$509.11
Use 45380 when tissue is sampled for biopsy. Use 45378 when the exam is diagnostic and no tissue biopsy is performed.
On this page
CMS RVU26D · Effective 2026-10-01
45378 in El Centro
Office / nonfacility
$398.40
Base rate per service
Facility setting
$164.48
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Gastroenterology procedure
About 45378: Diagnostic full-colon endoscopic examination
Reports a diagnostic examination of the colon when the endoscopist inspects the colon without performing a separately described biopsy or therapeutic intervention.
A gastroenterologist or colorectal surgeon advances a flexible endoscope through the colon to examine the bowel, commonly for evaluation of symptoms or an abnormal finding. The service can include specimen collection by brushing or washing, but it does not describe taking tissue for biopsy or treating a lesion. It is typically performed in an endoscopy unit or hospital outpatient department, with sedation commonly provided as part of the procedural setting.
Choose this code when the documented service is diagnostic inspection rather than a more specific colonoscopy procedure. The report should support the examination performed and whether a biopsy or treatment was done; when a more specific procedure is performed, report that service rather than separately reporting the diagnostic examination. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Modifier 53 is separately priced. Medicare does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.
CMS billing rules for 45378
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.18 · 28%
- Practice expense (office) RVU7.73 · 68%
- Malpractice RVU0.41 · 4%
303.1K
Medicare services in 2024 · #309 by national volume
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.
45378 compared with similar codes
Office rates for El Centro, from the same CMS release.
$526.79
Use 45385 when a lesion is removed by snare. Diagnostic inspection alone is reported with 45378.
$231.36
45330 describes diagnostic flexible sigmoidoscopy of a limited portion of the lower bowel; 45378 is for a colonoscopy.
$505.23
45379 applies when a foreign body is removed during colonoscopy. Without that removal or another therapeutic procedure, the diagnostic service is 45378.
The same code, a different location
How does El Centro compare?
In Bakersfield, the office rate for 45378 is $399.55—$1.15 higher than the $398.40 rate in El Centro. Both use the same code, release and participation basis.
45378 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
$398.40
$399.55
$1.15 higher than El Centro
$398.34
$0.06 lower than El Centro
$398.34
$0.06 lower than El Centro
$398.34
$0.06 lower than El Centro
$26.70 higher than El Centro
$398.34
$0.06 lower than El Centro
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 45378 ranges from $335.05 in Arkansas to $497.55 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 45378
Office
$398.34
Facility
$164.41
$0.06 lower than El Centro for the office setting.
Modesto
California · 45378
Office
$398.34
Facility
$164.41
$0.06 lower than El Centro for the office setting.
Napa
California · 45378
Office
$460.16
Facility
$178.85
$61.76 higher than El Centro for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 45378
Office
$422.90
Facility
$170.62
$24.50 higher than El Centro for the office setting.
Redding
California · 45378
Office
$398.34
Facility
$164.41
$0.06 lower than El Centro for the office setting.
Rest Of California
California · 45378
Office
$398.34
Facility
$164.41
$0.06 lower than El Centro for the office setting.
Riverside-San Bernardino-Ontario
California · 45378
Office
$402.78
Facility
$168.86
$4.38 higher than El Centro for the office setting.
Sacramento-Roseville-Folsom
California · 45378
Office
$417.65
Facility
$169.43
$19.25 higher than El Centro for the office setting.
Salinas
California · 45378
Office
$416.09
Facility
$168.72
$17.69 higher than El Centro for the office setting.
San Diego-Chula Vista-Carlsbad
California · 45378
Office
$425.62
Facility
$170.35
$27.22 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 45378
Office
$486.64
Facility
$185.70
$88.24 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 45378
Office
$486.17
Facility
$185.23
$87.77 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 45378
Office
$497.55
Facility
$189.78
$99.15 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 45378
Office
$495.64
Facility
$187.88
$97.24 higher than El Centro for the office setting.
San Luis Obispo-Paso Robles
California · 45378
Office
$409.44
Facility
$166.34
$11.04 higher than El Centro for the office setting.
Santa Cruz-Watsonville
California · 45378
Office
$429.49
Facility
$170.17
$31.09 higher than El Centro for the office setting.
