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See a sample rate comparisonCPT 45317 Fee Schedule
Medicare rates as of October 2026
CPT 45317 is classified under Surgery, in the Surgical Procedures on the Digestive System subgroup.
Proctosigmoidoscopy Bleed, Proctosigmoidoscopy Rigid With Control Of Bleeding Eg Injection Bipolar Cautery Unipolar Cautery Laser Heater Probe Stapler Plasma Coagulator
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $240.15 national non-facility rate (2026) · View Medicare rates for 45317 |
| Medicaid Fee Schedule | $187.24 median of the 8 states in the free preview · View Medicaid rates for 45317 |
National average reimbursement for CPT 45317 by major payers:
$251.45
BCBS / Anthem
$270.02
UnitedHealthcare
$298.27
Aetna
$195.80
Cigna
Compare published rates across providers.
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CPT 45317
5 of 25 sample ratesHigher to lower in this preview
Lakeview Surgery Center Lc
$2,923.75Published rateMonocacy Surgery Center LLC
Monocacy Surgery Center
$1,276.00Published rateBroadwest Specialty Surgical Center, LLC
Broadwest Specialty Surgical 401
$976.00Published rateSan Diego Eyecor LLC
San Diego Eye Cor., Inc.
$580.00Published rateNona Patton
Deaconess Hospital Inc
$154.99Published rate
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See a sample payer proposalCPT 45317 vs. Other Surgical Procedures on the Digestive System Codes
The table lists codes related to 45317. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 45317-CPT | Moderate | Proctosigmoidoscopy Bleed, Proctosigmoidoscopy Rigid With Control Of Bleeding Eg Injection Bipolar Cautery Unipolar Cautery Laser Heater Probe Stapler Plasma Coagulator |
| 45320-CPT | Moderate | Proctosigmoidoscopy Ablate, Proctosigmoidoscopy Rigid With Ablation Of Tumor S Polyp S Or Other Lesion S Not Amenable To Removal By Hot Biopsy Forceps Bipolar Cautery Or Snare Technique Eg Laser |
| 45330-CPT | Low | Scope Exam Of Large Intestine, An Exam Of The Large Intestine Using A Scope (Sigmoidoscopy). The Procedure May Include Taking A Sample Of Tissue For Testing (Biopsy). |
| 45334-CPT | Moderate | Intestinal Bleeding Scope Exam, An Exam Of The Lower Part Of The Large Intestine (Colon) Using A Scope (Sigmoidoscopy). The Procedure Treats Bleeding. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 45317. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45317 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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