CPT code 43237: Endoscopic ultrasound, limited upper GI examination2026 Medicare rate & RVUs in Visalia, CA

In Visalia, CA, Medicare pays $173.60 for 43237 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 43237 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 43237 covers

A gastroenterologist advances an endoscope with an ultrasound probe to assess the wall of the esophagus, stomach, or duodenum and adjacent structures. Common reasons include evaluating a subepithelial lesion, assessing wall layers, or examining nearby lymph nodes or pancreaticobiliary structures that are within the scope of the study. The service is performed in an endoscopy unit, ambulatory surgery center, or hospital facility.

Report this code when the EUS examination is limited to the specified upper gastrointestinal region and no EUS-guided needle aspiration or biopsy is performed. Document the indication, anatomic extent, structures examined, findings, and any sampling performed; needle sampling changes the code selection. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy-family pricing applies. Modifier 50 is inappropriate, and CMS does not pay an assistant at surgery, co-surgeons, or a team of surgeons for this service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Visalia, CA compares for 43237

Across 109 of 109 payment localities, the facility rate for 43237 runs from $160.17 in Arkansas to $226.85 in Alaska. Visalia, CA pays $173.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

43237 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 43237 in every payment locality

How the 43237 rate is calculated

Each of 43237’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 43237

The CMS indicators that decide how 43237 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 43237

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 43237 has changed in Visalia, CA

Price 43237 for an earlier date of service

Where the Visalia, CA rate applies

Visalia, CA is a Medicare payment area, not a city. Our Census mapping connects it to 70 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• Visalia
• Allensworth
• Alpaugh
• California Hot Springs
• Camp Nelson
• Cedar Slope
• Cutler
• Delft Colony

Browse all communities in California

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates