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See a sample rate comparisonCPT 43229 Fee Schedule
Medicare rates as of October 2026
CPT 43229 is classified under Surgery, in the Surgical Procedures on the Digestive System subgroup.
Esophagoscopy Lesion Ablate, Esophagoscopy Flexible Transoral With Ablation Of Tumor S Polyp S Or Other Lesion S Includes Pre And Post Dilation And Guide Wire Passage When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | SG - Scene to Hospital ESRD facility 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $781.92 national non-facility rate (2026) · View Medicare rates for 43229 |
| Medicaid Fee Schedule | $611.325 median of the 8 states in the free preview · View Medicaid rates for 43229 |
National average reimbursement for CPT 43229 by major payers:
$806.85
BCBS / Anthem
$949.85
UnitedHealthcare
$976.41
Aetna
$375.83
Cigna
Compare published rates across providers.
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CPT 43229
5 of 25 sample ratesHigher to lower in this preview
Endoscopy Center Of South Sacramento, LLC, Endoscopy Center Of South Sacramento
Endoscopy Center Of South Sacramento LLC
$3,430.00Published rateSurgical Specialty Center Of Mid Atlantic, LLC
Surgical Specialty Center Of Mid-Atlantic, LLC
$2,307.00Published rateInstitute For Low Back Care LLC
$1,530.00Published rateHabana Ambulatory Surgery Center LLC
$1,129.00Published rateEye Surgery Center Of Saint Augustine Inc
$500.00Published rate
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See a sample payer proposalCPT 43229 vs. Other Surgical Procedures on the Digestive System Codes
The table lists codes related to 43229. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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) |
| 43220-CPT | Moderate | Esophagus Enlargement, Exam Of The Esophagus Aided By A Scope (Endoscope). The Procedure Inserts A Balloon That Is Inflated In Order To Enlarge Or Open Up The Esophagus. |
| 43229-CPT | Moderate | Esophagoscopy Lesion Ablate, Esophagoscopy Flexible Transoral With Ablation Of Tumor S Polyp S Or Other Lesion S Includes Pre And Post Dilation And Guide Wire Passage When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 43229. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43229 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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