# CPT 43241: Egd Intraluminal Tube/catheter Insertion

Medicare CPT 43241 pays $126.92 in a non-facility setting and $126.92 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $117.02 in Arkansas to $165.33 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/43241-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $126.92 |
| National facility | $126.92 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $165.33 | $165.33 |
| District of Columbia | $138.80 | $138.80 |
| New York | $138.51 | $138.51 |
| Florida | $136.53 | $136.53 |
| New Jersey | $136.44 | $136.44 |
| Illinois | $135.13 | $135.13 |
| Connecticut | $133.40 | $133.40 |
| Washington | $132.37 | $132.37 |
| Massachusetts | $132.08 | $132.08 |
| California | $131.79 | $131.79 |
| Maryland | $130.28 | $130.28 |
| Michigan | $128.83 | $128.83 |
| Rhode Island | $128.56 | $128.56 |
| Colorado | $127.99 | $127.99 |
| Pennsylvania | $127.61 | $127.61 |
| Hawaii | $127.60 | $127.60 |
| Georgia | $127.37 | $127.37 |
| Puerto Rico | $127.17 | $127.17 |
| Virgin Islands | $127.17 | $127.17 |
| New Hampshire | $127.14 | $127.14 |
| Montana | $126.90 | $126.90 |
| Oregon | $126.71 | $126.71 |
| West Virginia | $126.56 | $126.56 |
| Texas | $126.11 | $126.11 |
| New Mexico | $125.97 | $125.97 |
| Delaware | $125.89 | $125.89 |
| Nevada | $125.29 | $125.29 |
| Arizona | $124.37 | $124.37 |
| Wyoming | $124.32 | $124.32 |
| Louisiana | $124.29 | $124.29 |
| Ohio | $123.89 | $123.89 |
| Missouri | $123.82 | $123.82 |
| Utah | $123.76 | $123.76 |
| Virginia | $123.37 | $123.37 |
| South Carolina | $122.70 | $122.70 |
| Kentucky | $122.10 | $122.10 |
| Vermont | $121.62 | $121.62 |
| Maine | $121.59 | $121.59 |
| North Dakota | $120.97 | $120.97 |
| Minnesota | $120.91 | $120.91 |
| North Carolina | $120.91 | $120.91 |
| Oklahoma | $120.86 | $120.86 |
| South Dakota | $120.27 | $120.27 |
| Mississippi | $119.34 | $119.34 |
| Indiana | $119.16 | $119.16 |
| Tennessee | $119.03 | $119.03 |
| Idaho | $118.78 | $118.78 |
| Kansas | $118.52 | $118.52 |
| Wisconsin | $118.49 | $118.49 |
| Alabama | $118.11 | $118.11 |
| Nebraska | $117.94 | $117.94 |
| Iowa | $117.84 | $117.84 |
| Arkansas | $117.02 | $117.02 |

## 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 43241 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