# CPT 43236: Esophagogastroduodenoscopy Submucosal Injection

Medicare CPT 43236 pays $446.24 in a non-facility setting and $123.58 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $391.19 in Arkansas to $515.43 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/43236-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $446.24 |
| National facility | $123.58 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $515.43 | $135.34 |
| California | $510.77 | $128.98 |
| Alaska | $504.46 | $160.83 |
| Washington | $497.10 | $129.28 |
| New Jersey | $496.28 | $132.96 |
| New York | $494.71 | $134.76 |
| Hawaii | $491.68 | $124.82 |
| Massachusetts | $491.43 | $128.93 |
| Connecticut | $477.36 | $129.86 |
| Colorado | $468.20 | $124.89 |
| Oregon | $463.60 | $123.68 |
| Maryland | $463.22 | $126.86 |
| New Hampshire | $459.84 | $123.96 |
| Rhode Island | $458.60 | $125.30 |
| Florida | $455.97 | $132.24 |
| Minnesota | $450.31 | $118.30 |
| Puerto Rico | $450.05 | $123.85 |
| Virgin Islands | $450.05 | $123.85 |
| Montana | $446.22 | $123.57 |
| Nevada | $445.09 | $122.11 |
| Wyoming | $443.89 | $121.24 |
| Illinois | $442.60 | $130.83 |
| Delaware | $441.40 | $122.62 |
| North Dakota | $440.88 | $118.23 |
| Texas | $440.45 | $122.80 |
| South Dakota | $440.25 | $117.60 |
| Pennsylvania | $440.19 | $124.15 |
| Vermont | $438.19 | $118.76 |
| Virginia | $437.47 | $120.31 |
| Arizona | $433.80 | $121.15 |
| Georgia | $431.59 | $123.79 |
| Michigan | $427.99 | $125.01 |
| Maine | $426.88 | $118.58 |
| Wisconsin | $424.90 | $115.80 |
| Utah | $423.75 | $120.46 |
| North Carolina | $418.90 | $117.87 |
| New Mexico | $418.22 | $122.35 |
| South Carolina | $417.57 | $119.44 |
| Missouri | $416.51 | $120.42 |
| Louisiana | $415.40 | $120.81 |
| Indiana | $415.36 | $116.27 |
| Ohio | $415.04 | $120.46 |
| Nebraska | $412.95 | $115.14 |
| Idaho | $412.73 | $115.89 |
| Iowa | $410.25 | $115.02 |
| Tennessee | $409.36 | $116.06 |
| Kansas | $407.26 | $115.58 |
| Oklahoma | $405.77 | $117.64 |
| Kentucky | $405.58 | $118.74 |
| West Virginia | $403.04 | $122.66 |
| Alabama | $397.40 | $115.08 |
| Mississippi | $393.93 | $116.12 |
| Arkansas | $391.19 | $114.03 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 43236 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