Specialty rate rollup
Gastroenterology
Endoscopic procedures — colonoscopy, upper endoscopy, and capsule studies — alongside office visits.
Current national rates
Q3 2026 releaseNon-facility amounts, GPCI 1.000, before sequestration. Change is versus the prior release.
| Code | Status | National amount | Change |
|---|---|---|---|
| 99213 Established Patient Office Visit, Level 3 | Active | $95.19 | — |
| 99214 Established Patient Office Visit, Level 4 | Active | $135.61 | — |
| 45378 Diagnostic Colonoscopy | Active | $378.10 | — |
| 45380 Colonoscopy with Biopsy | Active | $479.97 | — |
| 43235 Upper GI Endoscopy, Diagnostic | Active | $322.65 | — |
| 43239 Upper GI Endoscopy (EGD) with Biopsy | Active | $418.85 | — |
| 91110 Capsule Endoscopy, Esophagus Through Ileum | Active | $802.29 | — |
Need a locality-adjusted rate or a specific setting? Use the rate calculator. Every code above also has its own page with a contracted-rate (% of Medicare) table and a full RVU breakdown.
These amounts shift with where you practice — local GPCIs move most of them a few percent either way. Browse Medicare payment localities or look up yours by ZIP code.
Download this fee schedule (CSV) — free, no account needed.
Model Gastroenterology's blended payer mix
Blended-rate modeling across a specialty's payer mix isn't built yet — it's on the roadmap, and how loudly gastroenterology asks for it is part of what decides when.
Get notified when Gastroenterology rates change
Medicare updates the fee schedule every quarter. We'll email you when a release moves rates, tagged to Gastroenterology.
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Source & method
National amounts computed from the CMS Medicare Physician Fee Schedule Q3 2026 release, GPCI 1.000, before the ~2% sequestration cut. This code list is our own clean-room grouping by common clinical scenario, not the AMA's code-family taxonomy. A code with no amount shown is either not separately payable under the PFS or was not in this release — never a fake $0.