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See a sample rate comparisonCPT 46606 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Rectal Exam With Scope, An Exam Of The Anus And Rectum Using A Scope (Anoscopy). The Procedure May Take A Sample Of Tissue For Testing (Biopsy).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46606 |
| Medicaid Fee Schedule | View Medicaid rates for 46606 |
National average reimbursement for CPT 46606 by major payers:
$290.28
$306.86
$369.93
$146.42
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CPT 46606
5 of 25 sample ratesHigher to lower in this preview
Careos Surgicenter, LLC, Careos
$2,782.00Published rateSouthwest Lincoln Surgery Center, LLC, Southwest Lincoln Surgery Center
Southwest Lincoln Surgery Center LLC
$1,451.00Published rateRads Of America, LLC, Premier Radiology Pain Management Center
Rads Of America LLC
$932.00Published rateWichita Endoscopy Center LLC
$539.00Published rateStanley Kristiansen
Deaconess Hospital Inc
$193.63Published rate
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See a sample payer proposalCPT 46606 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46606 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 46606 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 46600-CPT | Low | Rectal Exam With Scope, An Exam Of The Anus And Rectum Using A Scope (Anoscopy). The Procedure May Take A Sample Of Tissue For Testing (Biopsy). |
| 46604-CPT | Moderate | Exam Of Anus With Scope, Examination Of The Anus Using A Scope To View The Anal Canal. The Procedure Includes Widening Of The Anal Canal. |
| 46606-CPT | Moderate | Rectal Exam With Scope, An Exam Of The Anus And Rectum Using A Scope (Anoscopy). The Procedure May Take A Sample Of Tissue For Testing (Biopsy). |
| 46607-CPT | Moderate | Diagnostic Anoscopy Biopsy, Anoscopy With High Resolution Magnification Hra Eg Colposcope Operating Microscope And Chemical Agent Enhancement With Biopsy Single Or Multiple |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46606. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46606 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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