Santa Maria-Santa Barbara
California · 45378
Office
$417.58
Facility
$168.72
$19.18 higher than El Centro for the office setting.
Santa Rosa-Petaluma
California · 45378
Office
$433.80
Facility
$171.70
$35.40 higher than El Centro for the office setting.
Stockton
California · 45378
Office
$398.34
Facility
$164.41
$0.06 lower than El Centro for the office setting.
Vallejo
California · 45378
Office
$459.49
Facility
$178.18
$61.09 higher than El Centro for the office setting.
Visalia
California · 45378
Office
$398.34
Facility
$164.41
$0.06 lower than El Centro for the office setting.
Yuba City
California · 45378
Office
$398.34
Facility
$164.41
$0.06 lower than El Centro for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 45378
Office
$431.34
Facility
$179.92
$32.94 higher than El Centro for the office setting.
Miami
Florida · 45378
Office
$409.62
Facility
$187.44
$11.22 higher than El Centro for the office setting.
Chicago
Illinois · 45378
Office
$397.87
Facility
$183.37
$0.53 lower than El Centro for the office setting.
Manhattan
New York · 45378
Office
$434.75
Facility
$186.74
$36.35 higher than El Centro for the office setting.
Alaska*
Alaska · 45378
Office
$441.84
Facility
$214.53
$43.44 higher than El Centro for the office setting.
Alabama
Alabama · 45378
Office
$339.88
Facility
$153.13
$58.52 lower than El Centro for the office setting.
Arkansas
Arkansas · 45378
Office
$335.05
Facility
$151.71
$63.35 lower than El Centro for the office setting.
Arizona
Arizona · 45378
Office
$368.12
Facility
$161.31
$30.28 lower than El Centro for the office setting.
Colorado
Colorado · 45378
Office
$392.90
Facility
$165.81
$5.50 lower than El Centro for the office setting.
Connecticut
Connecticut · 45378
Office
$402.98
Facility
$173.11
$4.58 higher than El Centro for the office setting.
Delaware
Delaware · 45378
Office
$374.15
Facility
$163.28
$24.25 lower than El Centro for the office setting.
Fort Lauderdale
Florida · 45378
Office
$392.52
Facility
$176.31
$5.88 lower than El Centro for the office setting.
Rest Of Florida
Florida · 45378
Office
$373.63
Facility
$169.59
$24.77 lower than El Centro for the office setting.
Atlanta
Georgia · 45378
Office
$385.30
Facility
$168.45
$13.10 lower than El Centro for the office setting.
Rest Of Georgia
Georgia · 45378
Office
$352.84
Facility
$162.46
$45.56 lower than El Centro for the office setting.
Hawaii, Guam
Hawaii · 45378
Office
$407.70
Facility
$165.03
$9.30 higher than El Centro for the office setting.
Iowa
Iowa · 45378
Office
$347.89
Facility
$152.60
$50.51 lower than El Centro for the office setting.
Idaho
Idaho · 45378
Office
$350.23
Facility
$153.87
$48.17 lower than El Centro for the office setting.
East St. Louis
Illinois · 45378
Office
$371.33
Facility
$174.97
$27.07 lower than El Centro for the office setting.
Rest Of Illinois
Illinois · 45378
Office
$363.35
Facility
$168.48
$35.05 lower than El Centro for the office setting.
Suburban Chicago
Illinois · 45378
Office
$396.38
Facility
$177.19
$2.02 lower than El Centro for the office setting.
Indiana
Indiana · 45378
Office
$352.21
Facility
$154.36
$46.19 lower than El Centro for the office setting.
Kansas
Kansas · 45378
Office
$346.52
Facility
$153.58
$51.88 lower than El Centro for the office setting.
Kentucky
Kentucky · 45378
Office
$348.28
Facility
$158.53
$50.12 lower than El Centro for the office setting.
New Orleans
Louisiana · 45378
Office
$364.73
Facility
$163.89
$33.67 lower than El Centro for the office setting.
Rest Of Louisiana
Louisiana · 45378
Office
$347.83
Facility
$158.94
$50.57 lower than El Centro for the office setting.
Metropolitan Boston
Massachusetts · 45378
Office
$431.04
Facility
$176.20
$32.64 higher than El Centro for the office setting.
