CPT code 45341: Sigmoidoscopy ultrasound, endoscopic ultrasound examination2026 Medicare rate & RVUs in Arkansas

In Arkansas, Medicare pays $102.94 for 45341 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 45341 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 45341 covers

A flexible sigmoidoscope equipped for endoscopic ultrasound is advanced into the rectum or sigmoid colon. The ultrasound images help assess bowel-wall layers and nearby tissues, such as when evaluating a rectal lesion or local disease extent. Gastroenterologists and other physicians trained in endoscopic ultrasound typically perform the service in an outpatient endoscopy unit or hospital facility.

Report 45341 when the endoscopic ultrasound examination is performed; it does not describe ultrasound-guided needle sampling, which is represented by 45342. Document the scope extent, ultrasound findings, and clinical target. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate; Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Arkansas compares for 45341

Across 109 of 109 payment localities, the facility rate for 45341 runs from $102.94 in Arkansas to $144.94 in Alaska. Arkansas pays $102.94. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

45341 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 45341 in every payment locality

How the 45341 rate is calculated

Each of 45341’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 45341

The CMS indicators that decide how 45341 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 45341

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 45341 has changed in Arkansas

Price 45341 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

• Acorn
• Adona
• Alexander
• Alicia
• Alix
• Alleene
• Allport
• Alma

Browse all communities in Arkansas

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates