CPT 43262 pays $311.30 in a non-facility setting and $311.30 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $289.22 in Arkansas to $411.63 in Alaska, a 42% spread.
National non-facility rate
$311.30
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 | $411.63 | $411.63 | |
| District of Columbia | $338.93 | $338.93 | |
| New York | $338.54 | $338.54 | |
| New Jersey | $333.73 | $333.73 | |
| Florida | $333.68 | $333.68 | |
| Illinois | $330.77 | $330.77 | |
| Connecticut | $326.31 | $326.31 | |
| Washington | $323.70 | $323.70 | |
| Massachusetts | $323.08 | $323.08 | |
| California | $322.14 | $322.14 | |
| Maryland | $319.10 | $319.10 | |
| Michigan | $316.18 | $316.18 | |
| Rhode Island | $315.31 | $315.31 | |
| Colorado | $313.59 | $313.59 | |
| Pennsylvania | $313.25 | $313.25 | |
| Georgia | $312.71 | $312.71 | |
| Hawaii | $311.89 | $311.89 | |
| Puerto Rico | $311.78 | $311.78 | |
| Virgin Islands | $311.78 | $311.78 | |
| New Hampshire | $311.50 | $311.50 | |
| West Virginia | $311.40 | $311.40 | |
| Montana | $311.25 | $311.25 | |
| Oregon | $310.60 | $310.60 | |
| New Mexico | $309.68 | $309.68 | |
| Texas | $309.62 | $309.62 | |
| Delaware | $309.08 | $309.08 | |
| Nevada | $307.47 | $307.47 | |
| Louisiana | $305.77 | $305.77 | |
| Arizona | $305.57 | $305.57 | |
| Wyoming | $305.22 | $305.22 | |
| Ohio | $304.86 | $304.86 | |
| Missouri | $304.66 | $304.66 | |
| Utah | $304.34 | $304.34 | |
| Virginia | $303.13 | $303.13 | |
| South Carolina | $302.00 | $302.00 | |
| Kentucky | $300.86 | $300.86 | |
| Maine | $299.17 | $299.17 | |
| Vermont | $298.98 | $298.98 | |
| Oklahoma | $297.93 | $297.93 | |
| North Carolina | $297.75 | $297.75 | |
| North Dakota | $297.41 | $297.41 | |
| Minnesota | $297.04 | $297.04 | |
| South Dakota | $295.77 | $295.77 | |
| Mississippi | $294.61 | $294.61 | |
| Indiana | $293.72 | $293.72 | |
| Tennessee | $293.54 | $293.54 | |
| Idaho | $292.88 | $292.88 | |
| Kansas | $292.39 | $292.39 | |
| Wisconsin | $291.92 | $291.92 | |
| Alabama | $291.63 | $291.63 | |
| Nebraska | $290.89 | $290.89 | |
| Iowa | $290.72 | $290.72 | |
| Arkansas | $289.22 | $289.22 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates