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See a sample rate comparisonCPT 43232 Fee Schedule
Medicare rates as of October 2026
CPT 43232 is classified under Surgery, in the Surgical Procedures on the Digestive System subgroup.
Esophagus Exam With Scope, An Exam Of The Esophagus Using A Scope (Endoscope) And Ultrasound (Sound Waves) To Take Pictures. The Procedure Takes A Sample Of Tissue For Testing (Biopsy).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $177.36 national non-facility rate (2026) · View Medicare rates for 43232 |
| Medicaid Fee Schedule | $161.53 median of the 8 states in the free preview · View Medicaid rates for 43232 |
National average reimbursement for CPT 43232 by major payers:
$331.05
BCBS / Anthem
$351.04
UnitedHealthcare
$347.59
Aetna
$356.99
Cigna
Compare published rates across providers.
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CPT 43232
5 of 25 sample ratesHigher to lower in this preview
Careos Surgicenter, LLC, Careos
$2,782.00Published rateSouth Jersey Eye Physicians, LLC, The Surgical Center At South Jersey Eye Physicians, PA
South Jersey Eye Physicians, PA
$1,200.00Published rateSpecialty Surgical Center, LLC, Specialty Surgical Center
Specialty Surgical Center, LLC
$800.00Published rateEye Surgery Centers Of Arizona, LLC, Eye Surgery At The Biltmore, LLC
Eye Surgery Centers Of Arizona 401(K) Profit Sharing Plan & Trust
$600.00Published rateGrant Roesler
Deaconess Hospital Inc
$336.69Published rate
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See a sample payer proposalCPT 43232 vs. Other Surgical Procedures on the Digestive System Codes
The table lists codes related to 43232. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 43226-CPT | Moderate | Esophagoscopy Rigid Or Flexib, Esophagoscopy Rigid Or Flexible With Insertion Of Guidewire Followed By Dilation Over Guide Wire Esophagoscopy Rigid Or Flexible With Insertion Of Guide |
| 43227-CPT | Moderate | Control Bleeding In Esophagus, Exam Of The Esophagus Using A Scope (Endoscope). The Procedure Includes Control Of Bleeding In The Esophagus. |
| 43231-CPT | Moderate | Esophagoscopy Rigid Or Flexib, Esophagoscopy Rigid Or Flexible Diagnostic With Or Without Collection Of Specimens By Brushing Or Washing (Separate Procedure) With Endoscopic Ultrasound Examination. |
| 43232-CPT | Moderate | Esophagus Exam With Scope, An Exam Of The Esophagus Using A Scope (Endoscope) And Ultrasound (Sound Waves) To Take Pictures. The Procedure Takes A Sample Of Tissue For Testing (Biopsy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 43232. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43232 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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