CPT 45335 Fee Schedule

Medicare rates as of October 2026

CPT 45335 is classified under Surgery, in the Surgical Procedures on the Digestive System subgroup.

Exam Left Colon With Scope, Exam Of The Left Side Of The Lower Colon Using A Flexible Scope Inserted Into The Rectum (Sigmoidoscopy). The Procedure Includes An Injection.

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Digestive System
Common Place of Service	24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital
Common Modifiers	59 - Distinct Procedural Service 51 - Multiple procedures
Complexity Level	Moderate
Medicare Fee Schedule	$328.00 national non-facility rate (2026) · View Medicare rates for 45335
Medicaid Fee Schedule	$255.935 median of the 8 states in the free preview · View Medicaid rates for 45335

National average reimbursement for CPT 45335 by major payers:

$297.19

BCBS / Anthem

$336.11

UnitedHealthcare

$394.16

Aetna

$134.94

Cigna

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CPT 45335

5 of 25 sample ratesHigher to lower in this preview

Alegent Creighton Health, Chi Health Ambulatory Surgery Center At Midlands
Alegent Creighton Health
NEAmbulatory Surgical Clinic/CenterNPI 1508213810Tax ID 47-0757164
$2,190.06Published rate
Advanced Orthopaedic Surgery Center, LLC, Las Vegas Institute For Advanced Surgery
Advanced Orthopaedic Surgery Center LLC
NVAmbulatory Surgical Clinic/CenterNPI 1760947717Tax ID 83-2874360
$700.00Published rate
Pain & Spine Physicians Surgery Center LLC
Pain Spine Physicians Surgery Center LLC
GAAmbulatory Surgical Clinic/CenterNPI 1477047199Tax ID 82-1654725
$450.00Published rate
Augusta Plastic Surgery Center, Inc.
Augusta Plastic Surgery Center Inc
GAAmbulatory Surgical Clinic/CenterNPI 1013990308Tax ID 58-2227057
$361.00Published rate
Lakeforest Ambulatory Surgery Center, District Heights Ambulatory Surgery Center
Lakeforest Ambulatory Surgery Center
MDAmbulatory Surgical Clinic/CenterNPI 1487779435Tax ID 52-1944179
$184.00Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 45335 vs. Other Surgical Procedures on the Digestive System Codes

The table lists codes related to 45335. Select one to see its fee schedule.

Code	Complexity	Description
45321-CPT	Low	Treatment Of Twisted Intestine, An Exam Of The Large Intestine Using A Scope (Sigmoidoscopy). The Procedure Treats A Section That Has Become Twisted.
45335-CPT	Moderate	Exam Left Colon With Scope, Exam Of The Left Side Of The Lower Colon Using A Flexible Scope Inserted Into The Rectum (Sigmoidoscopy). The Procedure Includes An Injection.
45381-CPT	Moderate	Intestinal Exam (Colonoscopy), An Exam Of The Intestine Using A Scope (Colonoscopy). An Injection Is Given Into The Intestinal Tissues During The Exam.
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 45335. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 45335 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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