CPT 43246 pays $178.36 in a non-facility setting and $178.36 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $163.46 in Arkansas to $231.27 in Alaska, a 41% spread.
National non-facility rate
$178.36
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 | $231.27 | $231.27 | |
| New York | $195.39 | $195.39 | |
| Florida | $195.27 | $195.27 | |
| District of Columbia | $194.59 | $194.59 | |
| Illinois | $193.38 | $193.38 | |
| New Jersey | $191.43 | $191.43 | |
| Connecticut | $187.84 | $187.84 | |
| Washington | $184.54 | $184.54 | |
| Massachusetts | $184.42 | $184.42 | |
| Maryland | $183.14 | $183.14 | |
| Michigan | $182.84 | $182.84 | |
| California | $182.61 | $182.61 | |
| Rhode Island | $180.13 | $180.13 | |
| West Virginia | $180.13 | $180.13 | |
| Georgia | $179.95 | $179.95 | |
| Pennsylvania | $179.71 | $179.71 | |
| Colorado | $178.74 | $178.74 | |
| Puerto Rico | $178.59 | $178.59 | |
| Virgin Islands | $178.59 | $178.59 | |
| Montana | $178.33 | $178.33 | |
| New Mexico | $178.20 | $178.20 | |
| New Hampshire | $177.98 | $177.98 | |
| Texas | $177.05 | $177.05 | |
| Hawaii | $177.04 | $177.04 | |
| Oregon | $176.79 | $176.79 | |
| Delaware | $176.62 | $176.62 | |
| Nevada | $175.45 | $175.45 | |
| Louisiana | $175.30 | $175.30 | |
| Ohio | $174.61 | $174.61 | |
| Arizona | $174.42 | $174.42 | |
| Missouri | $174.40 | $174.40 | |
| Utah | $173.87 | $173.87 | |
| Wyoming | $173.76 | $173.76 | |
| Virginia | $172.40 | $172.40 | |
| South Carolina | $172.30 | $172.30 | |
| Kentucky | $171.89 | $171.89 | |
| Maine | $169.76 | $169.76 | |
| Oklahoma | $169.62 | $169.62 | |
| Vermont | $169.17 | $169.17 | |
| North Carolina | $168.97 | $168.97 | |
| North Dakota | $167.85 | $167.85 | |
| Mississippi | $167.52 | $167.52 | |
| Minnesota | $167.20 | $167.20 | |
| South Dakota | $166.61 | $166.61 | |
| Tennessee | $166.09 | $166.09 | |
| Indiana | $165.99 | $165.99 | |
| Idaho | $165.45 | $165.45 | |
| Kansas | $165.28 | $165.28 | |
| Alabama | $165.08 | $165.08 | |
| Wisconsin | $164.23 | $164.23 | |
| Nebraska | $163.90 | $163.90 | |
| Iowa | $163.88 | $163.88 | |
| Arkansas | $163.46 | $163.46 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates