CPT 43240 pays $342.03 in a non-facility setting and $342.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $317.55 in Arkansas to $451.96 in Alaska, a 42% spread.
National non-facility rate
$342.03
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 | $451.96 | $451.96 | |
| District of Columbia | $372.32 | $372.32 | |
| New York | $372.12 | $372.12 | |
| Florida | $367.28 | $367.28 | |
| New Jersey | $366.63 | $366.63 | |
| Illinois | $364.08 | $364.08 | |
| Connecticut | $358.60 | $358.60 | |
| Washington | $355.39 | $355.39 | |
| Massachusetts | $354.76 | $354.76 | |
| California | $353.47 | $353.47 | |
| Maryland | $350.62 | $350.62 | |
| Michigan | $347.72 | $347.72 | |
| Rhode Island | $346.33 | $346.33 | |
| Colorado | $344.34 | $344.34 | |
| Pennsylvania | $344.24 | $344.24 | |
| Georgia | $343.75 | $343.75 | |
| West Virginia | $342.55 | $342.55 | |
| Puerto Rico | $342.54 | $342.54 | |
| Virgin Islands | $342.54 | $342.54 | |
| Hawaii | $342.26 | $342.26 | |
| New Hampshire | $342.12 | $342.12 | |
| Montana | $341.97 | $341.97 | |
| Oregon | $341.02 | $341.02 | |
| New Mexico | $340.45 | $340.45 | |
| Texas | $340.14 | $340.14 | |
| Delaware | $339.53 | $339.53 | |
| Nevada | $337.70 | $337.70 | |
| Louisiana | $336.06 | $336.06 | |
| Arizona | $335.66 | $335.66 | |
| Wyoming | $335.16 | $335.16 | |
| Ohio | $335.03 | $335.03 | |
| Missouri | $334.79 | $334.79 | |
| Utah | $334.36 | $334.36 | |
| Virginia | $332.86 | $332.86 | |
| South Carolina | $331.77 | $331.77 | |
| Kentucky | $330.59 | $330.59 | |
| Maine | $328.48 | $328.48 | |
| Vermont | $328.16 | $328.16 | |
| Oklahoma | $327.28 | $327.28 | |
| North Carolina | $326.95 | $326.95 | |
| North Dakota | $326.35 | $326.35 | |
| Minnesota | $325.85 | $325.85 | |
| South Dakota | $324.50 | $324.50 | |
| Mississippi | $323.62 | $323.62 | |
| Indiana | $322.42 | $322.42 | |
| Tennessee | $322.27 | $322.27 | |
| Idaho | $321.49 | $321.49 | |
| Kansas | $320.99 | $320.99 | |
| Wisconsin | $320.29 | $320.29 | |
| Alabama | $320.22 | $320.22 | |
| Nebraska | $319.23 | $319.23 | |
| Iowa | $319.07 | $319.07 | |
| Arkansas | $317.55 | $317.55 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates