CPT 11043 pays $239.48 in a non-facility setting and $138.28 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $213.28 in Arkansas to $286.05 in Alaska, a 34% spread.
National non-facility rate
$239.48
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 34% spread
53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.
| State | Rate compared visually | Non-facility | Facility |
|---|---|---|---|
| Alaska | $286.05 | $178.27 | |
| District of Columbia | $270.31 | $151.09 | |
| New York | $264.60 | $151.70 | |
| New Jersey | $262.50 | $148.55 | |
| California | $261.43 | $141.68 | |
| Washington | $258.56 | $143.18 | |
| Massachusetts | $256.79 | $143.08 | |
| Connecticut | $254.78 | $145.79 | |
| Florida | $253.22 | $151.68 | |
| Hawaii | $252.43 | $137.36 | |
| Illinois | $247.93 | $150.14 | |
| Maryland | $247.56 | $142.06 | |
| Colorado | $246.27 | $138.59 | |
| Rhode Island | $244.18 | $139.64 | |
| Oregon | $243.67 | $137.05 | |
| New Hampshire | $243.37 | $138.02 | |
| Puerto Rico | $240.79 | $138.47 | |
| Virgin Islands | $240.79 | $138.47 | |
| Montana | $239.46 | $138.25 | |
| Pennsylvania | $238.42 | $139.29 | |
| Nevada | $237.28 | $135.97 | |
| Delaware | $236.86 | $136.87 | |
| Texas | $236.84 | $137.20 | |
| Michigan | $236.81 | $141.78 | |
| Georgia | $236.04 | $139.49 | |
| Wyoming | $235.84 | $134.63 | |
| Minnesota | $233.60 | $129.46 | |
| Arizona | $233.20 | $135.13 | |
| Virginia | $233.02 | $133.54 | |
| Vermont | $231.18 | $130.99 | |
| North Dakota | $231.15 | $129.95 | |
| New Mexico | $230.88 | $138.08 | |
| South Dakota | $230.17 | $128.96 | |
| Utah | $229.80 | $134.66 | |
| Louisiana | $228.17 | $135.77 | |
| Maine | $228.12 | $131.42 | |
| Missouri | $227.93 | $135.06 | |
| Ohio | $227.62 | $135.22 | |
| West Virginia | $227.50 | $139.56 | |
| South Carolina | $226.92 | $133.41 | |
| North Carolina | $225.20 | $130.78 | |
| Wisconsin | $224.00 | $127.04 | |
| Kentucky | $223.02 | $133.05 | |
| Indiana | $222.23 | $128.41 | |
| Oklahoma | $221.63 | $131.26 | |
| Idaho | $221.08 | $127.97 | |
| Tennessee | $220.47 | $128.47 | |
| Nebraska | $220.16 | $126.75 | |
| Iowa | $219.33 | $126.73 | |
| Kansas | $219.32 | $127.83 | |
| Mississippi | $216.70 | $129.56 | |
| Alabama | $216.19 | $127.64 | |
| Arkansas | $213.28 | $126.34 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates