CPT 43261 pays $295.60 in a non-facility setting and $295.60 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $274.48 in Arkansas to $390.49 in Alaska, a 42% spread.
National non-facility rate
$295.60
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 | $390.49 | $390.49 | |
| District of Columbia | $321.91 | $321.91 | |
| New York | $321.56 | $321.56 | |
| Florida | $317.03 | $317.03 | |
| New Jersey | $316.94 | $316.94 | |
| Illinois | $314.23 | $314.23 | |
| Connecticut | $309.91 | $309.91 | |
| Washington | $307.38 | $307.38 | |
| Massachusetts | $306.80 | $306.80 | |
| California | $305.88 | $305.88 | |
| Maryland | $303.03 | $303.03 | |
| Michigan | $300.28 | $300.28 | |
| Rhode Island | $299.39 | $299.39 | |
| Colorado | $297.76 | $297.76 | |
| Pennsylvania | $297.45 | $297.45 | |
| Georgia | $296.95 | $296.95 | |
| Hawaii | $296.15 | $296.15 | |
| Puerto Rico | $296.06 | $296.06 | |
| Virgin Islands | $296.06 | $296.06 | |
| New Hampshire | $295.79 | $295.79 | |
| West Virginia | $295.70 | $295.70 | |
| Montana | $295.55 | $295.55 | |
| Oregon | $294.91 | $294.91 | |
| New Mexico | $294.05 | $294.05 | |
| Texas | $293.98 | $293.98 | |
| Delaware | $293.47 | $293.47 | |
| Nevada | $291.93 | $291.93 | |
| Louisiana | $290.31 | $290.31 | |
| Arizona | $290.12 | $290.12 | |
| Wyoming | $289.78 | $289.78 | |
| Ohio | $289.44 | $289.44 | |
| Missouri | $289.25 | $289.25 | |
| Utah | $288.95 | $288.95 | |
| Virginia | $287.78 | $287.78 | |
| South Carolina | $286.71 | $286.71 | |
| Kentucky | $285.61 | $285.61 | |
| Maine | $284.00 | $284.00 | |
| Vermont | $283.81 | $283.81 | |
| Oklahoma | $282.82 | $282.82 | |
| North Carolina | $282.64 | $282.64 | |
| North Dakota | $282.31 | $282.31 | |
| Minnesota | $281.96 | $281.96 | |
| South Dakota | $280.74 | $280.74 | |
| Mississippi | $279.64 | $279.64 | |
| Indiana | $278.78 | $278.78 | |
| Tennessee | $278.61 | $278.61 | |
| Idaho | $277.98 | $277.98 | |
| Kansas | $277.51 | $277.51 | |
| Wisconsin | $277.05 | $277.05 | |
| Alabama | $276.78 | $276.78 | |
| Nebraska | $276.07 | $276.07 | |
| Iowa | $275.91 | $275.91 | |
| Arkansas | $274.48 | $274.48 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates