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See a sample rate comparisonCPT 45347 Fee Schedule
Medicare rates as of October 2026
CPT 45347 is classified under Surgery, in the Surgical Procedures on the Digestive System subgroup.
Sigmoidoscopy, Flexible; Diagnostic, Including Collection Of Specimens By Brushing Or Washing, When Performed With Placement Of Endoscopic Stent Includes Pre And Post-Dilat
| 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 | GC - Service performed by resident under supervision 52 - Reduced Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $136.61 national non-facility rate (2026) · View Medicare rates for 45347 |
| Medicaid Fee Schedule | $111.165 median of the 8 states in the free preview · View Medicaid rates for 45347 |
National average reimbursement for CPT 45347 by major payers:
$218.46
BCBS / Anthem
$216.67
UnitedHealthcare
$227.02
Aetna
$265.74
Cigna
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CPT 45347
5 of 25 sample ratesHigher to lower in this preview
Southlake Ambulatory Surgery Center, Lllp, Spivey Station Surgery Center
Emory University
$3,022.00Published rateCypress Creek Outpatient Surgical Center, LLC
Cypress Creek Outpatient Surgical Center LLC
$1,390.00Published rateSouthern Surgery Center, LLC
Southern Surgery Center LLC
$852.00Published rateLahaye Center For Advanced Eye Care Of Lafayette, Inc.
$523.00Published rateSouthern California Stone Center
Urological Institute Of Southern California 401(K) Plan
$406.00Published rate
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See a sample payer proposalCPT 45347 vs. Other Surgical Procedures on the Digestive System Codes
The table lists codes related to 45347. 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 |
| 45349-CPT | Moderate | Sigmoidoscopy, Flexible; Diagnostic, Including Collection Of Specimen(S) By Brushing Or Washing, When Performed With Endoscopic Mucosal Resection. |
| 45350-CPT | Moderate | Treatment For Hemorrhoid, Procedure On The Intestine With A Scope (Sigmoidoscopy). It Includes Applying A Small Band To The Base Of The Hemorrhoid Which Stops The Flow Of Blood. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 45347. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45347 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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