CPT 43277

Ercp Balloon Dilate Biliary/Panc Duct/Ampulla Ea

CPT 43277 pays $330.00 in a non-facility setting and $330.00 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $306.55 in Arkansas to $436.36 in Alaska, a 42% spread.

National non-facility rate

$330.00

Office and other outpatient settings

Facility rate
$330.00

Hospital and ASC settings

Highest state
$436.36

Alaska

Lowest state
$306.55

Arkansas · 42% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $330.00
CPT 43277 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $330.00, national facility $330.00.
StateRate compared visuallyNon-facilityFacility
Alaska
$436.36$436.36
District of Columbia
$359.24$359.24
New York
$358.93$358.93
Florida
$353.98$353.98
New Jersey
$353.74$353.74
Illinois
$350.90$350.90
Connecticut
$345.93$345.93
Washington
$343.02$343.02
Massachusetts
$342.39$342.39
California
$341.28$341.28
Maryland
$338.27$338.27
Michigan
$335.32$335.32
Rhode Island
$334.21$334.21
Colorado
$332.34$332.34
Pennsylvania
$332.11$332.11
Georgia
$331.57$331.57
Puerto Rico
$330.51$330.51
Virgin Islands
$330.51$330.51
Hawaii
$330.44$330.44
West Virginia
$330.30$330.30
New Hampshire
$330.16$330.16
Montana
$329.95$329.95
Oregon
$329.16$329.16
New Mexico
$328.38$328.38
Texas
$328.21$328.21
Delaware
$327.63$327.63
Nevada
$325.90$325.90
Louisiana
$324.20$324.20
Arizona
$323.91$323.91
Wyoming
$323.49$323.49
Ohio
$323.23$323.23
Missouri
$323.01$323.01
Utah
$322.64$322.64
Virginia
$321.27$321.27
South Carolina
$320.15$320.15
Kentucky
$318.97$318.97
Maine
$317.08$317.08
Vermont
$316.82$316.82
Oklahoma
$315.84$315.84
North Carolina
$315.59$315.59
North Dakota
$315.12$315.12
Minnesota
$314.69$314.69
South Dakota
$313.37$313.37
Mississippi
$312.32$312.32
Indiana
$311.27$311.27
Tennessee
$311.11$311.11
Idaho
$310.39$310.39
Kansas
$309.88$309.88
Wisconsin
$309.30$309.30
Alabama
$309.11$309.11
Nebraska
$308.25$308.25
Iowa
$308.08$308.08
Arkansas
$306.55$306.55

Billed by 1 specialties

Commercial rates for 43277

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates