CPT 43238 pays $204.41 in a non-facility setting and $204.41 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $189.66 in Arkansas to $269.14 in Alaska, a 42% spread.
National non-facility rate
$204.41
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 | $269.14 | $269.14 | |
| District of Columbia | $223.03 | $223.03 | |
| New York | $222.38 | $222.38 | |
| New Jersey | $219.43 | $219.43 | |
| Florida | $218.51 | $218.51 | |
| Illinois | $216.45 | $216.45 | |
| Connecticut | $214.38 | $214.38 | |
| Washington | $213.16 | $213.16 | |
| Massachusetts | $212.66 | $212.66 | |
| California | $212.46 | $212.46 | |
| Maryland | $209.62 | $209.62 | |
| Rhode Island | $207.19 | $207.19 | |
| Michigan | $207.10 | $207.10 | |
| Colorado | $206.29 | $206.29 | |
| Hawaii | $205.64 | $205.64 | |
| Pennsylvania | $205.54 | $205.54 | |
| Georgia | $205.02 | $205.02 | |
| New Hampshire | $204.79 | $204.79 | |
| Puerto Rico | $204.79 | $204.79 | |
| Virgin Islands | $204.79 | $204.79 | |
| Montana | $204.38 | $204.38 | |
| Oregon | $204.33 | $204.33 | |
| West Virginia | $203.66 | $203.66 | |
| Texas | $203.28 | $203.28 | |
| Delaware | $202.96 | $202.96 | |
| New Mexico | $202.88 | $202.88 | |
| Nevada | $202.01 | $202.01 | |
| Arizona | $200.62 | $200.62 | |
| Wyoming | $200.59 | $200.59 | |
| Louisiana | $200.40 | $200.40 | |
| Ohio | $199.82 | $199.82 | |
| Missouri | $199.73 | $199.73 | |
| Utah | $199.67 | $199.67 | |
| Virginia | $199.17 | $199.17 | |
| South Carolina | $198.10 | $198.10 | |
| Kentucky | $197.16 | $197.16 | |
| Vermont | $196.61 | $196.61 | |
| Maine | $196.52 | $196.52 | |
| North Dakota | $195.68 | $195.68 | |
| Minnesota | $195.64 | $195.64 | |
| North Carolina | $195.48 | $195.48 | |
| Oklahoma | $195.35 | $195.35 | |
| South Dakota | $194.66 | $194.66 | |
| Mississippi | $193.06 | $193.06 | |
| Indiana | $192.91 | $192.91 | |
| Tennessee | $192.69 | $192.69 | |
| Idaho | $192.34 | $192.34 | |
| Wisconsin | $191.97 | $191.97 | |
| Kansas | $191.93 | $191.93 | |
| Alabama | $191.27 | $191.27 | |
| Nebraska | $191.11 | $191.11 | |
| Iowa | $190.95 | $190.95 | |
| Arkansas | $189.66 | $189.66 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates