CPT 43245 pays $654.99 in a non-facility setting and $156.98 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $571.94 in Arkansas to $758.24 in District of Columbia, a 33% spread.
National non-facility rate
$654.99
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 33% 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 | $758.24 | $171.59 | |
| California | $751.27 | $161.99 | |
| Alaska | $733.94 | $203.57 | |
| Washington | $730.89 | $163.17 | |
| New Jersey | $729.45 | $168.69 | |
| New York | $727.30 | $171.72 | |
| Hawaii | $723.17 | $156.94 | |
| Massachusetts | $722.44 | $162.92 | |
| Connecticut | $701.58 | $165.23 | |
| Colorado | $687.73 | $157.85 | |
| Oregon | $680.85 | $156.19 | |
| Maryland | $680.36 | $161.19 | |
| New Hampshire | $675.41 | $156.98 | |
| Rhode Island | $673.23 | $158.78 | |
| Florida | $670.07 | $170.41 | |
| Minnesota | $660.80 | $148.35 | |
| Puerto Rico | $660.73 | $157.24 | |
| Virgin Islands | $660.73 | $157.24 | |
| Montana | $654.96 | $156.96 | |
| Nevada | $653.19 | $154.68 | |
| Wyoming | $651.34 | $153.34 | |
| Illinois | $649.87 | $168.67 | |
| Delaware | $647.59 | $155.56 | |
| North Dakota | $646.66 | $148.65 | |
| Texas | $646.16 | $155.87 | |
| Pennsylvania | $645.78 | $157.98 | |
| South Dakota | $645.68 | $147.67 | |
| Vermont | $642.65 | $149.63 | |
| Virginia | $641.67 | $152.13 | |
| Arizona | $636.21 | $153.64 | |
| Georgia | $633.02 | $157.92 | |
| Michigan | $627.72 | $160.09 | |
| Maine | $625.69 | $149.84 | |
| Wisconsin | $622.57 | $145.48 | |
| Utah | $621.12 | $152.99 | |
| North Carolina | $613.70 | $149.06 | |
| New Mexico | $612.93 | $156.26 | |
| South Carolina | $611.79 | $151.63 | |
| Missouri | $610.25 | $153.24 | |
| Louisiana | $608.60 | $153.92 | |
| Indiana | $608.31 | $146.65 | |
| Ohio | $608.06 | $153.38 | |
| Nebraska | $604.63 | $144.97 | |
| Idaho | $604.34 | $146.17 | |
| Iowa | $600.57 | $144.89 | |
| Tennessee | $599.29 | $146.60 | |
| Kansas | $596.12 | $145.92 | |
| Oklahoma | $594.00 | $149.28 | |
| Kentucky | $593.77 | $151.05 | |
| West Virginia | $590.20 | $157.43 | |
| Alabama | $581.31 | $145.55 | |
| Mississippi | $576.16 | $147.38 | |
| Arkansas | $571.94 | $144.15 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates