How much does Medicare pay for CPT 44207?

Medicare allowed an average of $1484.09 per service and paid $1182.80 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $6341.78, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 44207?

Partial removal of large bowel and reattachment to rectum using an endoscope. It was billed 1,943 times to 1,939 Medicare beneficiaries by 135 providers in 2024.

Which specialty bills 44207 most?

Colorectal Surgery (Proctology), with 1,211 services from 83 clinicians. Next are General Surgery, Physician Assistant, Nurse Practitioner.

CPT 44207

Partial removal of large bowel and reattachment to rectum using an endoscope

$1484.09Medicare-allowed amount per service, averaged across 1,943 services

Providers submitted

$6341.78

Asking price, not received

Medicare allowed

$1484.09

The fee schedule figure

Medicare paid

$1182.80

Balance is patient coinsurance

Providers submitted an average of $6341.78 for this code and Medicare allowed $1484.09 — 4.3× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $1182.80 (80%); the rest is the patient’s coinsurance and deductible.

Services: 1,943
Beneficiaries: 1,939
Providers billing it: 135
Total allowed: $2,883,587

What Medicare pays for CPT 44207

Across 1,943 services billed by 135 providers to 1,939 beneficiaries, Medicare allowed an average of $1484.09 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 44207

Specialty	Services	Beneficiaries	Avg allowed	Providers
Colorectal Surgery (Proctology)	1,211	1,211	$1676.56	83
General Surgery	483	480	$1558.16	35
Physician Assistant	173	172	$255.16	11
Nurse Practitioner	48	48	$230.71	4
Surgical Oncology	15	15	$1640.80	1
Emergency Medicine	13	13	$1604.08	1

44207 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Texas	189	$1458.60	$1170.99	13
New York	160	$1701.05	$1100.80	11
Oklahoma	136	$1453.82	$1211.93	7
Florida	125	$1516.12	$1041.13	9
New Jersey	116	$1350.85	$939.27	8
Pennsylvania	108	$1609.23	$1271.09	7
South Carolina	101	$1223.55	$993.00	7
Alabama	94	$1125.88	$976.96	6
Illinois	90	$1658.13	$1170.16	6
California	83	$1745.58	$1361.06	6
Missouri	79	$1233.95	$996.85	6
North Carolina	64	$1265.99	$1063.15	5
Massachusetts	64	$1970.73	$1400.78	4
Arkansas	52	$1062.78	$902.16	3
Arizona	52	$1224.78	$976.67	4
Washington	49	$1748.60	$1397.12	3
Virginia	43	$1887.04	$1401.35	3
Nevada	42	$1181.79	$931.09	3
Georgia	37	$1766.55	$1390.92	3
Ohio	36	$1744.05	$1403.81	3
Maryland	30	$1976.57	$1392.26	2
District of Columbia	25	$1226.44	$839.24	2
Kansas	24	$1663.29	$1392.46	2
Indiana	22	$1492.43	$1350.61	2
Delaware	22	$1083.65	$852.14	2
Mississippi	16	$264.02	$103.01	1
New Hampshire	14	$1756.96	$1376.56	1
Michigan	13	$1752.12	$1401.09	1
Montana	13	$1758.93	$1405.08	1
Colorado	11	$1771.96	$1403.00	1
Wisconsin	11	$1715.46	$1403.00	1
Oregon	11	$1692.12	$1403.00	1
Tennessee	11	$755.59	$582.30	1

Related codes

44213Partial release of large bowel and partial removal of large bowel$161.54
44205Partial removal of small and large bowel$1151.42

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.