CPT 43237 pays $173.02 in a non-facility setting and $173.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $160.17 in Arkansas to $226.85 in Alaska, a 42% spread.
National non-facility rate
$173.02
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 42% 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 | $226.85 | $226.85 | |
| District of Columbia | $188.99 | $188.99 | |
| New York | $188.41 | $188.41 | |
| New Jersey | $185.85 | $185.85 | |
| Florida | $185.19 | $185.19 | |
| Illinois | $183.37 | $183.37 | |
| Connecticut | $181.59 | $181.59 | |
| Washington | $180.53 | $180.53 | |
| Massachusetts | $180.11 | $180.11 | |
| California | $179.95 | $179.95 | |
| Maryland | $177.48 | $177.48 | |
| Rhode Island | $175.36 | $175.36 | |
| Michigan | $175.30 | $175.30 | |
| Colorado | $174.63 | $174.63 | |
| Hawaii | $174.17 | $174.17 | |
| Pennsylvania | $173.94 | $173.94 | |
| Georgia | $173.50 | $173.50 | |
| New Hampshire | $173.37 | $173.37 | |
| Puerto Rico | $173.35 | $173.35 | |
| Virgin Islands | $173.35 | $173.35 | |
| Montana | $172.99 | $172.99 | |
| Oregon | $172.95 | $172.95 | |
| West Virginia | $172.27 | $172.27 | |
| Texas | $172.00 | $172.00 | |
| Delaware | $171.73 | $171.73 | |
| New Mexico | $171.63 | $171.63 | |
| Nevada | $170.94 | $170.94 | |
| Arizona | $169.72 | $169.72 | |
| Wyoming | $169.72 | $169.72 | |
| Louisiana | $169.49 | $169.49 | |
| Ohio | $168.99 | $168.99 | |
| Missouri | $168.91 | $168.91 | |
| Utah | $168.88 | $168.88 | |
| Virginia | $168.48 | $168.48 | |
| South Carolina | $167.51 | $167.51 | |
| Kentucky | $166.67 | $166.67 | |
| Vermont | $166.27 | $166.27 | |
| Maine | $166.17 | $166.17 | |
| North Dakota | $165.48 | $165.48 | |
| Minnesota | $165.46 | $165.46 | |
| North Carolina | $165.26 | $165.26 | |
| Oklahoma | $165.11 | $165.11 | |
| South Dakota | $164.59 | $164.59 | |
| Mississippi | $163.11 | $163.11 | |
| Indiana | $163.03 | $163.03 | |
| Tennessee | $162.82 | $162.82 | |
| Idaho | $162.53 | $162.53 | |
| Wisconsin | $162.24 | $162.24 | |
| Kansas | $162.17 | $162.17 | |
| Alabama | $161.58 | $161.58 | |
| Nebraska | $161.47 | $161.47 | |
| Iowa | $161.33 | $161.33 | |
| Arkansas | $160.17 | $160.17 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates