CPT 43235 pays $322.65 in a non-facility setting and $110.56 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $284.01 in Arkansas to $371.11 in District of Columbia, a 31% spread.
National non-facility rate
$322.65
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 31% 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 |
|---|---|---|---|
| District of Columbia | $371.11 | $121.27 | |
| Alaska | $369.14 | $143.26 | |
| California | $366.60 | $115.63 | |
| New Jersey | $357.88 | $119.06 | |
| Washington | $357.62 | $115.83 | |
| New York | $357.26 | $120.65 | |
| Massachusetts | $353.78 | $115.49 | |
| Hawaii | $353.05 | $111.90 | |
| Connecticut | $344.68 | $116.25 | |
| Colorado | $337.49 | $111.82 | |
| Maryland | $334.64 | $113.53 | |
| Oregon | $334.17 | $110.73 | |
| New Hampshire | $331.76 | $110.97 | |
| Rhode Island | $331.22 | $112.12 | |
| Florida | $331.06 | $118.26 | |
| Puerto Rico | $325.24 | $110.82 | |
| Virgin Islands | $325.24 | $110.82 | |
| Minnesota | $324.16 | $105.91 | |
| Montana | $322.64 | $110.54 | |
| Illinois | $321.87 | $116.94 | |
| Nevada | $321.56 | $109.25 | |
| Wyoming | $320.57 | $108.47 | |
| Delaware | $319.23 | $109.68 | |
| Pennsylvania | $318.77 | $111.02 | |
| Texas | $318.64 | $109.83 | |
| North Dakota | $317.89 | $105.80 | |
| South Dakota | $317.33 | $105.23 | |
| Vermont | $316.23 | $106.25 | |
| Virginia | $316.11 | $107.62 | |
| Arizona | $313.86 | $108.34 | |
| Georgia | $312.99 | $110.65 | |
| Michigan | $310.88 | $111.73 | |
| Maine | $308.69 | $106.03 | |
| Utah | $307.05 | $107.68 | |
| Wisconsin | $306.75 | $103.56 | |
| New Mexico | $303.80 | $109.31 | |
| North Carolina | $303.24 | $105.36 | |
| South Carolina | $302.72 | $106.74 | |
| Missouri | $302.23 | $107.60 | |
| Louisiana | $301.58 | $107.94 | |
| Ohio | $301.27 | $107.63 | |
| Indiana | $300.54 | $103.93 | |
| Idaho | $298.71 | $103.58 | |
| Nebraska | $298.69 | $102.92 | |
| Iowa | $296.87 | $102.80 | |
| Tennessee | $296.51 | $103.71 | |
| Kansas | $295.01 | $103.28 | |
| Kentucky | $294.61 | $106.06 | |
| Oklahoma | $294.49 | $105.09 | |
| West Virginia | $293.82 | $109.51 | |
| Alabama | $288.36 | $102.78 | |
| Mississippi | $286.30 | $103.68 | |
| Arkansas | $284.01 | $101.82 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates