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See a sample rate comparisonCPT 46611 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.
Anoscopy; W/Remval Of Sngle Tumor Polyp Or Other Lesion By Snar, Anoscopy; With Removal Of Single Tumor Polyp Or Other Lesion By Snar
| 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 46611 |
| Medicaid Fee Schedule | View Medicaid rates for 46611 |
National average reimbursement for CPT 46611 by major payers:
$231.03
$252.33
$277.54
$152.45
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CPT 46611
5 of 25 sample ratesHigher to lower in this preview
Center For Aesthetic And Reconstructive Eyelid And Orbital Surgery, Careos
$2,782.00Published rateWeston Outpatient Surgical Center Ltd, Weston Outpatient Surgical Center
Weston Outpatient Surgical Center Ltd
$1,390.00Published rateStone Oak Surgicenter, LLC
$1,000.00Published rateGreenville Endoscopy Center Inc
$640.00Published rateLeon Brook
Deaconess Hospital Inc
$152.61Published rate
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See a sample payer proposalCPT 46611 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46611 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 46611 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 |
|---|---|---|
| 46601-CPT | Moderate | Diagnostic Anoscopy, Anoscopy Diagnostic With High Resolution Magnification Hra Eg Colposcope Operating Microscope And Chemical Agent Enhancement Including Collection Of Specimen S By Brushing Or Washing When Performed |
| 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 |
| 46608-CPT | Moderate | Remove Object From Anus, Exam Of The Anus Using A Scope (Anoscopy). The Exam Includes Removal Of A Foreign Object From The Anus. |
| 46611-CPT | Moderate | Anoscopy; W/Remval Of Sngle Tumor Polyp Or Other Lesion By Snar, Anoscopy; With Removal Of Single Tumor Polyp Or Other Lesion By Snar |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46611. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46611 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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