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See a sample rate comparisonCPT 45334 Fee Schedule
Medicare rates as of October 2026
CPT 45334 is classified under Surgery, in the Surgical Procedures on the Digestive System subgroup.
Intestinal Bleeding Scope Exam, An Exam Of The Lower Part Of The Large Intestine (Colon) Using A Scope (Sigmoidoscopy). The Procedure Treats Bleeding.
| 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 | 59 - Distinct Procedural Service 52 - Reduced Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $544.10 national non-facility rate (2026) · View Medicare rates for 45334 |
| Medicaid Fee Schedule | $425.805 median of the 8 states in the free preview · View Medicaid rates for 45334 |
National average reimbursement for CPT 45334 by major payers:
$454.29
BCBS / Anthem
$527.79
UnitedHealthcare
$596.46
Aetna
$236.46
Cigna
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CPT 45334
5 of 25 sample ratesHigher to lower in this preview
Ambulatory Surgery Center Group Ltd
$5,532.00Published rateVillages Endoscopy Center LLC
$1,258.00Published rateBeverly Hills Regional Surgery Center Lp
$819.50Published ratePacific Cataract And Laser Institute, Inc., P.C.
Pacific Cataract And Laser Institute, Inc., PC
$624.00Published rateWheeling Hospital Ambulatory Surgery Center LLC
$401.00Published rate
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See a sample payer proposalCPT 45334 vs. Other Surgical Procedures on the Digestive System Codes
The table lists codes related to 45334. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| 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. |
| 45382-CPT | Moderate | Colonoscopy Flexible Proxima, Colonoscopy Flexible Proximal To Splenic Flexure Withcontrol Of Bleeding Any Method Colonoscopy Flexible Proximal To Splenic Flexure With |
| 45385-CPT | Moderate | Colonoscopy To Remove Growth, An Exam Of The Intestine Using A Scope (Colonoscopy). The Procedure Includes Removing One Or More Tissue Growths Such As A Tumor Or Polyp. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 45334. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45334 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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