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See a sample rate comparisonCPT 45388 Fee Schedule
Medicare rates as of October 2026
CPT 45388 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 (Colonoscopy). 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 | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | PT - Colorectal cancer screening test; converted to diagnostic test or other procedure 33 - Preventive Services |
| Complexity Level | High |
| Medicare Fee Schedule | $2,659.38 national non-facility rate (2026) · View Medicare rates for 45388 |
| Medicaid Fee Schedule | $2,105.135 median of the 8 states in the free preview · View Medicaid rates for 45388 |
National average reimbursement for CPT 45388 by major payers:
$2,357.42
BCBS / Anthem
$2,725.34
UnitedHealthcare
$3,186.72
Aetna
$726.56
Cigna
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CPT 45388
5 of 25 sample ratesHigher to lower in this preview
Court Street Surgery Center, Lp
$3,513.00Published rateDreyer Ambulatory Surgery Center, LLC
Dreyer Ambulatory Surgery Center LLC
$1,525.00Published rateComprehensive Digestive Surgicenter, LLC, Comprehensive Digestive Surgical Center
Comprehensive Digestive Surgicenter LLC
$945.00Published rateI Care Center LLC, Central Indiana Surgery Center
Icare Center Dba Central Indiana Surgery Center, LLC
$651.00Published rateThe Endoscopy Center At Bel Air
$394.00Published rate
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See a sample payer proposalCPT 45388 vs. Other Surgical Procedures on the Digestive System Codes
The table lists codes related to 45388. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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. |
| 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 |
| 45388-CPT | High | Colonoscopy To Remove Tissue, An Exam Of The Lower Part Of The Large Intestine (Colon) Using A Scope (Colonoscopy). The Procedure Removes Abnormal Tissue Growths Such As Tumors Or Polyps. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 45388. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45388 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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