CPT 43263 pays $311.96 in a non-facility setting and $311.96 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $289.79 in Arkansas to $412.34 in Alaska, a 42% spread.
National non-facility rate
$311.96
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 | $412.34 | $412.34 | |
| District of Columbia | $339.72 | $339.72 | |
| New York | $339.29 | $339.29 | |
| New Jersey | $334.48 | $334.48 | |
| Florida | $334.35 | $334.35 | |
| Illinois | $331.41 | $331.41 | |
| Connecticut | $327.02 | $327.02 | |
| Washington | $324.46 | $324.46 | |
| Massachusetts | $323.83 | $323.83 | |
| California | $322.93 | $322.93 | |
| Maryland | $319.79 | $319.79 | |
| Michigan | $316.81 | $316.81 | |
| Rhode Island | $316.00 | $316.00 | |
| Colorado | $314.30 | $314.30 | |
| Pennsylvania | $313.91 | $313.91 | |
| Georgia | $313.34 | $313.34 | |
| Hawaii | $312.65 | $312.65 | |
| Puerto Rico | $312.46 | $312.46 | |
| Virgin Islands | $312.46 | $312.46 | |
| New Hampshire | $312.19 | $312.19 | |
| West Virginia | $311.98 | $311.98 | |
| Montana | $311.92 | $311.92 | |
| Oregon | $311.30 | $311.30 | |
| New Mexico | $310.29 | $310.29 | |
| Texas | $310.28 | $310.28 | |
| Delaware | $309.74 | $309.74 | |
| Nevada | $308.14 | $308.14 | |
| Louisiana | $306.38 | $306.38 | |
| Arizona | $306.22 | $306.22 | |
| Wyoming | $305.89 | $305.89 | |
| Ohio | $305.47 | $305.47 | |
| Missouri | $305.27 | $305.27 | |
| Utah | $304.97 | $304.97 | |
| Virginia | $303.78 | $303.78 | |
| South Carolina | $302.62 | $302.62 | |
| Kentucky | $301.45 | $301.45 | |
| Maine | $299.81 | $299.81 | |
| Vermont | $299.65 | $299.65 | |
| Oklahoma | $298.53 | $298.53 | |
| North Carolina | $298.38 | $298.38 | |
| North Dakota | $298.08 | $298.08 | |
| Minnesota | $297.73 | $297.73 | |
| South Dakota | $296.44 | $296.44 | |
| Mississippi | $295.18 | $295.18 | |
| Indiana | $294.34 | $294.34 | |
| Tennessee | $294.15 | $294.15 | |
| Idaho | $293.50 | $293.50 | |
| Kansas | $292.99 | $292.99 | |
| Wisconsin | $292.56 | $292.56 | |
| Alabama | $292.21 | $292.21 | |
| Nebraska | $291.51 | $291.51 | |
| Iowa | $291.34 | $291.34 | |
| Arkansas | $289.79 | $289.79 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates