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See a sample rate comparisonCPT 44401 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Colonoscopy With Ablation, Destruction Of Tissue Abnormalities Tumors Or Polyps Of Large Bowel Using An Endoscope Inserted Through Surgically Created Opening Into Large Bowel From Body Wall (Colostomy)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | PT - Colorectal cancer screening test; converted to diagnostic test or other procedure 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | $2,581.22 national non-facility rate (2026) · View Medicare rates for 44401 |
| Medicaid Fee Schedule | $2,044.71 median of the 8 states in the free preview · View Medicaid rates for 44401 |
National average reimbursement for CPT 44401 by major payers:
$2,336.97
$2,631.44
$3,365.81
$668.06
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CPT 44401
5 of 25 sample ratesHigher to lower in this preview
Union Health Services, LLC, Atrium Health Surgery Center Indian Trail
Union Health Services LLC
$6,500.00Published rateUpper Bay Surgery Center, LLC
$1,476.00Published rateArcadia Outpatient Surgery Center Lp
$1,081.00Published rateEvergreen Eye Center, PLLC, Evergreen Eye Surgery Center
Evergreen Eye Center, Inc. P.S.
$646.00Published rateSt. Lukes Surgical At The Villages, Inc
St Lukes Surgical At The Villages Inc
$350.00Published rate
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See a sample payer proposalCPT 44401 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44401 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 44401 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 44388-CPT | Moderate | Intestinal Exam (Colonoscopy), An Exam Of The Lower Part Of The Intestine (Colon) Using A Scope (Colonoscopy). The Procedure May Include Collection Of Cells Or Tissue For Testing (Biopsy). |
| 44389-CPT | Moderate | Intestinal Exam (Colonoscopy), An Exam Of The Lower Part Of The Intestine (Colon) Using A Scope (Colonoscopy). The Procedure May Include Collection Of Cells Or Tissue For Testing (Biopsy). |
| 44391-CPT | Moderate | Colonoscopy For Bleeding, Control Of Bleeding Of Large Bowel Using An Endoscope Inserted Through Surgically Created Opening Into Large Bowel From Body Wall (Colostomy) |
| 44401-CPT | High | Colonoscopy With Ablation, Destruction Of Tissue Abnormalities Tumors Or Polyps Of Large Bowel Using An Endoscope Inserted Through Surgically Created Opening Into Large Bowel From Body Wall (Colostomy) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44401. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44401 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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