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See a sample rate comparisonCPT 45333 Fee Schedule
Medicare rates as of October 2026
CPT 45333 is classified under Surgery, in the Surgical Procedures on the Digestive System subgroup.
Sigmoidoscopy Flexible With, Sigmoidoscopy Flexible With Removal Of Tumor(S)Polyp(S)Or Other Lesion(S) By Hot Biopsy Forceps Or Bipolar Cautery Sigmoidoscopy Flexible Wit H Removal Of Tumor(S) Polyp(S)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | PT - Colorectal cancer screening test; converted to diagnostic test or other procedure 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $368.08 national non-facility rate (2026) · View Medicare rates for 45333 |
| Medicaid Fee Schedule | $286.815 median of the 8 states in the free preview · View Medicaid rates for 45333 |
National average reimbursement for CPT 45333 by major payers:
$361.96
BCBS / Anthem
$397.87
UnitedHealthcare
$435.66
Aetna
$177.45
Cigna
Compare published rates across providers.
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CPT 45333
5 of 25 sample ratesHigher to lower in this preview
Toms River Surgery Center, LLC, Toms River Surgery Center
Toms River Surgery Center LLC
$2,428.00Published rateTexas Center For Interventional Surgery, LLC
Texas Center For Interventional Surgery LLC
$580.00Published rateNayef Nimri
Deaconess Hospital Inc
$530.95Published rateAdvanced Laser & Surgicenter Of Arizona, PC
$331.00Published rateElizabeth Watson
Deaconess Hospital Inc
$243.94Published rate
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See a sample payer proposalCPT 45333 vs. Other Surgical Procedures on the Digestive System Codes
The table lists codes related to 45333. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 45333-CPT | Moderate | Sigmoidoscopy Flexible With, Sigmoidoscopy Flexible With Removal Of Tumor(S)Polyp(S)Or Other Lesion(S) By Hot Biopsy Forceps Or Bipolar Cautery Sigmoidoscopy Flexible Wit H Removal Of Tumor(S) Polyp(S) |
| 45338-CPT | Moderate | Colonoscopy To Remove Tissue, An Exam Of The Lower Part Of The Large Intestine (Colon) Using A Scope (Sigmoidoscopy). The Procedure Removes Abnormal Tissue Growths Such As Tumors Or Polyps. |
| 45380-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). |
| 45384-CPT | Moderate | Colonoscopy Flexible Proxima, Colonoscopy Flexible Proximal To Splenic Flexure Withremoval Of Tumor(S) Polyp(S) Or Other Lesion(S) By Hot Biopsy Forceps Or Bipolar Cautery |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 45333. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45333 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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