# CPT 43453: Dilation Esophagus Guide Wire

Medicare CPT 43453 pays $831.68 in a non-facility setting and $77.49 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $718.80 in Arkansas to $973.66 in District of Columbia, a 35% spread.

Web page: https://www.med-reveal.com/rates/43453-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $831.68 |
| National facility | $77.49 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $973.66 | $85.22 |
| California | $973.51 | $81.09 |
| Washington | $941.05 | $81.27 |
| Hawaii | $936.00 | $78.48 |
| New Jersey | $932.81 | $83.59 |
| Massachusetts | $928.37 | $81.03 |
| New York | $926.17 | $84.80 |
| Alaska | $902.56 | $99.34 |
| Connecticut | $893.91 | $81.65 |
| Colorado | $880.83 | $78.37 |
| Oregon | $872.12 | $77.57 |
| Maryland | $865.89 | $79.64 |
| New Hampshire | $862.91 | $77.79 |
| Rhode Island | $857.64 | $78.56 |
| Minnesota | $850.07 | $74.00 |
| Puerto Rico | $840.17 | $77.68 |
| Virgin Islands | $840.17 | $77.68 |
| Florida | $839.97 | $83.27 |
| Montana | $831.67 | $77.48 |
| Nevada | $831.46 | $76.51 |
| Wyoming | $830.12 | $75.93 |
| North Dakota | $828.11 | $73.92 |
| South Dakota | $827.69 | $73.50 |
| Delaware | $821.95 | $76.80 |
| Vermont | $820.91 | $74.26 |
| Texas | $819.42 | $76.92 |
| Virginia | $816.66 | $75.29 |
| Pennsylvania | $816.52 | $77.79 |
| Illinois | $811.00 | $82.26 |
| Arizona | $806.64 | $75.83 |
| Georgia | $797.06 | $77.56 |
| Wisconsin | $794.77 | $72.25 |
| Maine | $794.73 | $74.10 |
| Michigan | $786.56 | $78.37 |
| Utah | $784.27 | $75.33 |
| North Carolina | $777.26 | $73.60 |
| Indiana | $771.66 | $72.52 |
| South Carolina | $771.51 | $74.63 |
| New Mexico | $768.16 | $76.56 |
| Nebraska | $767.89 | $71.77 |
| Missouri | $767.38 | $75.28 |
| Idaho | $766.12 | $72.26 |
| Louisiana | $764.12 | $75.54 |
| Ohio | $763.88 | $75.30 |
| Iowa | $761.76 | $71.68 |
| Tennessee | $757.93 | $72.37 |
| Kansas | $753.83 | $72.04 |
| Oklahoma | $746.89 | $73.40 |
| Kentucky | $744.60 | $74.12 |
| West Virginia | $732.11 | $76.71 |
| Alabama | $731.58 | $71.67 |
| Mississippi | $721.71 | $72.35 |
| Arkansas | $718.80 | $70.95 |

## 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 43453 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