CPT 43243 pays $209.09 in a non-facility setting and $209.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $193.11 in Arkansas to $274.02 in Alaska, a 42% spread.
National non-facility rate
$209.09
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 | $274.02 | $274.02 | |
| New York | $228.10 | $228.10 | |
| District of Columbia | $227.93 | $227.93 | |
| Florida | $226.02 | $226.02 | |
| New Jersey | $224.31 | $224.31 | |
| Illinois | $223.93 | $223.93 | |
| Connecticut | $219.62 | $219.62 | |
| Washington | $217.07 | $217.07 | |
| Massachusetts | $216.76 | $216.76 | |
| California | $215.58 | $215.58 | |
| Maryland | $214.50 | $214.50 | |
| Michigan | $213.10 | $213.10 | |
| Rhode Island | $211.55 | $211.55 | |
| Pennsylvania | $210.49 | $210.49 | |
| Georgia | $210.36 | $210.36 | |
| Colorado | $210.24 | $210.24 | |
| West Virginia | $209.85 | $209.85 | |
| Puerto Rico | $209.40 | $209.40 | |
| Virgin Islands | $209.40 | $209.40 | |
| Montana | $209.05 | $209.05 | |
| New Hampshire | $209.03 | $209.03 | |
| Hawaii | $208.82 | $208.82 | |
| New Mexico | $208.30 | $208.30 | |
| Oregon | $208.11 | $208.11 | |
| Texas | $207.78 | $207.78 | |
| Delaware | $207.37 | $207.37 | |
| Nevada | $206.19 | $206.19 | |
| Louisiana | $205.36 | $205.36 | |
| Arizona | $204.91 | $204.91 | |
| Ohio | $204.67 | $204.67 | |
| Missouri | $204.49 | $204.49 | |
| Wyoming | $204.49 | $204.49 | |
| Utah | $204.14 | $204.14 | |
| Virginia | $202.99 | $202.99 | |
| South Carolina | $202.45 | $202.45 | |
| Kentucky | $201.76 | $201.76 | |
| Maine | $200.14 | $200.14 | |
| Vermont | $199.82 | $199.82 | |
| Oklahoma | $199.53 | $199.53 | |
| North Carolina | $199.19 | $199.19 | |
| North Dakota | $198.57 | $198.57 | |
| Minnesota | $198.15 | $198.15 | |
| South Dakota | $197.34 | $197.34 | |
| Mississippi | $197.18 | $197.18 | |
| Indiana | $196.16 | $196.16 | |
| Tennessee | $196.12 | $196.12 | |
| Idaho | $195.57 | $195.57 | |
| Kansas | $195.28 | $195.28 | |
| Alabama | $194.85 | $194.85 | |
| Wisconsin | $194.64 | $194.64 | |
| Nebraska | $194.04 | $194.04 | |
| Iowa | $193.96 | $193.96 | |
| Arkansas | $193.11 | $193.11 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates