CPT code 43453: Esophageal dilation, balloon with fluoroscopy2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $827.69 for 43453 in the office and $73.50 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 43453 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 43453 covers

This service enlarges a narrowed segment of the esophagus by inflating a balloon catheter under fluoroscopic guidance. It may be used for conditions such as a benign stricture, ring, or web that limits passage through the esophagus. A gastroenterologist or interventional radiologist typically performs the dilation in a hospital or outpatient procedure setting. The fluoroscopic balloon approach distinguishes this service from dilation performed through an endoscope or with an unguided bougie.

Report the service when the esophageal dilation uses a balloon catheter with fluoroscopic guidance. Documentation should identify the narrowing and its location, the balloon-catheter technique, and the fluoroscopic guidance used. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.

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 South Dakota compares for 43453

Across 109 of 109 payment localities, the office rate for 43453 runs from $718.80 in Arkansas to $1,178.65 in San Benito County, CA. South Dakota pays $827.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

43453 rates by state

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

See 43453 in every payment locality

How the 43453 rate is calculated

Each of 43453’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 43453

The CMS indicators that decide how 43453 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 43453

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

How 43453 has changed in South Dakota

Price 43453 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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