# CPT 43020: Esophagotomy, cervical approach, removal of foreign body

Medicare CPT 43020 pays $551.78 in a non-facility setting and $551.78 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $487.16 in Arkansas to $667.43 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/43020-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $551.78 |
| National facility | $551.78 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $667.43 | $667.43 |
| Florida | $620.16 | $620.16 |
| New York | $614.74 | $614.74 |
| District of Columbia | $612.14 | $612.14 |
| Illinois | $610.67 | $610.67 |
| New Jersey | $598.24 | $598.24 |
| Connecticut | $588.51 | $588.51 |
| Washington | $574.88 | $574.88 |
| Massachusetts | $574.47 | $574.47 |
| Maryland | $569.84 | $569.84 |
| Michigan | $567.95 | $567.95 |
| California | $567.60 | $567.60 |
| Georgia | $556.45 | $556.45 |
| Rhode Island | $556.16 | $556.16 |
| Pennsylvania | $554.77 | $554.77 |
| West Virginia | $554.76 | $554.76 |
| Puerto Rico | $553.05 | $553.05 |
| Virgin Islands | $553.05 | $553.05 |
| Colorado | $552.94 | $552.94 |
| Montana | $551.64 | $551.64 |
| New Hampshire | $551.56 | $551.56 |
| Hawaii | $550.79 | $550.79 |
| New Mexico | $548.52 | $548.52 |
| Oregon | $545.53 | $545.53 |
| Texas | $544.88 | $544.88 |
| Delaware | $543.35 | $543.35 |
| Nevada | $540.06 | $540.06 |
| Louisiana | $536.66 | $536.66 |
| Arizona | $534.90 | $534.90 |
| Ohio | $533.87 | $533.87 |
| Wyoming | $533.20 | $533.20 |
| Missouri | $533.17 | $533.17 |
| Utah | $531.75 | $531.75 |
| Virginia | $527.16 | $527.16 |
| South Carolina | $524.92 | $524.92 |
| Kentucky | $522.13 | $522.13 |
| Maine | $515.64 | $515.64 |
| Vermont | $514.35 | $514.35 |
| Oklahoma | $513.11 | $513.11 |
| North Carolina | $511.75 | $511.75 |
| North Dakota | $509.32 | $509.32 |
| Minnesota | $507.62 | $507.62 |
| South Dakota | $504.32 | $504.32 |
| Mississippi | $503.60 | $503.60 |
| Indiana | $499.54 | $499.54 |
| Tennessee | $499.36 | $499.36 |
| Idaho | $497.12 | $497.12 |
| Kansas | $495.94 | $495.94 |
| Alabama | $494.21 | $494.21 |
| Wisconsin | $493.40 | $493.40 |
| Nebraska | $490.97 | $490.97 |
| Iowa | $490.63 | $490.63 |
| Arkansas | $487.16 | $487.16 |

## Related codes

- 40490: Biopsy of lip — https://www.med-reveal.com/rates/40490-cpt-fee-schedule
- 40650: Repair lip, vermilion only — https://www.med-reveal.com/rates/40650-cpt-fee-schedule
- 41010: Frenotomy, lingual — https://www.med-reveal.com/rates/41010-cpt-fee-schedule
- 41112: Excision of lesion of tongue — https://www.med-reveal.com/rates/41112-cpt-fee-schedule
- 41599: Unlisted procedure, tongue/floor of mouth — https://www.med-reveal.com/rates/41599-cpt-fee-schedule
- 42700: Incision and drainage of peritonsillar abscess — https://www.med-reveal.com/rates/42700-cpt-fee-schedule
- 42820: Tonsillectomy and adenoidectomy, under age 12 — https://www.med-reveal.com/rates/42820-cpt-fee-schedule
- 42821: Tonsillectomy and adenoidectomy, age 12 or over — https://www.med-reveal.com/rates/42821-cpt-fee-schedule

Commercial negotiated rates for 43020 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules