CPT 43244 Fee Schedule

Medicare rates as of October 2026

CPT 43244 is classified under Surgery, in the Surgical Procedures on the Digestive System subgroup.

Exam Of Digestive Tract, Exam Using A Scope (Endoscope) To View The Esophagus Stomach And Part Of The Intestines. Enlarged Veins (Varices) In The Esophagus And Stomach Are Treated At This Time.

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	AG - Primary physician 51 - Multiple procedures
Complexity Level	Moderate
Medicare Fee Schedule	$215.44 national non-facility rate (2026) · View Medicare rates for 43244
Medicaid Fee Schedule	$175.48 median of the 8 states in the free preview · View Medicaid rates for 43244

National average reimbursement for CPT 43244 by major payers:

$328.56

BCBS / Anthem

$353.36

UnitedHealthcare

$377.23

Aetna

$417.01

Cigna

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CPT 43244

5 of 25 sample ratesHigher to lower in this preview

Northern Virginia Surgery Center LLC
VAAmbulatory Surgical Clinic/CenterNPI 1982871935Tax ID 20-3502477
$2,137.00Published rate
Lindenhurst Surgery Center LLC, Red Oaks Surgical Suites
Lindenhurst Surgery Center LLC
ILAmbulatory Surgical Clinic/CenterNPI 1528332186Tax ID 36-4711459
$1,300.00Published rate
Interventional Spine And Pain Management Ambulatory Surgical Center, Ispm Asc
Interventional Spine And Pain Management Ambulatory Surgical Center
GAAmbulatory Surgical Clinic/CenterNPI 1750420147Tax ID 20-5896580
$800.00Published rate
Snks Enterprises LLC, Sol Valley Surgery Center
Snks Enterprises LLC
AZAmbulatory Surgical Clinic/CenterNPI 1497367262Tax ID 36-4932587
$575.00Published rate
The Kissimmee Fl Endoscopy Asc LLC, Kissimmee Endoscopy Center
FLAmbulatory Surgical Clinic/CenterNPI 1639352347Tax ID 20-8927561
$390.00Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 43244 vs. Other Surgical Procedures on the Digestive System Codes

The table lists codes related to 43244. Select one to see its fee schedule.

Code	Complexity	Description
43241-CPT	Moderate	Upper Gastrointestinal Endosco, Upper Gastrointestinal Endoscopy Including Esophagusstomach And Either The Duodenum Andor Jejunumas Appropriate With Transendoscopic Tube Or Cat Heter Placement
43242-CPT	Moderate	Endoscopic Procedure, Upper Gastrointestinal Endoscopy Including Esophagus Stomach And Either The Duodenum And/Or Jejunum As Appropriate; With Transendoscopic Ultrasound-Guided Intramural Or Transmural Fine Needle Aspiration/Biopsy(S)(Includes Endoscopic Ultrasound Examination Of The Esophagus Stomach And Either The Duodenum And/Or Jejunum As Appropriate)
43243-CPT	Moderate	Exam Of Digestive Tract, Exam Using A Scope (Endoscope) To View The Esophagus Stomach And Part Of The Intestines. Enlarged Veins (Varices) In The Esophagus And Stomach Are Treated At This Time.
43244-CPT	Moderate	Exam Of Digestive Tract, Exam Using A Scope (Endoscope) To View The Esophagus Stomach And Part Of The Intestines. Enlarged Veins (Varices) In The Esophagus And Stomach Are Treated At This Time.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 43244. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 43244 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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