CPT 43239 pays $418.85 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 $367.66 in Arkansas to $483.17 in District of Columbia, a 31% spread.
National non-facility rate
$418.85
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 | $483.17 | $135.34 | |
| California | $478.36 | $128.98 | |
| Alaska | $475.29 | $160.83 | |
| Washington | $465.88 | $129.28 | |
| New Jersey | $465.43 | $132.96 | |
| New York | $464.16 | $134.76 | |
| Massachusetts | $460.66 | $128.93 | |
| Hawaii | $460.54 | $124.82 | |
| Connecticut | $447.86 | $129.86 | |
| Colorado | $439.05 | $124.89 | |
| Oregon | $434.74 | $123.68 | |
| Maryland | $434.67 | $126.86 | |
| New Hampshire | $431.33 | $123.96 | |
| Rhode Island | $430.31 | $125.30 | |
| Florida | $428.49 | $132.24 | |
| Puerto Rico | $422.36 | $123.85 | |
| Virgin Islands | $422.36 | $123.85 | |
| Minnesota | $422.13 | $118.30 | |
| Montana | $418.83 | $123.57 | |
| Nevada | $417.67 | $122.11 | |
| Wyoming | $416.50 | $121.24 | |
| Illinois | $416.13 | $130.83 | |
| Delaware | $414.34 | $122.62 | |
| North Dakota | $413.49 | $118.23 | |
| Texas | $413.49 | $122.80 | |
| Pennsylvania | $413.36 | $124.15 | |
| South Dakota | $412.86 | $117.60 | |
| Vermont | $411.07 | $118.76 | |
| Virginia | $410.55 | $120.31 | |
| Arizona | $407.26 | $121.15 | |
| Georgia | $405.46 | $123.78 | |
| Michigan | $402.27 | $125.02 | |
| Maine | $400.70 | $118.58 | |
| Wisconsin | $398.66 | $115.80 | |
| Utah | $398.01 | $120.46 | |
| North Carolina | $393.35 | $117.87 | |
| New Mexico | $393.10 | $122.35 | |
| South Carolina | $392.26 | $119.44 | |
| Missouri | $391.37 | $120.42 | |
| Louisiana | $390.39 | $120.81 | |
| Ohio | $390.04 | $120.46 | |
| Indiana | $389.98 | $116.27 | |
| Nebraska | $387.67 | $115.14 | |
| Idaho | $387.53 | $115.89 | |
| Iowa | $385.19 | $115.02 | |
| Tennessee | $384.46 | $116.06 | |
| Kansas | $382.50 | $115.58 | |
| Oklahoma | $381.31 | $117.64 | |
| Kentucky | $381.23 | $118.74 | |
| West Virginia | $379.24 | $122.66 | |
| Alabama | $373.43 | $115.08 | |
| Mississippi | $370.34 | $116.12 | |
| Arkansas | $367.66 | $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