Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 43756 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Intestinal Fluid Collection, This Procedure Collects One Or More Samples Of Intestinal Fluid Through A Tube Inserted Down The Throat (Intubation). Bile Secretion May Be Stimulated By Injecting A Substance Through An Iv.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $303.28 national non-facility rate (2026) · View Medicare rates for 43756 |
| Medicaid Fee Schedule | $237.76 median of the 8 states in the free preview · View Medicaid rates for 43756 |
National average reimbursement for CPT 43756 by major payers:
$279.93
$319.87
$350.00
$131.28
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 43756.
CPT 43756
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Richmond, LLC, Memorial Hermann Surgery Center Richmond
$2,480.00Published rateHouston Urologic Surgicenter, LLC
$1,237.00Published rateDoylestown Surgery Center, LLC
Doylestown Surgery Center LLC
$950.00Published rateAsc Of Georgia Dermatologic Surgery, Asc Of Baucom & Mina Derm Surgery
Asc Of Georgia Dermatologic Surgery
$543.00Published rateAffiliated Ambulatory Surgery Center LLC
Affiliated Ambulatory Surgery Center, LLC
$340.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 43756 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 43756 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 43756 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 43752-CPT | Low | Nasal Orogastric W Tube Plmt, Naso Or Oro Gastric Tube Placement Requiring Physician S Skill And Fluoroscopic Guidance Includes Fluoroscopy Image Documentation And Report |
| 43756-CPT | Moderate | Intestinal Fluid Collection, This Procedure Collects One Or More Samples Of Intestinal Fluid Through A Tube Inserted Down The Throat (Intubation). Bile Secretion May Be Stimulated By Injecting A Substance Through An Iv. |
| 43757-CPT | Moderate | Duodenal Intubation And Aspiration Diagnostic Includes Image Guidance; Single Specimen (Eg Bile Study For Crystals Or Afferent Loop Culture) Collection Of Mulitple Fractional Specimens With Pancreatic Or Gallbladder Stimulation Single Or Double Lumen Tube Includes Drug Administration |
| 43761-CPT | Low | Rposition Of A Naso- Or Oro-Gastric Feed Tube Through Duod, Repositioning Of A Naso- Or Oro-Gastric Feeding Tube Through The Duod |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 43756. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43756 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 43756) and we'll show you how you compare in 15 minutes or less.