CPT 43248 pays $457.93 in a non-facility setting and $147.97 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $402.83 in Arkansas to $526.94 in District of Columbia, a 31% spread.
National non-facility rate
$457.93
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
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 |
|---|---|---|---|
| District of Columbia | $526.94 | $161.80 | |
| Alaska | $523.12 | $193.01 | |
| California | $520.59 | $153.82 | |
| New Jersey | $508.06 | $159.05 | |
| Washington | $507.76 | $154.40 | |
| New York | $507.16 | $161.37 | |
| Massachusetts | $502.29 | $154.05 | |
| Hawaii | $501.33 | $148.90 | |
| Connecticut | $489.29 | $155.46 | |
| Colorado | $479.09 | $149.29 | |
| Maryland | $474.99 | $151.85 | |
| Oregon | $474.36 | $147.82 | |
| New Hampshire | $470.93 | $148.26 | |
| Rhode Island | $470.11 | $149.92 | |
| Florida | $469.85 | $158.86 | |
| Puerto Rico | $461.62 | $148.25 | |
| Virgin Islands | $461.62 | $148.25 | |
| Minnesota | $460.13 | $141.18 | |
| Montana | $457.90 | $147.94 | |
| Illinois | $456.73 | $157.23 | |
| Nevada | $456.38 | $146.11 | |
| Wyoming | $454.97 | $145.01 | |
| Delaware | $453.03 | $146.79 | |
| Pennsylvania | $452.35 | $148.75 | |
| Texas | $452.19 | $147.03 | |
| North Dakota | $451.18 | $141.22 | |
| South Dakota | $450.39 | $140.43 | |
| Vermont | $448.80 | $141.94 | |
| Virginia | $448.61 | $143.92 | |
| Arizona | $445.39 | $145.04 | |
| Georgia | $444.12 | $148.42 | |
| Michigan | $441.10 | $150.05 | |
| Maine | $438.03 | $141.87 | |
| Utah | $435.67 | $144.30 | |
| Wisconsin | $435.30 | $138.35 | |
| New Mexico | $431.02 | $146.78 | |
| North Carolina | $430.26 | $141.07 | |
| South Carolina | $429.49 | $143.09 | |
| Missouri | $428.79 | $144.35 | |
| Louisiana | $427.86 | $144.87 | |
| Ohio | $427.42 | $144.42 | |
| Indiana | $426.41 | $139.08 | |
| Idaho | $423.80 | $138.64 | |
| Nebraska | $423.78 | $137.69 | |
| Iowa | $421.18 | $137.57 | |
| Tennessee | $420.66 | $138.91 | |
| Kansas | $418.53 | $138.33 | |
| Kentucky | $417.92 | $142.37 | |
| Oklahoma | $417.76 | $140.97 | |
| West Virginia | $416.75 | $147.39 | |
| Alabama | $409.03 | $137.82 | |
| Mississippi | $406.07 | $139.20 | |
| Arkansas | $402.83 | $136.57 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates