# CPT 43277: Ercp Balloon Dilate Biliary/panc Duct/ampulla Ea

Medicare 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.

Web page: https://www.med-reveal.com/rates/43277-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $330.00 |
| National facility | $330.00 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| 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 | $353.75 | $353.75 |
| Illinois | $350.91 | $350.91 |
| Connecticut | $345.93 | $345.93 |
| Washington | $343.02 | $343.02 |
| Massachusetts | $342.39 | $342.39 |
| California | $341.28 | $341.28 |
| Maryland | $338.28 | $338.28 |
| 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 | $324.21 | $324.21 |
| 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 |

## 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 43277 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