No office rate
Use 44407 when ultrasound guidance is used for needle aspiration or biopsy. Use 44406 for the specified colonic ultrasound examination without needle sampling.
On this page
CMS RVU26D · Effective 2026-10-01
44407 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$241.62
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
About 44407: Colonoscopy with ultrasound-guided needle sampling
Reports colonoscopy with endoscopic ultrasound-guided needle sampling of a target within or beyond the colon wall, including the limited colonic ultrasound examination.
A gastroenterologist or other qualified endoscopist advances a colonoscope to evaluate a target with endoscopic ultrasound and guides a needle through the instrument to sample tissue or fluid. The sampled target may be within the bowel wall or beyond it; the ultrasound examination is limited to the colon. This service is performed in an endoscopy unit, ambulatory surgery center, or hospital setting when needle sampling is needed during the colonoscopy.
Report the service when the record supports both ultrasound guidance and intramural or transmural fine-needle aspiration or biopsy. Document the target, sampling method, and procedure performed; the ultrasound examination is included in this service. 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 not appropriate for this descriptor. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 44407
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- 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 RVU4.84 · 67%
- Practice expense (office) RVU1.85 · 26%
- Malpractice RVU0.53 · 7%
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.
44407 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
44403 describes colonoscopic lesion resection. 44407 describes ultrasound-guided needle sampling, not removal of the lesion.
$495.25
44404 describes colonoscopic injection. 44407 is selected for ultrasound-guided needle aspiration or biopsy of a target.
The same code, a different location
How does Redding compare?
44407 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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
Madera
California · 44407
Office
Unavailable
Facility
$241.62
No comparable office rate is available.
Merced
California · 44407
Office
Unavailable
Facility
$241.62
No comparable office rate is available.
Modesto
California · 44407
Office
Unavailable
Facility
$241.62
No comparable office rate is available.
Napa
California · 44407
Office
Unavailable
Facility
$262.28
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 44407
Office
Unavailable
Facility
$250.25
No comparable office rate is available.
Rest Of California
California · 44407
Office
Unavailable
Facility
$241.62
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 44407
Office
Unavailable
Facility
$247.39
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 44407
Office
Unavailable
Facility
$248.83
No comparable office rate is available.
Salinas
California · 44407
Office
Unavailable
Facility
$247.78
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 44407
Office
Unavailable
Facility
$250.01
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 44407
Office
Unavailable
Facility
$272.27
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 44407
Office
Unavailable
Facility
$271.67
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 44407
Office
Unavailable
Facility
$278.04
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 44407
Office
Unavailable
Facility
$275.57
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 44407
Office
Unavailable
Facility
$244.28
No comparable office rate is available.
Santa Cruz-Watsonville
California · 44407
Office
Unavailable
Facility
$249.62
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 44407
Office
Unavailable
Facility
$247.72
No comparable office rate is available.
Santa Rosa-Petaluma
California · 44407
Office
Unavailable
Facility
$251.88
No comparable office rate is available.
Stockton
California · 44407
Office
Unavailable
Facility
$241.62
No comparable office rate is available.
Vallejo
California · 44407
Office
Unavailable
Facility
$261.41
No comparable office rate is available.
Visalia
California · 44407
Office
Unavailable
Facility
$241.62
No comparable office rate is available.
Yuba City
California · 44407
Office
Unavailable
Facility
$241.62
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 44407
Office
Unavailable
Facility
$262.88
No comparable office rate is available.
Miami
Florida · 44407
Office
Unavailable
Facility
$270.76
No comparable office rate is available.
Chicago
Illinois · 44407
Office
Unavailable
Facility
$265.52
No comparable office rate is available.
Manhattan
New York · 44407
Office
Unavailable
Facility
$271.88
No comparable office rate is available.
Alaska*
Alaska · 44407
Office
Unavailable
Facility
$318.05
No comparable office rate is available.
Alabama
Alabama · 44407
Office
Unavailable
Facility
$225.75
No comparable office rate is available.
Arkansas
Arkansas · 44407
Office
Unavailable
Facility
$223.86
No comparable office rate is available.
Arizona
Arizona · 44407
Office
Unavailable
Facility
$236.69
No comparable office rate is available.
Colorado
Colorado · 44407
Office
Unavailable
Facility
$243.17
No comparable office rate is available.
Connecticut
Connecticut · 44407
Office
Unavailable
Facility
$252.86
No comparable office rate is available.
Delaware
Delaware · 44407
Office
Unavailable
Facility
$239.43
No comparable office rate is available.
Fort Lauderdale
Florida · 44407
Office
Unavailable
Facility
$256.26
No comparable office rate is available.
Rest Of Florida
Florida · 44407
Office
Unavailable
Facility
$247.34
No comparable office rate is available.
Atlanta
Georgia · 44407
Office
Unavailable
Facility
$246.19
No comparable office rate is available.
Rest Of Georgia
Georgia · 44407
Office
Unavailable
Facility
$237.88
No comparable office rate is available.
