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See a sample rate comparisonCPT 43217 Fee Schedule
Medicare rates as of October 2026
CPT 43217 is classified under Surgery, in the Surgical Procedures on the Digestive System subgroup.
Esophagoscopy Flexible Transoral; With Removal Tumor(S) Polyp(S) Or Other Lesion(S) By Snare Technique (Revised 01/01/2014)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $467.95 national non-facility rate (2026) · View Medicare rates for 43217 |
| Medicaid Fee Schedule | $366.665 median of the 8 states in the free preview · View Medicaid rates for 43217 |
National average reimbursement for CPT 43217 by major payers:
$499.62
BCBS / Anthem
$521.58
UnitedHealthcare
$561.19
Aetna
$284.86
Cigna
Compare published rates across providers.
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CPT 43217
5 of 25 sample ratesHigher to lower in this preview
Hospital For Special Surgery West Side Ambulatory Surgery Center, LLC, Hss West Side Asc, LLC
$4,530.00Published rateMinimally Invasive Surgicenter LLC
Minimally Invasive Surgicenter L
$1,276.00Published rateColton Ca Multi Asc Lp, Premier Outpatient Surgery Center
Colton Ca Multi Asc Lp
$753.50Published rateOrthopedic Surgery Center Of Oc LLC
$580.00Published rateAmbulatory Foot And Ankle Center, Inc.
Ambulatory Foot And Ankle Center Inc
$229.00Published rate
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See a sample payer proposalCPT 43217 vs. Other Surgical Procedures on the Digestive System Codes
The table lists codes related to 43217. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 43214-CPT | Moderate | Esophagosc Dilate Balloon 30, Esophagoscopy Flexible Transoral With Dilation Of Esophagus With Balloon 30 Mm Diameter Or Larger Includes Fluoroscopic Guidance When Performed |
| 43215-CPT | Moderate | Esophagoscopy Rigid Or Flexib, Esophagoscopy Rigid Or Flexible With Removal Of Foreignbody Esophagoscopy Rigid Or Flexible With Removal Of Foreign |
| 43216-CPT | Moderate | Esophagoscopy Rigid Or Flexib, Esophagoscopy Rigid Or Flexible With Removal Of Tumor(S) Polyp(S) Or Other Lesion(S) By Hot Biopsy Forceps Or Bipolar Cautery |
| 43217-CPT | Moderate | Esophagoscopy Flexible Transoral; With Removal Tumor(S) Polyp(S) Or Other Lesion(S) By Snare Technique (Revised 01/01/2014) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 43217. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43217 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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