
Vermont
$242.98$242.98
Oklahoma
$242.10$242.10
North Carolina
$241.96$241.96
North Dakota
$241.67$241.67
Minnesota
$241.37$241.37
South Dakota
$240.32$240.32
Mississippi
$239.35$239.35
Indiana
$238.61$238.61
Tennessee
$238.46$238.46
Idaho
$237.92$237.92
Kansas
$237.51$237.51
Wisconsin
$237.12$237.12
Alabama
$236.88$236.88
Nebraska
$236.27$236.27
Iowa
$236.13$236.13
Arkansas
$234.88$234.88

Billed by 1 specialties

Commercial rates for 45389

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

See negotiated rates