# CPT 43200: Esophagoscopy, flexible, diagnostic

Medicare CPT 43200 pays $286.91 in a non-facility setting and $79.49 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $250.55 in Arkansas to $331.81 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/43200-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $286.91 |
| National facility | $79.49 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $331.81 | $87.47 |
| California | $328.21 | $82.77 |
| Alaska | $322.01 | $101.11 |
| Washington | $319.62 | $83.16 |
| New Jersey | $319.33 | $85.78 |
| New York | $318.65 | $87.25 |
| Massachusetts | $316.01 | $82.97 |
| Hawaii | $315.99 | $80.16 |
| Connecticut | $307.31 | $83.92 |
| Colorado | $300.89 | $80.20 |
| Maryland | $298.00 | $81.76 |
| Oregon | $297.86 | $79.34 |
| New Hampshire | $295.62 | $79.70 |
| Rhode Island | $294.75 | $80.48 |
| Florida | $294.33 | $86.22 |
| Puerto Rico | $289.38 | $79.68 |
| Virgin Islands | $289.38 | $79.68 |
| Minnesota | $288.76 | $75.32 |
| Montana | $286.90 | $79.48 |
| Nevada | $285.98 | $78.35 |
| Illinois | $285.57 | $85.16 |
| Wyoming | $285.09 | $77.67 |
| Delaware | $283.63 | $78.70 |
| Texas | $283.05 | $78.84 |
| Pennsylvania | $283.02 | $79.85 |
| North Dakota | $282.75 | $75.33 |
| South Dakota | $282.26 | $74.84 |
| Vermont | $281.11 | $75.77 |
| Virginia | $280.88 | $76.98 |
| Arizona | $278.66 | $77.67 |
| Georgia | $277.61 | $79.72 |
| Michigan | $275.51 | $80.74 |
| Maine | $273.89 | $75.70 |
| Wisconsin | $272.24 | $73.53 |
| Utah | $272.17 | $77.20 |
| New Mexico | $268.92 | $78.71 |
| North Carolina | $268.72 | $75.19 |
| South Carolina | $268.09 | $76.44 |
| Missouri | $267.56 | $77.21 |
| Louisiana | $266.90 | $77.53 |
| Ohio | $266.63 | $77.25 |
| Indiana | $266.24 | $73.96 |
| Nebraska | $264.55 | $73.10 |
| Idaho | $264.51 | $73.69 |
| Iowa | $262.81 | $73.02 |
| Tennessee | $262.39 | $73.85 |
| Kansas | $260.99 | $73.48 |
| Kentucky | $260.37 | $75.97 |
| Oklahoma | $260.33 | $75.11 |
| West Virginia | $259.31 | $79.06 |
| Alabama | $254.64 | $73.15 |
| Mississippi | $252.58 | $74.00 |
| Arkansas | $250.55 | $72.37 |

## 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 43200 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