# CPT 43450: Dilation Esoph Unguided Sound/bougie 1/mult Pass

Medicare CPT 43450 pays $212.10 in a non-facility setting and $73.15 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $186.35 in Arkansas to $244.35 in District of Columbia, a 31% spread.

Web page: https://www.med-reveal.com/rates/43450-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $212.10 |
| National facility | $73.15 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $244.35 | $80.67 |
| California | $241.60 | $77.19 |
| Alaska | $241.47 | $93.49 |
| Washington | $235.50 | $77.10 |
| New Jersey | $235.49 | $79.04 |
| New York | $234.99 | $79.98 |
| Massachusetts | $232.92 | $76.82 |
| Hawaii | $232.64 | $74.65 |
| Connecticut | $226.71 | $77.07 |
| Colorado | $222.08 | $74.24 |
| Maryland | $220.06 | $75.20 |
| Oregon | $219.89 | $73.51 |
| New Hampshire | $218.25 | $73.60 |
| Rhode Island | $217.80 | $74.27 |
| Florida | $217.39 | $77.98 |
| Puerto Rico | $213.84 | $73.36 |
| Virgin Islands | $213.84 | $73.36 |
| Minnesota | $213.36 | $70.39 |
| Montana | $212.09 | $73.14 |
| Nevada | $211.42 | $72.34 |
| Illinois | $211.22 | $76.97 |
| Wyoming | $210.79 | $71.85 |
| Delaware | $209.81 | $72.53 |
| Pennsylvania | $209.43 | $73.33 |
| Texas | $209.41 | $72.61 |
| North Dakota | $209.12 | $70.17 |
| South Dakota | $208.77 | $69.82 |
| Vermont | $207.97 | $70.41 |
| Virginia | $207.81 | $71.23 |
| Arizona | $206.25 | $71.61 |
| Georgia | $205.54 | $72.98 |
| Michigan | $204.06 | $73.58 |
| Maine | $202.87 | $70.10 |
| Wisconsin | $201.68 | $68.57 |
| Utah | $201.66 | $71.05 |
| New Mexico | $199.38 | $71.96 |
| North Carolina | $199.21 | $69.57 |
| South Carolina | $198.78 | $70.39 |
| Missouri | $198.41 | $70.90 |
| Louisiana | $197.95 | $71.09 |
| Ohio | $197.75 | $70.89 |
| Indiana | $197.45 | $68.65 |
| Nebraska | $196.25 | $68.00 |
| Idaho | $196.23 | $68.40 |
| Iowa | $195.02 | $67.88 |
| Tennessee | $194.73 | $68.43 |
| Kansas | $193.74 | $68.13 |
| Kentucky | $193.32 | $69.79 |
| Oklahoma | $193.29 | $69.21 |
| West Virginia | $192.60 | $71.85 |
| Alabama | $189.25 | $67.68 |
| Mississippi | $187.81 | $68.17 |
| Arkansas | $186.35 | $67.00 |

## 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 43450 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