Fee-for-service rateAs of October 2026

Rhode Island Medicaid rate for CPT 45378

Diagnostic colonoscopy

Rhode Island Medicaid pays $172.14 for CPT 45378 in its October 2026 fee-for-service schedule: the 2nd-lowest of 44 state Medicaid programs, at 57% of the $299.605 median.

Non-facility rate: $172.14
Rank: 43 of 44
vs. state median: 57%
vs. RI Medicare: 44%

What Rhode Island Medicaid publishes for 45378

2nd-lowest of 44 · 57% of median

Schedule: October 2026
In effect since: Apr 1, 1993

21 rate types

Level 3 · PAC I · Up to 1 unit (73): $172.14
Level 3 · PAC I · Up to 1 unit (74): $172.14
Level 3 · PAC I · Up to 1 unit (AB): $172.14
Level 3 · PAC I · Up to 1 unit (GC): $172.14
Level 3 · PAC P · Up to 1 unit (52 + 59): $86.07
Level 3 · PAC P · Up to 1 unit (52 + 79): $86.07
Level 3 · PAC P · Up to 1 unit (52): $86.07
Level 3 · PAC P · Up to 1 unit (53 + 51): $86.07
Level 3 · PAC P · Up to 1 unit (53 + GC): $86.07
Level 3 · PAC P · Up to 1 unit (53): $86.07
Level 3 · PAC P · Up to 1 unit (62): $98.98
Level 3 · PAC P · Up to 1 unit (80): $25.82
Level 3 · PAC P · Up to 1 unit (82): $25.82
Level 3 · PAC P · Up to 1 unit (AA + 53): $43.03
Level 3 · PAC P · Up to 1 unit (AA + 79): $43.03
Level 3 · PAC P · Up to 1 unit (AA + QS): $43.03
Level 3 · PAC P · Up to 1 unit (AA): $43.03
Level 3 · PAC P · Up to 1 unit (AD): $43.03
Level 3 · PAC P · Up to 1 unit (QX): $17.21
Level 3 · PAC P · Up to 1 unit (QY): $17.21
Level 3 · PAC P · Up to 1 unit (QZ): $34.43

Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. EOHHS Fee Schedules

45378 in neighboring states

Each state's comparable non-facility rate for 45378 in its current schedule.

State	Rate	vs. Rhode Island
Connecticut	$274.43	+59%
Massachusetts	$262.58	+53%

45378 in every state

Map and ranking of every state program that prices 45378.

Compare 45378 across states

45378 under Medicare

Medicare's 2026 non-facility payment for 45378 in Rhode Island is $387.16; Rhode Island Medicaid's rate is 44% of that. The national amount before geographic adjustment is $378.098.

See 45378 Medicare rates

See Rhode Island's full schedule: all 12,354 codes, every published period, and commercial payer rates for 45378.

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Other Rhode Island Medicaid rates

99213$97.30 99214$138.53 99203$119.95 99204$180.87 99283$38.00 99284$59.20 99285$92.55 93000$16.31 93306$153.15 96372$12.59 20610$25.20 11042$25.20 12001$25.20 29881$336.00 47562$354.60 64483$115.17 66984$604.34 90834$101.75 90837$135.68