CPT 43241 pays $126.92 in a non-facility setting and $126.92 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $117.02 in Arkansas to $165.33 in Alaska, a 41% spread.
National non-facility rate
$126.92
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 41% 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 | $165.33 | $165.33 | |
| District of Columbia | $138.80 | $138.80 | |
| New York | $138.51 | $138.51 | |
| Florida | $136.53 | $136.53 | |
| New Jersey | $136.43 | $136.43 | |
| Illinois | $135.13 | $135.13 | |
| Connecticut | $133.40 | $133.40 | |
| Washington | $132.37 | $132.37 | |
| Massachusetts | $132.08 | $132.08 | |
| California | $131.80 | $131.80 | |
| Maryland | $130.27 | $130.27 | |
| Michigan | $128.83 | $128.83 | |
| Rhode Island | $128.56 | $128.56 | |
| Colorado | $127.99 | $127.99 | |
| Pennsylvania | $127.61 | $127.61 | |
| Hawaii | $127.60 | $127.60 | |
| Georgia | $127.37 | $127.37 | |
| Puerto Rico | $127.17 | $127.17 | |
| Virgin Islands | $127.17 | $127.17 | |
| New Hampshire | $127.14 | $127.14 | |
| Montana | $126.90 | $126.90 | |
| Oregon | $126.71 | $126.71 | |
| West Virginia | $126.56 | $126.56 | |
| Texas | $126.10 | $126.10 | |
| New Mexico | $125.97 | $125.97 | |
| Delaware | $125.89 | $125.89 | |
| Nevada | $125.29 | $125.29 | |
| Arizona | $124.37 | $124.37 | |
| Wyoming | $124.32 | $124.32 | |
| Louisiana | $124.29 | $124.29 | |
| Ohio | $123.89 | $123.89 | |
| Missouri | $123.82 | $123.82 | |
| Utah | $123.76 | $123.76 | |
| Virginia | $123.37 | $123.37 | |
| South Carolina | $122.70 | $122.70 | |
| Kentucky | $122.10 | $122.10 | |
| Vermont | $121.62 | $121.62 | |
| Maine | $121.59 | $121.59 | |
| North Dakota | $120.97 | $120.97 | |
| Minnesota | $120.91 | $120.91 | |
| North Carolina | $120.91 | $120.91 | |
| Oklahoma | $120.86 | $120.86 | |
| South Dakota | $120.27 | $120.27 | |
| Mississippi | $119.34 | $119.34 | |
| Indiana | $119.16 | $119.16 | |
| Tennessee | $119.03 | $119.03 | |
| Idaho | $118.78 | $118.78 | |
| Kansas | $118.52 | $118.52 | |
| Wisconsin | $118.49 | $118.49 | |
| Alabama | $118.11 | $118.11 | |
| Nebraska | $117.94 | $117.94 | |
| Iowa | $117.84 | $117.84 | |
| Arkansas | $117.02 | $117.02 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates