CPT 43264 pays $317.31 in a non-facility setting and $317.31 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $294.72 in Arkansas to $419.43 in Alaska, a 42% spread.
National non-facility rate
$317.31
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 | $419.43 | $419.43 | |
| District of Columbia | $345.47 | $345.47 | |
| New York | $345.14 | $345.14 | |
| Florida | $340.33 | $340.33 | |
| New Jersey | $340.17 | $340.17 | |
| Illinois | $337.36 | $337.36 | |
| Connecticut | $332.64 | $332.64 | |
| Washington | $329.88 | $329.88 | |
| Massachusetts | $329.26 | $329.26 | |
| California | $328.24 | $328.24 | |
| Maryland | $325.27 | $325.27 | |
| Michigan | $322.38 | $322.38 | |
| Rhode Island | $321.37 | $321.37 | |
| Colorado | $319.59 | $319.59 | |
| Pennsylvania | $319.32 | $319.32 | |
| Georgia | $318.79 | $318.79 | |
| Hawaii | $317.80 | $317.80 | |
| Puerto Rico | $317.80 | $317.80 | |
| Virgin Islands | $317.80 | $317.80 | |
| West Virginia | $317.52 | $317.52 | |
| New Hampshire | $317.48 | $317.48 | |
| Montana | $317.26 | $317.26 | |
| Oregon | $316.53 | $316.53 | |
| New Mexico | $315.71 | $315.71 | |
| Texas | $315.58 | $315.58 | |
| Delaware | $315.03 | $315.03 | |
| Nevada | $313.37 | $313.37 | |
| Louisiana | $311.70 | $311.70 | |
| Arizona | $311.44 | $311.44 | |
| Wyoming | $311.06 | $311.06 | |
| Ohio | $310.76 | $310.76 | |
| Missouri | $310.55 | $310.55 | |
| Utah | $310.21 | $310.21 | |
| Virginia | $308.92 | $308.92 | |
| South Carolina | $307.81 | $307.81 | |
| Kentucky | $306.66 | $306.66 | |
| Maine | $304.88 | $304.88 | |
| Vermont | $304.65 | $304.65 | |
| Oklahoma | $303.65 | $303.65 | |
| North Carolina | $303.44 | $303.44 | |
| North Dakota | $303.02 | $303.02 | |
| Minnesota | $302.63 | $302.63 | |
| South Dakota | $301.34 | $301.34 | |
| Mississippi | $300.26 | $300.26 | |
| Indiana | $299.29 | $299.29 | |
| Tennessee | $299.12 | $299.12 | |
| Idaho | $298.44 | $298.44 | |
| Kansas | $297.94 | $297.94 | |
| Wisconsin | $297.41 | $297.41 | |
| Alabama | $297.19 | $297.19 | |
| Nebraska | $296.38 | $296.38 | |
| Iowa | $296.22 | $296.22 | |
| Arkansas | $294.72 | $294.72 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates