# CPT 46600: Anoscopy, diagnostic

Medicare CPT 46600 pays $128.93 in a non-facility setting and $40.42 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $112.37 in Arkansas to $149.47 in District of Columbia, a 33% spread.

Web page: https://www.med-reveal.com/rates/46600-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Clinic/Center, Family Medicine, Infectious Disease

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $128.93 |
| National facility | $40.42 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $149.47 | $45.20 |
| California | $148.18 | $43.45 |
| Washington | $144.08 | $43.18 |
| Alaska | $143.78 | $49.51 |
| New Jersey | $143.71 | $44.05 |
| New York | $143.25 | $44.51 |
| Hawaii | $142.63 | $41.99 |
| Massachusetts | $142.39 | $42.95 |
| Connecticut | $138.18 | $42.85 |
| Colorado | $135.48 | $41.31 |
| Oregon | $134.12 | $40.88 |
| Maryland | $133.97 | $41.70 |
| New Hampshire | $133.03 | $40.89 |
| Rhode Island | $132.55 | $41.12 |
| Florida | $131.82 | $43.01 |
| Minnesota | $130.18 | $39.11 |
| Puerto Rico | $130.08 | $40.59 |
| Virgin Islands | $130.08 | $40.59 |
| Montana | $128.92 | $40.41 |
| Nevada | $128.59 | $39.99 |
| Wyoming | $128.23 | $39.72 |
| Illinois | $127.78 | $42.25 |
| Delaware | $127.45 | $40.00 |
| North Dakota | $127.34 | $38.83 |
| Texas | $127.16 | $40.02 |
| South Dakota | $127.15 | $38.64 |
| Pennsylvania | $127.06 | $40.36 |
| Vermont | $126.53 | $38.90 |
| Virginia | $126.30 | $39.29 |
| Arizona | $125.19 | $39.42 |
| Georgia | $124.50 | $40.06 |
| Michigan | $123.42 | $40.31 |
| Maine | $123.12 | $38.54 |
| Wisconsin | $122.53 | $37.74 |
| Utah | $122.16 | $38.96 |
| North Carolina | $120.71 | $38.13 |
| New Mexico | $120.48 | $39.32 |
| South Carolina | $120.30 | $38.52 |
| Missouri | $119.97 | $38.75 |
| Indiana | $119.65 | $37.60 |
| Louisiana | $119.64 | $38.83 |
| Ohio | $119.53 | $38.72 |
| Nebraska | $118.93 | $37.24 |
| Idaho | $118.86 | $37.43 |
| Iowa | $118.12 | $37.13 |
| Tennessee | $117.84 | $37.38 |
| Kansas | $117.21 | $37.20 |
| Oklahoma | $116.75 | $37.71 |
| Kentucky | $116.69 | $38.00 |
| West Virginia | $115.90 | $38.99 |
| Alabama | $114.24 | $36.79 |
| Mississippi | $113.19 | $36.98 |
| Arkansas | $112.37 | $36.34 |

## 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 46600 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