Hawaii, Guam
Hawaii · 44407
Office
Unavailable
Facility
$242.17
No comparable office rate is available.
Iowa
Iowa · 44407
Office
Unavailable
Facility
$225.23
No comparable office rate is available.
Idaho
Idaho · 44407
Office
Unavailable
Facility
$226.88
No comparable office rate is available.
East St. Louis
Illinois · 44407
Office
Unavailable
Facility
$254.16
No comparable office rate is available.
Rest Of Illinois
Illinois · 44407
Office
Unavailable
Facility
$245.75
No comparable office rate is available.
Suburban Chicago
Illinois · 44407
Office
Unavailable
Facility
$257.62
No comparable office rate is available.
Indiana
Indiana · 44407
Office
Unavailable
Facility
$227.54
No comparable office rate is available.
Kansas
Kansas · 44407
Office
Unavailable
Facility
$226.44
No comparable office rate is available.
Kentucky
Kentucky · 44407
Office
Unavailable
Facility
$232.79
No comparable office rate is available.
New Orleans
Louisiana · 44407
Office
Unavailable
Facility
$239.92
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 44407
Office
Unavailable
Facility
$233.30
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 44407
Office
Unavailable
Facility
$257.82
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 44407
Office
Unavailable
Facility
$243.42
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 44407
Office
Unavailable
Facility
$252.45
No comparable office rate is available.
Rest Of Maryland
Maryland · 44407
Office
Unavailable
Facility
$242.06
No comparable office rate is available.
Rest Of Maine
Maine · 44407
Office
Unavailable
Facility
$229.52
No comparable office rate is available.
Southern Maine
Maine · 44407
Office
Unavailable
Facility
$234.07
No comparable office rate is available.
Detroit
Michigan · 44407
Office
Unavailable
Facility
$251.14
No comparable office rate is available.
Rest Of Michigan
Michigan · 44407
Office
Unavailable
Facility
$238.06
No comparable office rate is available.
Minnesota
Minnesota · 44407
Office
Unavailable
Facility
$230.48
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 44407
Office
Unavailable
Facility
$236.98
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 44407
Office
Unavailable
Facility
$238.22
No comparable office rate is available.
Rest Of Missouri
Missouri · 44407
Office
Unavailable
Facility
$232.17
No comparable office rate is available.
Mississippi
Mississippi · 44407
Office
Unavailable
Facility
$227.95
No comparable office rate is available.
Montana**
Montana · 44407
Office
Unavailable
Facility
$241.12
No comparable office rate is available.
North Carolina
North Carolina · 44407
Office
Unavailable
Facility
$230.62
No comparable office rate is available.
North Dakota**
North Dakota · 44407
Office
Unavailable
Facility
$230.64
No comparable office rate is available.
Nebraska
Nebraska · 44407
Office
Unavailable
Facility
$225.39
No comparable office rate is available.
New Hampshire
New Hampshire · 44407
Office
Unavailable
Facility
$241.48
No comparable office rate is available.
Northern Nj
New Jersey · 44407
Office
Unavailable
Facility
$262.43
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 44407
Office
Unavailable
Facility
$255.02
No comparable office rate is available.
New Mexico
New Mexico · 44407
Office
Unavailable
Facility
$239.58
No comparable office rate is available.
Nevada**
Nevada · 44407
Office
Unavailable
Facility
$238.26
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 44407
Office
Unavailable
Facility
$278.35
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 44407
Office
Unavailable
Facility
$258.02
No comparable office rate is available.
Queens
New York · 44407
Office
Unavailable
Facility
$270.57
No comparable office rate is available.
Rest Of New York
New York · 44407
Office
Unavailable
Facility
$232.81
No comparable office rate is available.
Ohio
Ohio · 44407
Office
Unavailable
Facility
$235.92
No comparable office rate is available.
Oklahoma
Oklahoma · 44407
Office
Unavailable
Facility
$230.60
No comparable office rate is available.
Portland
Oregon · 44407
Office
Unavailable
Facility
$246.07
No comparable office rate is available.
Rest Of Oregon
Oregon · 44407
Office
Unavailable
Facility
$235.65
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 44407
Office
Unavailable
Facility
$250.01
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 44407
Office
Unavailable
Facility
$235.11
No comparable office rate is available.
Puerto Rico
Puerto Rico · 44407
Office
Unavailable
Facility
$241.57
No comparable office rate is available.
Rhode Island
Rhode Island · 44407
Office
Unavailable
Facility
$244.35
No comparable office rate is available.
South Carolina
South Carolina · 44407
Office
Unavailable
Facility
$233.80
No comparable office rate is available.
South Dakota**
South Dakota · 44407
Office
Unavailable
Facility
$229.40
No comparable office rate is available.
Tennessee
Tennessee · 44407
Office
Unavailable
Facility
$227.34
No comparable office rate is available.