Rest Of Massachusetts
Massachusetts · 45378
Office
$390.70
Facility
$165.96
$7.70 lower than El Centro for the office setting.
Baltimore/Surr. Cntys
Maryland · 45378
Office
$401.89
Facility
$172.88
$3.49 higher than El Centro for the office setting.
Rest Of Maryland
Maryland · 45378
Office
$381.14
Facility
$165.14
$17.26 lower than El Centro for the office setting.
Rest Of Maine
Maine · 45378
Office
$352.27
Facility
$155.91
$46.13 lower than El Centro for the office setting.
Southern Maine
Maine · 45378
Office
$370.72
Facility
$159.21
$27.68 lower than El Centro for the office setting.
Detroit
Michigan · 45378
Office
$378.46
Facility
$172.49
$19.94 lower than El Centro for the office setting.
Rest Of Michigan
Michigan · 45378
Office
$357.40
Facility
$162.54
$41.00 lower than El Centro for the office setting.
Minnesota
Minnesota · 45378
Office
$375.94
Facility
$156.32
$22.46 lower than El Centro for the office setting.
Metropolitan Kansas City
Missouri · 45378
Office
$362.03
Facility
$161.62
$36.37 lower than El Centro for the office setting.
Metropolitan St. Louis
Missouri · 45378
Office
$365.73
Facility
$162.55
$32.67 lower than El Centro for the office setting.
Rest Of Missouri
Missouri · 45378
Office
$342.11
Facility
$158.13
$56.29 lower than El Centro for the office setting.
Mississippi
Mississippi · 45378
Office
$338.64
Facility
$154.87
$59.76 lower than El Centro for the office setting.
Montana**
Montana · 45378
Office
$378.07
Facility
$164.64
$20.33 lower than El Centro for the office setting.
North Carolina
North Carolina · 45378
Office
$355.86
Facility
$156.72
$42.54 lower than El Centro for the office setting.
North Dakota**
North Dakota · 45378
Office
$369.96
Facility
$156.53
$28.44 lower than El Centro for the office setting.
Nebraska
Nebraska · 45378
Office
$349.70
Facility
$152.70
$48.70 lower than El Centro for the office setting.
New Hampshire
New Hampshire · 45378
Office
$386.97
Facility
$164.79
$11.43 lower than El Centro for the office setting.
Northern Nj
New Jersey · 45378
Office
$427.03
Facility
$179.45
$28.63 higher than El Centro for the office setting.
Rest Of New Jersey
New Jersey · 45378
Office
$407.43
Facility
$174.36
$9.03 higher than El Centro for the office setting.
New Mexico
New Mexico · 45378
Office
$359.42
Facility
$163.70
$38.98 lower than El Centro for the office setting.
Nevada**
Nevada · 45378
Office
$376.07
Facility
$162.42
$22.33 lower than El Centro for the office setting.
Nyc Suburbs/Long Island
New York · 45378
Office
$445.43
Facility
$191.66
$47.03 higher than El Centro for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 45378
Office
$410.28
Facility
$176.57
$11.88 higher than El Centro for the office setting.
Queens
New York · 45378
Office
$437.94
Facility
$185.66
$39.54 higher than El Centro for the office setting.
Rest Of New York
New York · 45378
Office
$361.12
Facility
$158.36
$37.28 lower than El Centro for the office setting.
Ohio
Ohio · 45378
Office
$355.75
Facility
$160.88
$42.65 lower than El Centro for the office setting.
Oklahoma
Oklahoma · 45378
Office
$347.42
Facility
$156.82
$50.98 lower than El Centro for the office setting.
Portland
Oregon · 45378
Office
$404.95
Facility
$167.83
$6.55 higher than El Centro for the office setting.
Rest Of Oregon
Oregon · 45378
Office
$373.00
Facility
$160.42
$25.40 lower than El Centro for the office setting.
Metropolitan Philadelphia
Pennsylvania · 45378
Office
$393.24
Facility
$171.06
$5.16 lower than El Centro for the office setting.
Rest Of Pennsylvania
Pennsylvania · 45378
Office
$356.17
Facility
$160.24
$42.23 lower than El Centro for the office setting.
Puerto Rico
Puerto Rico · 45378
Office
$380.73
Facility
$164.95
$17.67 lower than El Centro for the office setting.
Rhode Island
Rhode Island · 45378
Office
$387.16
Facility
$166.68
$11.24 lower than El Centro for the office setting.
South Carolina
South Carolina · 45378
Office
$356.42
Facility
$159.21
$41.98 lower than El Centro for the office setting.
South Dakota**
South Dakota · 45378
Office
$369.01
Facility
$155.57
$29.39 lower than El Centro for the office setting.
Tennessee
Tennessee · 45378
Office
$348.26
Facility
$154.25
$50.14 lower than El Centro for the office setting.
Austin
Texas · 45378
Office
$391.72
Facility
$165.91
$6.68 lower than El Centro for the office setting.
Beaumont
Texas · 45378
Office
$353.89
Facility
$159.67
$44.51 lower than El Centro for the office setting.
Brazoria
Texas · 45378
Office
$373.61
Facility
$162.10
$24.79 lower than El Centro for the office setting.
Dallas
Texas · 45378
Office
$376.08
Facility
$163.50
$22.32 lower than El Centro for the office setting.
Fort Worth
Texas · 45378
Office
$373.67
Facility
$163.23
$24.73 lower than El Centro for the office setting.
Galveston
Texas · 45378
Office
$374.79
Facility
$162.85
$23.61 lower than El Centro for the office setting.
Houston
Texas · 45378
Office
$382.29
Facility
$170.35
$16.11 lower than El Centro for the office setting.
Rest Of Texas
Texas · 45378
Office
$363.60
Facility
$161.06
$34.80 lower than El Centro for the office setting.
Utah
Utah · 45378
Office
$361.21
Facility
$160.58
$37.19 lower than El Centro for the office setting.
Virginia
Virginia · 45378
Office
$369.68
Facility
$159.88
$28.72 lower than El Centro for the office setting.
Virgin Islands
United States Virgin Islands · 45378
Office
$380.73
Facility
$164.95
$17.67 lower than El Centro for the office setting.
Vermont
Vermont · 45378
Office
$368.75
Facility
$157.45
$29.65 lower than El Centro for the office setting.
Rest Of Washington
Washington · 45378
Office
$389.89
Facility
$165.15
$8.51 lower than El Centro for the office setting.
Seattle (King Cnty)
Washington · 45378
Office
$439.51
Facility
$177.63
$41.11 higher than El Centro for the office setting.
Wisconsin
Wisconsin · 45378
Office
$357.78
Facility
$153.31
$40.62 lower than El Centro for the office setting.
West Virginia
West Virginia · 45378
Office
$350.18
Facility
$164.71
$48.22 lower than El Centro for the office setting.
Wyoming**
Wyoming · 45378
Office
$374.54
Facility
$161.11
$23.86 lower than El Centro for the office setting.
See how rates vary across the country
45378 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$335.05
$447.95
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $441.84 | 1 |
| AL | $339.88 | 1 |
| AR | $335.05 | 1 |
| AZ | $368.12 | 1 |
| CA | $398.34–$497.55 | 29 |
| CO | $392.90 | 1 |
| CT | $402.98 | 1 |
| DC | $431.34 | 1 |
| DE | $374.15 | 1 |
| FL | $373.63–$409.62 | 3 |
| GA | $352.84–$385.30 | 2 |
| GU | $407.70 | 1 |
| HI | $407.70 | 1 |
| IA | $347.89 | 1 |
| ID | $350.23 | 1 |
| IL | $363.35–$397.87 | 4 |
| IN | $352.21 | 1 |
| KS | $346.52 | 1 |
| KY | $348.28 | 1 |
| LA | $347.83–$364.73 | 2 |
| MA | $390.70–$431.04 | 2 |
| MD | $381.14–$431.34 | 3 |
| ME | $352.27–$370.72 | 2 |
| MI | $357.40–$378.46 | 2 |
| MN | $375.94 | 1 |
| MO | $342.11–$365.73 | 3 |
| MS | $338.64 | 1 |
| MT | $378.07 | 1 |
| NC | $355.86 | 1 |
| ND | $369.96 | 1 |
| NE | $349.70 | 1 |
| NH | $386.97 | 1 |
| NJ | $407.43–$427.03 | 2 |
| NM | $359.42 | 1 |
| NV | $376.07 | 1 |
| NY | $361.12–$445.43 | 5 |
| OH | $355.75 | 1 |
| OK | $347.42 | 1 |
| OR | $373.00–$404.95 | 2 |
| PA | $356.17–$393.24 | 2 |
| PR | $380.73 | 1 |
| RI | $387.16 | 1 |
| SC | $356.42 | 1 |
| SD | $369.01 | 1 |
| TN | $348.26 | 1 |
| TX | $353.89–$391.72 | 8 |
| UT | $361.21 | 1 |
| VA | $369.68–$431.34 | 2 |
| VI | $380.73 | 1 |
| VT | $368.75 | 1 |
| WA | $389.89–$439.51 | 2 |
| WI | $357.78 | 1 |
| WV | $350.18 | 1 |
| WY | $374.54 | 1 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Why are the office and facility amounts different?
For 45378 in El Centro, the physician’s office rate is $398.40 and the facility-setting rate is $164.48: a difference of $233.92.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 45378 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$438.24
$398.40 × 110% = $438.24
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 45378 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
5,513
- Code
- 45378
- Physician work
- 3.18
- Practice expense
- 7.73
- Malpractice
- 0.41
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.18 | × 1.017 | 3.2341 |
| Practice expense | 7.73 | × 1.096 | 8.4721 |
| Malpractice | 0.41 | × 0.541 | 0.2218 |
| Total RVUs | 11.9280 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, El Centro$398.40
Open 45378 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.18 | 1.017 |
| Practice expense | 7.73 | 1.096 |
| Malpractice | 0.41 | 0.541 |
(3.18 × 1.017 + 7.73 × 1.096 + 0.41 × 0.541) × $33.4009 = $398.40
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.18 | 1.017 |
| Practice expense | 1.34 | 1.096 |
| Malpractice | 0.41 | 0.541 |
(3.18 × 1.017 + 1.34 × 1.096 + 0.41 × 0.541) × $33.4009 = $164.48
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
45378 · Office / nonfacility
$398.40
Effective 2026-10-01
The base rate is $55.86 higher than on 2025-10-01, moving from $342.54 to $398.40 (16.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$342.54changed to$398.40
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.26 changed to 3.18
- Practice expense RVU 6.44 changed to 7.73
- Malpractice RVU 0.43 changed to 0.41
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.570 changed to 0.541
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $342.54
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
45378 billing questions
When should 45378 be chosen instead of 45380?
Use 45378 for diagnostic inspection without tissue biopsy. When tissue is sampled for histologic examination, report the biopsy service, 45380, instead.
Can 45378 be reported with a colonoscopy that removes a polyp?
The diagnostic inspection is part of the colonoscopy with polyp removal; report the code for the removal method rather than separately billing 45378 for the same examination.
Is modifier 50 appropriate for 45378?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How should modifier 53 be handled?
CMS lists modifier 53 as separately priced for 45378. The record should support that the colonoscopy was discontinued; apply the modifier only when the circumstances meet its reporting requirements.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
How many units are reported for the diagnostic examination?
Report one service for the colonoscopy, not a separate unit for each segment examined.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,51045347,,Sigmoidoscopy w/plcmt stent,A,,2.65,1.14,NA,1.14,,0.30,4.09,4.09,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45330,33.4009,09,0,99,0.00,0.00,0.00
5,51145349,,Sigmoidoscopy w/resection,A,,3.43,1.43,NA,1.43,,0.39,5.25,5.25,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45330,33.4009,09,0,99,0.00,0.00,0.00
5,51245350,,Sgmdsc w/band ligation,A,,1.64,20.41,,0.90,,0.21,22.26,2.75,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45330,33.4009,09,0,99,0.00,0.00,0.00
5,51345378,,Diagnostic colonoscopy,A,,3.18,7.73,,1.34,,0.41,11.32,4.93,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,51445378,53,Diagnostic colonoscopy,A,,1.59,3.87,,0.67,,0.21,5.67,2.47,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,51545379,,Colonoscopy w/fb removal,A,,4.17,9.69,,1.63,,0.49,14.35,6.29,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
5,51645380,,Colonoscopy and biopsy,A,,3.47,10.48,,1.43,,0.42,14.37,5.32,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664