CPT code 45385: Snare polypectomy, during colonoscopy2026 Medicare rate & RVUs in Visalia, CA

In Visalia, CA, Medicare pays $526.70 for 45385 in the office and $223.60 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 45385 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 45385 covers

During this procedure, a gastroenterologist or colorectal surgeon advances a flexible colonoscope through the colon, typically to the cecum. Polyps or other lesions are captured with a wire snare and removed either cold or with electrocautery. Removed tissue is typically submitted for pathology. Most cases occur in hospital outpatient departments and ambulatory surgery centers, with a smaller share in office endoscopy suites. Common situations include screening colonoscopies that uncover adenomas, surveillance after prior polyps, and evaluation of a positive stool test.

Report one unit per session regardless of how many lesions are snared. The procedure report should identify the removal technique, lesion sites and sizes, exam extent, and bowel prep quality. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, endoscopy family pricing uses diagnostic colonoscopy 45378 as the base to calculate payment for additional procedures. Medicare does not pay an assistant at surgery for 45385; co-surgeons and team surgery are not permitted. Because the colon is not a bilateral structure, modifier 50 is inappropriate.

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 Visalia, CA compares for 45385

Across 109 of 109 payment localities, the office rate for 45385 runs from $444.65 in Arkansas to $656.13 in San Benito County, CA. Visalia, CA pays $526.70. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

45385 rates by state

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

See 45385 in every payment locality

How the 45385 rate is calculated

Each of 45385’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 45385

The CMS indicators that decide how 45385 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 45385

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

How 45385 has changed in Visalia, CA

Price 45385 for an earlier date of service

Where the Visalia, CA rate applies

Visalia, CA is a Medicare payment area, not a city. Our Census mapping connects it to 70 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• Visalia
• Allensworth
• Alpaugh
• California Hot Springs
• Camp Nelson
• Cedar Slope
• Cutler
• Delft Colony

Browse all communities in California

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