CPT 43249 pays $1,180.39 in a non-facility setting and $136.28 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,022.75 in Arkansas to $1,379.08 in District of Columbia, a 35% spread.
National non-facility rate
$1,180.39
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 35% 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 | $1,379.08 | $149.11 | |
| California | $1,377.50 | $142.02 | |
| Washington | $1,332.70 | $142.41 | |
| Hawaii | $1,324.61 | $137.46 | |
| New Jersey | $1,322.21 | $146.54 | |
| Massachusetts | $1,315.11 | $142.05 | |
| New York | $1,313.36 | $148.55 | |
| Alaska | $1,289.74 | $177.76 | |
| Connecticut | $1,267.66 | $143.15 | |
| Colorado | $1,248.58 | $137.65 | |
| Oregon | $1,236.28 | $136.31 | |
| Maryland | $1,228.34 | $139.86 | |
| New Hampshire | $1,223.56 | $136.64 | |
| Rhode Island | $1,216.71 | $138.14 | |
| Minnesota | $1,204.76 | $130.36 | |
| Florida | $1,193.49 | $145.89 | |
| Puerto Rico | $1,192.16 | $136.56 | |
| Virgin Islands | $1,192.16 | $136.56 | |
| Montana | $1,180.37 | $136.26 | |
| Nevada | $1,179.80 | $134.64 | |
| Wyoming | $1,177.78 | $133.67 | |
| North Dakota | $1,174.44 | $130.32 | |
| South Dakota | $1,173.73 | $129.62 | |
| Delaware | $1,166.81 | $135.22 | |
| Vermont | $1,164.60 | $130.93 | |
| Texas | $1,163.36 | $135.43 | |
| Pennsylvania | $1,159.65 | $136.94 | |
| Virginia | $1,159.02 | $132.66 | |
| Illinois | $1,153.25 | $144.38 | |
| Arizona | $1,145.36 | $133.61 | |
| Georgia | $1,132.64 | $136.56 | |
| Maine | $1,128.43 | $130.78 | |
| Wisconsin | $1,127.95 | $127.69 | |
| Michigan | $1,118.38 | $137.95 | |
| Utah | $1,114.35 | $132.89 | |
| North Carolina | $1,104.17 | $130.02 | |
| South Carolina | $1,096.54 | $131.78 | |
| Indiana | $1,096.14 | $128.25 | |
| New Mexico | $1,092.47 | $135.02 | |
| Missouri | $1,091.02 | $132.87 | |
| Nebraska | $1,090.72 | $127.01 | |
| Idaho | $1,088.43 | $127.84 | |
| Louisiana | $1,086.59 | $133.32 | |
| Ohio | $1,086.20 | $132.93 | |
| Iowa | $1,082.25 | $126.88 | |
| Tennessee | $1,077.15 | $128.05 | |
| Kansas | $1,071.40 | $127.52 | |
| Oklahoma | $1,062.22 | $129.82 | |
| Kentucky | $1,059.26 | $131.05 | |
| West Virginia | $1,042.76 | $135.43 | |
| Alabama | $1,040.60 | $127.00 | |
| Mississippi | $1,027.16 | $128.18 | |
| Arkansas | $1,022.75 | $125.86 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates