# CPT 45389: Colonoscopy Flx With Endoscopic Stent Placement

Medicare 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.

Web page: https://www.med-reveal.com/rates/45389-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $253.18 |
| National facility | $253.18 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| 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 | $257.23 | $257.23 |
| Rhode Island | $256.41 | $256.41 |
| Colorado | $255.02 | $255.02 |
| Pennsylvania | $254.76 | $254.76 |
| Georgia | $254.33 | $254.33 |
| 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 | $243.14 | $243.14 |
| 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 |

## 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 45389 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