CPT 43260 pays $280.90 in a non-facility setting and $280.90 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $261.02 in Arkansas to $371.33 in Alaska, a 42% spread.
National non-facility rate
$280.90
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 42% 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 | $371.33 | $371.33 | |
| District of Columbia | $305.95 | $305.95 | |
| New York | $305.44 | $305.44 | |
| New Jersey | $301.21 | $301.21 | |
| Florida | $300.74 | $300.74 | |
| Illinois | $298.08 | $298.08 | |
| Connecticut | $294.43 | $294.43 | |
| Washington | $292.30 | $292.30 | |
| Massachusetts | $291.71 | $291.71 | |
| California | $291.04 | $291.04 | |
| Maryland | $287.95 | $287.95 | |
| Michigan | $285.08 | $285.08 | |
| Rhode Island | $284.59 | $284.59 | |
| Colorado | $283.12 | $283.12 | |
| Pennsylvania | $282.61 | $282.61 | |
| Georgia | $282.05 | $282.05 | |
| Hawaii | $281.75 | $281.75 | |
| Puerto Rico | $281.36 | $281.36 | |
| Virgin Islands | $281.36 | $281.36 | |
| New Hampshire | $281.18 | $281.18 | |
| Montana | $280.86 | $280.86 | |
| West Virginia | $280.68 | $280.68 | |
| Oregon | $280.43 | $280.43 | |
| Texas | $279.39 | $279.39 | |
| New Mexico | $279.27 | $279.27 | |
| Delaware | $278.92 | $278.92 | |
| Nevada | $277.51 | $277.51 | |
| Louisiana | $275.80 | $275.80 | |
| Arizona | $275.76 | $275.76 | |
| Wyoming | $275.52 | $275.52 | |
| Ohio | $274.99 | $274.99 | |
| Missouri | $274.83 | $274.83 | |
| Utah | $274.60 | $274.60 | |
| Virginia | $273.63 | $273.63 | |
| South Carolina | $272.49 | $272.49 | |
| Kentucky | $271.39 | $271.39 | |
| Maine | $270.06 | $270.06 | |
| Vermont | $269.97 | $269.97 | |
| Oklahoma | $268.81 | $268.81 | |
| North Carolina | $268.75 | $268.75 | |
| North Dakota | $268.60 | $268.60 | |
| Minnesota | $268.35 | $268.35 | |
| South Dakota | $267.15 | $267.15 | |
| Mississippi | $265.79 | $265.79 | |
| Indiana | $265.16 | $265.16 | |
| Tennessee | $264.96 | $264.96 | |
| Idaho | $264.40 | $264.40 | |
| Kansas | $263.93 | $263.93 | |
| Wisconsin | $263.64 | $263.64 | |
| Alabama | $263.19 | $263.19 | |
| Nebraska | $262.65 | $262.65 | |
| Iowa | $262.48 | $262.48 | |
| Arkansas | $261.02 | $261.02 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates