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See a sample rate comparisonCPT 45346 Fee Schedule
Medicare rates as of October 2026
CPT 45346 is classified under Surgery, in the Surgical Procedures on the Digestive System subgroup.
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.
| 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 | High |
| Medicare Fee Schedule | $2,492.38 national non-facility rate (2026) · View Medicare rates for 45346 |
| Medicaid Fee Schedule | $1,975.065 median of the 8 states in the free preview · View Medicaid rates for 45346 |
National average reimbursement for CPT 45346 by major payers:
$2,095.09
BCBS / Anthem
$2,474.88
UnitedHealthcare
$3,120.10
Aetna
$525.82
Cigna
Compare published rates across providers.
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CPT 45346
5 of 25 sample ratesHigher to lower in this preview
Hilary Nwosu
Deaconess Hospital Inc
$5,049.08Published rateSurgcenter Of Greater Jacksonville, LLC
Surgcenter Of Greater Jacksonville LLC
$1,179.00Published rateDubuque Endoscopy Center Lc
$988.00Published rateAlderwood Surgery Center LLC
Alderwood Surgical Center
$669.00Published rateFilutowski Eye Institute PA, Sunrise Surgical Center
Filutowski Eye Institute, P.A.
$380.00Published rate
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See a sample payer proposalCPT 45346 vs. Other Surgical Procedures on the Digestive System Codes
The table lists codes related to 45346. 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. |
| 45346-CPT | High | 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. |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 45346. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45346 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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