CPT 45390

Colonoscopy Flx W/Endoscopic Mucosal Resection

CPT 45390 pays $290.25 in a non-facility setting and $290.25 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $269.60 in Arkansas to $383.54 in Alaska, a 42% spread.

National non-facility rate

$290.25

Office and other outpatient settings

Facility rate
$290.25

Hospital and ASC settings

Highest state
$383.54

Alaska

Lowest state
$269.60

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 $290.25
CPT 45390 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $290.25, national facility $290.25.
StateRate compared visuallyNon-facilityFacility
Alaska
$383.54$383.54
District of Columbia
$316.11$316.11
New York
$315.69$315.69
New Jersey
$311.22$311.22
Florida
$311.05$311.05
Illinois
$308.30$308.30
Connecticut
$304.28$304.28
Washington
$301.92$301.92
Massachusetts
$301.33$301.33
California
$300.53$300.53
Maryland
$297.55$297.55
Michigan
$294.72$294.72
Rhode Island
$294.02$294.02
Colorado
$292.46$292.46
Pennsylvania
$292.05$292.05
Georgia
$291.51$291.51
Hawaii
$290.95$290.95
Puerto Rico
$290.72$290.72
Virgin Islands
$290.72$290.72
New Hampshire
$290.48$290.48
Montana
$290.21$290.21
West Virginia
$290.20$290.20
Oregon
$289.67$289.67
Texas
$288.68$288.68
New Mexico
$288.66$288.66
Delaware
$288.18$288.18
Nevada
$286.70$286.70
Louisiana
$285.03$285.03
Arizona
$284.90$284.90
Wyoming
$284.61$284.61
Ohio
$284.18$284.18
Missouri
$284.00$284.00
Utah
$283.73$283.73
Virginia
$282.65$282.65
South Carolina
$281.54$281.54
Kentucky
$280.44$280.44
Maine
$278.95$278.95
Vermont
$278.81$278.81
Oklahoma
$277.73$277.73
North Carolina
$277.60$277.60
North Dakota
$277.36$277.36
Minnesota
$277.05$277.05
South Dakota
$275.84$275.84
Mississippi
$274.61$274.61
Indiana
$273.85$273.85
Tennessee
$273.67$273.67
Idaho
$273.07$273.07
Kansas
$272.59$272.59
Wisconsin
$272.21$272.21
Alabama
$271.85$271.85
Nebraska
$271.22$271.22
Iowa
$271.06$271.06
Arkansas
$269.60$269.60

Billed by 1 specialties

Commercial rates for 45390

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

See negotiated rates