CPT 43247 pays $426.20 in a non-facility setting and $157.32 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $376.01 in Arkansas to $491.40 in Alaska, a 31% spread.
National non-facility rate
$426.20
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 31% 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 | $491.40 | $205.04 | |
| District of Columbia | $488.68 | $171.95 | |
| California | $481.25 | $163.09 | |
| New Jersey | $471.80 | $169.05 | |
| New York | $471.66 | $171.70 | |
| Washington | $470.43 | $163.91 | |
| Massachusetts | $465.66 | $163.58 | |
| Hawaii | $463.64 | $157.92 | |
| Connecticut | $454.93 | $165.35 | |
| Colorado | $444.62 | $158.53 | |
| Maryland | $441.77 | $161.46 | |
| Oregon | $440.20 | $156.94 | |
| Florida | $439.25 | $169.48 | |
| New Hampshire | $437.41 | $157.51 | |
| Rhode Island | $437.05 | $159.30 | |
| Puerto Rico | $429.44 | $157.61 | |
| Virgin Islands | $429.44 | $157.61 | |
| Illinois | $427.57 | $167.77 | |
| Minnesota | $426.32 | $149.64 | |
| Montana | $426.17 | $157.29 | |
| Nevada | $424.39 | $155.24 | |
| Wyoming | $422.90 | $154.02 | |
| Delaware | $421.67 | $156.02 | |
| Pennsylvania | $421.58 | $158.21 | |
| Texas | $421.01 | $156.30 | |
| North Dakota | $418.66 | $149.78 | |
| South Dakota | $417.77 | $148.89 | |
| Virginia | $417.15 | $152.85 | |
| Vermont | $416.80 | $150.61 | |
| Arizona | $414.69 | $154.14 | |
| Georgia | $414.48 | $157.97 | |
| Michigan | $412.32 | $159.84 | |
| Maine | $407.56 | $150.65 | |
| Utah | $406.16 | $153.42 | |
| Wisconsin | $404.30 | $146.71 | |
| New Mexico | $402.83 | $156.27 | |
| North Carolina | $400.69 | $149.83 | |
| South Carolina | $400.56 | $152.11 | |
| Missouri | $400.28 | $153.54 | |
| Louisiana | $399.62 | $154.14 | |
| Ohio | $399.13 | $153.64 | |
| Indiana | $396.87 | $147.62 | |
| Idaho | $394.52 | $147.16 | |
| Nebraska | $394.25 | $146.08 | |
| Iowa | $392.00 | $145.97 | |
| Tennessee | $391.90 | $147.49 | |
| West Virginia | $390.75 | $157.10 | |
| Kentucky | $390.45 | $151.42 | |
| Oklahoma | $389.95 | $149.84 | |
| Kansas | $389.92 | $146.85 | |
| Alabama | $381.65 | $146.38 | |
| Mississippi | $379.47 | $147.97 | |
| Arkansas | $376.01 | $145.04 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates