# CPT 43280: Laparoscopic fundoplasty (Nissen)

Medicare CPT 43280 pays $1,012.05 in a non-facility setting and $1,012.05 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $894.43 in Wisconsin to $1,255.30 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/43280-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,012.05 |
| National facility | $1,012.05 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,255.30 | $1,255.30 |
| Florida | $1,158.39 | $1,158.39 |
| Illinois | $1,145.01 | $1,145.01 |
| New York | $1,126.32 | $1,126.32 |
| District of Columbia | $1,109.10 | $1,109.10 |
| New Jersey | $1,088.97 | $1,088.97 |
| Connecticut | $1,076.81 | $1,076.81 |
| Michigan | $1,058.26 | $1,058.26 |
| Maryland | $1,043.05 | $1,043.05 |
| West Virginia | $1,043.04 | $1,043.04 |
| Massachusetts | $1,038.01 | $1,038.01 |
| Washington | $1,035.84 | $1,035.84 |
| Georgia | $1,030.76 | $1,030.76 |
| Pennsylvania | $1,022.45 | $1,022.45 |
| New Mexico | $1,020.61 | $1,020.61 |
| Rhode Island | $1,015.53 | $1,015.53 |
| Puerto Rico | $1,012.70 | $1,012.70 |
| Virgin Islands | $1,012.70 | $1,012.70 |
| California | $1,012.13 | $1,012.13 |
| Montana | $1,011.74 | $1,011.74 |
| New Hampshire | $1,003.87 | $1,003.87 |
| Colorado | $1,002.68 | $1,002.68 |
| Texas | $1,000.19 | $1,000.19 |
| Delaware | $996.25 | $996.25 |
| Louisiana | $995.88 | $995.88 |
| Ohio | $989.88 | $989.88 |
| Oregon | $988.67 | $988.67 |
| Missouri | $987.50 | $987.50 |
| Nevada | $986.66 | $986.66 |
| Hawaii | $984.20 | $984.20 |
| Arizona | $981.59 | $981.59 |
| Utah | $980.24 | $980.24 |
| Wyoming | $972.10 | $972.10 |
| Kentucky | $969.14 | $969.14 |
| South Carolina | $968.57 | $968.57 |
| Virginia | $962.30 | $962.30 |
| Oklahoma | $949.01 | $949.01 |
| Maine | $942.70 | $942.70 |
| North Carolina | $938.57 | $938.57 |
| Mississippi | $934.57 | $934.57 |
| Vermont | $933.46 | $933.46 |
| North Dakota | $920.78 | $920.78 |
| Tennessee | $916.44 | $916.44 |
| Indiana | $913.45 | $913.45 |
| Alabama | $911.76 | $911.76 |
| Minnesota | $911.68 | $911.68 |
| Kansas | $910.03 | $910.03 |
| South Dakota | $910.03 | $910.03 |
| Idaho | $909.57 | $909.57 |
| Arkansas | $899.62 | $899.62 |
| Iowa | $896.55 | $896.55 |
| Nebraska | $895.78 | $895.78 |
| Wisconsin | $894.43 | $894.43 |

## Related codes

- 40490: Biopsy of lip — https://www.med-reveal.com/rates/40490-cpt-fee-schedule
- 40650: Repair lip, vermilion only — https://www.med-reveal.com/rates/40650-cpt-fee-schedule
- 41010: Frenotomy, lingual — https://www.med-reveal.com/rates/41010-cpt-fee-schedule
- 41112: Excision of lesion of tongue — https://www.med-reveal.com/rates/41112-cpt-fee-schedule
- 41599: Unlisted procedure, tongue/floor of mouth — https://www.med-reveal.com/rates/41599-cpt-fee-schedule
- 42700: Incision and drainage of peritonsillar abscess — https://www.med-reveal.com/rates/42700-cpt-fee-schedule
- 42820: Tonsillectomy and adenoidectomy, under age 12 — https://www.med-reveal.com/rates/42820-cpt-fee-schedule
- 42821: Tonsillectomy and adenoidectomy, age 12 or over — https://www.med-reveal.com/rates/42821-cpt-fee-schedule

Commercial negotiated rates for 43280 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