Austin
Texas · 44407
Office
Unavailable
Facility
$243.04
No comparable office rate is available.
Beaumont
Texas · 44407
Office
Unavailable
Facility
$234.34
No comparable office rate is available.
Brazoria
Texas · 44407
Office
Unavailable
Facility
$238.00
No comparable office rate is available.
Dallas
Texas · 44407
Office
Unavailable
Facility
$239.85
No comparable office rate is available.
Fort Worth
Texas · 44407
Office
Unavailable
Facility
$239.46
No comparable office rate is available.
Galveston
Texas · 44407
Office
Unavailable
Facility
$238.97
No comparable office rate is available.
Houston
Texas · 44407
Office
Unavailable
Facility
$248.67
No comparable office rate is available.
Rest Of Texas
Texas · 44407
Office
Unavailable
Facility
$236.29
No comparable office rate is available.
Utah
Utah · 44407
Office
Unavailable
Facility
$235.64
No comparable office rate is available.
Virginia
Virginia · 44407
Office
Unavailable
Facility
$234.90
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 44407
Office
Unavailable
Facility
$241.57
No comparable office rate is available.
Vermont
Vermont · 44407
Office
Unavailable
Facility
$231.79
No comparable office rate is available.
Rest Of Washington
Washington · 44407
Office
Unavailable
Facility
$242.30
No comparable office rate is available.
Seattle (King Cnty)
Washington · 44407
Office
Unavailable
Facility
$260.02
No comparable office rate is available.
Wisconsin
Wisconsin · 44407
Office
Unavailable
Facility
$226.31
No comparable office rate is available.
West Virginia
West Virginia · 44407
Office
Unavailable
Facility
$240.69
No comparable office rate is available.
Wyoming**
Wyoming · 44407
Office
Unavailable
Facility
$236.55
No comparable office rate is available.
See how rates vary across the country
44407 · 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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 44407 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$265.78
$241.62 × 110% = $265.78
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 44407 in Redding.
PPRRVU2026_Oct_nonQPP.csv
5,422
- Code
- 44407
- Physician work
- 4.84
- Practice expense
- 1.85
- Malpractice
- 0.53
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.84 | × 1.017 | 4.9223 |
| Practice expense | 1.85 | × 1.096 | 2.0276 |
| Malpractice | 0.53 | × 0.536 | 0.2841 |
| Total RVUs | 7.2340 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$241.62
Open 44407 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.84 | 1.017 |
| Practice expense | 1.85 | 1.096 |
| Malpractice | 0.53 | 0.536 |
(4.84 × 1.017 + 1.85 × 1.096 + 0.53 × 0.536) × $33.4009 = $241.62
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
44407 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $241.62 | RVU26D |
| 2026-07-01 | Not available in this setting | $241.62 | RVU26C |
| 2026-04-01 | Not available in this setting | $241.62 | RVU26B |
| 2026-01-01 | Not available in this setting | $241.62 | RVU26A |
| 2025-10-01 | Not available in this setting | $264.59 | RVU25D |
| 2025-07-01 | Not available in this setting | $264.59 | RVU25C |
| 2025-04-01 | Not available in this setting | $264.59 | RVU25B |
| 2025-01-01 | Not available in this setting | $264.59 | RVU25A |
44407 billing questions
How does this differ from 44406?
44407 includes ultrasound-guided needle aspiration or biopsy. Choose 44406 when the colonoscopy includes the specified ultrasound examination but no needle sampling.
Is the ultrasound examination separately reported?
The ultrasound examination limited to the colon is included in 44407. Document the examination and needle-guided sampling as part of the service.
What documentation supports reporting 44407?
Record the sampled target, the use of endoscopic ultrasound guidance, and whether aspiration or biopsy was performed. The note should establish that the needle sampled a target within or beyond the bowel wall.
Can modifier 50 be appended?
No. Modifier 50 is not appropriate for this colonoscopy descriptor.
How are related endoscopies handled when performed together?
CMS endoscopy family pricing applies when related endoscopies are performed together. The code also has a 0-day global period, which includes same-day preoperative and postoperative care.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 44407. Co-surgeons and team surgery are not permitted.
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.
5,41944404,,Colonoscopy w/injection,A,,2.94,10.61,,1.25,,0.39,13.94,4.58,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,42044405,,Colonoscopy w/dilation,A,,3.15,14.89,,1.36,,0.36,18.40,4.87,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,42144406,,Colonoscopy w/ultrasound,A,,4.00,1.61,NA,1.61,,0.44,6.05,6.05,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,42244407,,Colonoscopy w/ndl aspir/bx,A,,4.84,1.85,NA,1.85,,0.53,7.22,7.22,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,42344408,,Colonoscopy w/decompression,A,,4.04,1.62,NA,1.62,,0.44,6.10,6.10,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,42444500,,Intro gastrointestinal tube,A,,0.38,0.07,NA,0.07,,0.04,0.49,0.49,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,4254450F,,Self-care ed provided to pt,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536