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See a sample rate comparisonCPT 45327 Fee Schedule
Medicare rates as of October 2026
CPT 45327 is classified under Surgery, in the Surgical Procedures on the Digestive System subgroup.
Large Intestine Scope Exam, Exam Of The Large Intestine (Colon) Using A Scope (Sigmoidoscopy). The Procedure Implants A Support Device (Stent).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | 51 - Multiple procedures AG - Primary physician 78 - Return to OR - related procedure |
| Complexity Level | Low |
| Medicare Fee Schedule | $109.89 national non-facility rate (2026) · View Medicare rates for 45327 |
| Medicaid Fee Schedule | $85.91 median of the 8 states in the free preview · View Medicaid rates for 45327 |
National average reimbursement for CPT 45327 by major payers:
$156.45
BCBS / Anthem
$157.08
UnitedHealthcare
$162.96
Aetna
$188.73
Cigna
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CPT 45327
5 of 25 sample ratesHigher to lower in this preview
Rock Hill Surgery Center, LLC, Carolina Surgical Center
Rock Hill Surgery Center LLC
$9,100.00Published rateLowcountry Ambulatory Center, LLC
Lowcountry Ambulatory Center LLC
$3,570.00Published ratePersepolis Group LLC
$2,300.00Published ratePacific Hills Surgery Center LLC
$1,650.00Published rateEye Physicians Of Sussex County, Eye Physicians Of Sussex County Surgical Suite
Eye Physicians Of Sussex County
$678.00Published rate
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See a sample payer proposalCPT 45327 vs. Other Surgical Procedures on the Digestive System Codes
The table lists codes related to 45327. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 45327-CPT | Low | Large Intestine Scope Exam, Exam Of The Large Intestine (Colon) Using A Scope (Sigmoidoscopy). The Procedure Implants A Support Device (Stent). |
| 45347-CPT | Moderate | Sigmoidoscopy, Flexible; Diagnostic, Including Collection Of Specimens By Brushing Or Washing, When Performed With Placement Of Endoscopic Stent Includes Pre And Post-Dilat |
| 45389-CPT | Moderate | Colonoscopy, Flexible; Diagnostic, Including Collection Of Specimens By Brushing Or Washing, When Performed, With Endoscopic Stent Placement Includes Pre And Post Dilation |
| 45392-CPT | Moderate | Colonoscopy W Endoscopic Fnb, Colonoscopy Flexible With Transendoscopic Ultrasound Guided Intramural Or Transmural Fine Needle Aspiration Biopsy S Includes Endoscopic Ultrasound Examination Limited To The Rectum Sigmoid Descending Transverse Or Ascending Colon And Cecum And Adjacent Structures |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 45327. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45327 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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