# CPT 43202: Esophagoscopy with biopsy

Medicare CPT 43202 pays $393.13 in a non-facility setting and $93.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $343.20 in Arkansas to $455.69 in District of Columbia, a 33% spread.

Web page: https://www.med-reveal.com/rates/43202-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $393.13 |
| National facility | $93.19 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $455.69 | $102.36 |
| California | $452.41 | $97.50 |
| Washington | $439.62 | $97.68 |
| Alaska | $439.49 | $120.05 |
| New Jersey | $438.18 | $100.45 |
| New York | $436.46 | $101.84 |
| Hawaii | $435.39 | $94.35 |
| Massachusetts | $434.39 | $97.41 |
| Connecticut | $421.13 | $98.10 |
| Colorado | $413.39 | $94.25 |
| Oregon | $409.30 | $93.31 |
| Maryland | $408.42 | $95.74 |
| New Hampshire | $405.78 | $93.54 |
| Rhode Island | $404.33 | $94.49 |
| Florida | $400.87 | $99.93 |
| Minnesota | $397.76 | $89.12 |
| Puerto Rico | $396.65 | $93.41 |
| Virgin Islands | $396.65 | $93.41 |
| Montana | $393.11 | $93.17 |
| Nevada | $392.29 | $92.05 |
| Wyoming | $391.30 | $91.36 |
| North Dakota | $388.96 | $89.02 |
| Delaware | $388.74 | $92.40 |
| Illinois | $388.58 | $98.76 |
| South Dakota | $388.47 | $88.53 |
| Texas | $387.82 | $92.53 |
| Pennsylvania | $387.35 | $93.56 |
| Vermont | $386.36 | $89.42 |
| Virginia | $385.46 | $90.62 |
| Arizona | $381.89 | $91.25 |
| Georgia | $379.42 | $93.27 |
| Michigan | $375.86 | $94.22 |
| Maine | $375.83 | $89.23 |
| Wisconsin | $374.41 | $87.07 |
| Utah | $372.61 | $90.67 |
| North Carolina | $368.49 | $88.64 |
| New Mexico | $367.15 | $92.10 |
| South Carolina | $367.00 | $89.85 |
| Missouri | $365.85 | $90.60 |
| Indiana | $365.43 | $87.39 |
| Louisiana | $364.75 | $90.91 |
| Ohio | $364.47 | $90.63 |
| Nebraska | $363.36 | $86.51 |
| Idaho | $363.03 | $87.09 |
| Iowa | $360.85 | $86.40 |
| Tennessee | $359.85 | $87.21 |
| Kansas | $357.97 | $86.82 |
| Oklahoma | $356.25 | $88.41 |
| Kentucky | $355.90 | $89.26 |
| West Virginia | $352.92 | $92.27 |
| Alabama | $348.83 | $86.39 |
| Mississippi | $345.43 | $87.18 |
| Arkansas | $343.20 | $85.55 |

## 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 43202 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