CPT 43236 pays $446.24 in a non-facility setting and $123.58 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $391.19 in Arkansas to $515.43 in District of Columbia, a 32% spread.
National non-facility rate
$446.24
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 32% 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 | $515.43 | $135.34 | |
| California | $510.77 | $128.98 | |
| Alaska | $504.46 | $160.83 | |
| Washington | $497.10 | $129.28 | |
| New Jersey | $496.27 | $132.96 | |
| New York | $494.71 | $134.76 | |
| Hawaii | $491.68 | $124.82 | |
| Massachusetts | $491.43 | $128.93 | |
| Connecticut | $477.36 | $129.86 | |
| Colorado | $468.20 | $124.89 | |
| Oregon | $463.59 | $123.68 | |
| Maryland | $463.22 | $126.86 | |
| New Hampshire | $459.84 | $123.96 | |
| Rhode Island | $458.60 | $125.30 | |
| Florida | $455.97 | $132.24 | |
| Minnesota | $450.31 | $118.30 | |
| Puerto Rico | $450.05 | $123.85 | |
| Virgin Islands | $450.05 | $123.85 | |
| Montana | $446.22 | $123.57 | |
| Nevada | $445.09 | $122.11 | |
| Wyoming | $443.89 | $121.24 | |
| Illinois | $442.59 | $130.83 | |
| Delaware | $441.40 | $122.62 | |
| North Dakota | $440.88 | $118.23 | |
| Texas | $440.45 | $122.80 | |
| South Dakota | $440.25 | $117.60 | |
| Pennsylvania | $440.19 | $124.15 | |
| Vermont | $438.19 | $118.76 | |
| Virginia | $437.47 | $120.31 | |
| Arizona | $433.80 | $121.15 | |
| Georgia | $431.59 | $123.78 | |
| Michigan | $427.99 | $125.02 | |
| Maine | $426.87 | $118.58 | |
| Wisconsin | $424.90 | $115.80 | |
| Utah | $423.75 | $120.46 | |
| North Carolina | $418.90 | $117.87 | |
| New Mexico | $418.22 | $122.35 | |
| South Carolina | $417.57 | $119.44 | |
| Missouri | $416.50 | $120.42 | |
| Louisiana | $415.39 | $120.81 | |
| Indiana | $415.36 | $116.27 | |
| Ohio | $415.04 | $120.46 | |
| Nebraska | $412.95 | $115.14 | |
| Idaho | $412.73 | $115.89 | |
| Iowa | $410.25 | $115.02 | |
| Tennessee | $409.36 | $116.06 | |
| Kansas | $407.26 | $115.58 | |
| Oklahoma | $405.77 | $117.64 | |
| Kentucky | $405.58 | $118.74 | |
| West Virginia | $403.04 | $122.66 | |
| Alabama | $397.40 | $115.08 | |
| Mississippi | $393.93 | $116.12 | |
| Arkansas | $391.19 | $114.03 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates