# CPT 43274: Ercp Stent Placement Biliary/pancreatic Duct

Medicare CPT 43274 pays $402.15 in a non-facility setting and $402.15 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $373.82 in Arkansas to $532.65 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/43274-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $402.15 |
| National facility | $402.15 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $532.65 | $532.65 |
| District of Columbia | $437.48 | $437.48 |
| New York | $437.29 | $437.29 |
| Florida | $431.55 | $431.55 |
| New Jersey | $430.90 | $430.90 |
| Illinois | $427.90 | $427.90 |
| Connecticut | $421.45 | $421.45 |
| Washington | $417.69 | $417.69 |
| Massachusetts | $416.97 | $416.97 |
| California | $415.43 | $415.43 |
| Maryland | $412.17 | $412.17 |
| Michigan | $408.87 | $408.87 |
| Rhode Island | $407.22 | $407.22 |
| Colorado | $404.82 | $404.82 |
| Pennsylvania | $404.80 | $404.80 |
| Georgia | $404.23 | $404.23 |
| West Virginia | $402.92 | $402.92 |
| Puerto Rico | $402.73 | $402.73 |
| Virgin Islands | $402.73 | $402.73 |
| Hawaii | $402.25 | $402.25 |
| New Hampshire | $402.21 | $402.21 |
| Montana | $402.09 | $402.09 |
| Oregon | $400.96 | $400.96 |
| New Mexico | $400.42 | $400.42 |
| Texas | $400.01 | $400.01 |
| Delaware | $399.28 | $399.28 |
| Nevada | $397.11 | $397.11 |
| Louisiana | $395.31 | $395.31 |
| Arizona | $394.77 | $394.77 |
| Wyoming | $394.16 | $394.16 |
| Ohio | $394.11 | $394.11 |
| Missouri | $393.83 | $393.83 |
| Utah | $393.30 | $393.30 |
| Virginia | $391.49 | $391.49 |
| South Carolina | $390.30 | $390.30 |
| Kentucky | $388.97 | $388.97 |
| Maine | $386.44 | $386.44 |
| Vermont | $386.01 | $386.01 |
| Oklahoma | $385.11 | $385.11 |
| North Carolina | $384.68 | $384.68 |
| North Dakota | $383.89 | $383.89 |
| Minnesota | $383.27 | $383.27 |
| South Dakota | $381.74 | $381.74 |
| Mississippi | $380.89 | $380.89 |
| Indiana | $379.40 | $379.40 |
| Tennessee | $379.26 | $379.26 |
| Idaho | $378.34 | $378.34 |
| Kansas | $377.77 | $377.77 |
| Alabama | $376.91 | $376.91 |
| Wisconsin | $376.88 | $376.88 |
| Nebraska | $375.70 | $375.70 |
| Iowa | $375.53 | $375.53 |
| Arkansas | $373.82 | $373.82 |

## 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 43274 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