CPT 43265 pays $376.76 in a non-facility setting and $376.76 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $350.05 in Arkansas to $498.63 in Alaska, a 42% spread.
National non-facility rate
$376.76
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 | $498.63 | $498.63 | |
| District of Columbia | $409.92 | $409.92 | |
| New York | $409.80 | $409.80 | |
| Florida | $404.57 | $404.57 | |
| New Jersey | $403.74 | $403.74 | |
| Illinois | $401.12 | $401.12 | |
| Connecticut | $394.92 | $394.92 | |
| Washington | $391.30 | $391.30 | |
| Massachusetts | $390.63 | $390.63 | |
| California | $389.12 | $389.12 | |
| Maryland | $386.18 | $386.18 | |
| Michigan | $383.14 | $383.14 | |
| Rhode Island | $381.48 | $381.48 | |
| Pennsylvania | $379.26 | $379.26 | |
| Colorado | $379.23 | $379.23 | |
| Georgia | $378.74 | $378.74 | |
| West Virginia | $377.56 | $377.56 | |
| Puerto Rico | $377.31 | $377.31 | |
| Virgin Islands | $377.31 | $377.31 | |
| New Hampshire | $376.80 | $376.80 | |
| Hawaii | $376.79 | $376.79 | |
| Montana | $376.70 | $376.70 | |
| Oregon | $375.58 | $375.58 | |
| New Mexico | $375.17 | $375.17 | |
| Texas | $374.73 | $374.73 | |
| Delaware | $374.04 | $374.04 | |
| Nevada | $372.00 | $372.00 | |
| Louisiana | $370.34 | $370.34 | |
| Arizona | $369.80 | $369.80 | |
| Ohio | $369.21 | $369.21 | |
| Wyoming | $369.21 | $369.21 | |
| Missouri | $368.94 | $368.94 | |
| Utah | $368.43 | $368.43 | |
| Virginia | $366.70 | $366.70 | |
| South Carolina | $365.60 | $365.60 | |
| Kentucky | $364.36 | $364.36 | |
| Maine | $361.93 | $361.93 | |
| Vermont | $361.51 | $361.51 | |
| Oklahoma | $360.70 | $360.70 | |
| North Carolina | $360.27 | $360.27 | |
| North Dakota | $359.50 | $359.50 | |
| Minnesota | $358.90 | $358.90 | |
| South Dakota | $357.47 | $357.47 | |
| Mississippi | $356.74 | $356.74 | |
| Indiana | $355.29 | $355.29 | |
| Tennessee | $355.16 | $355.16 | |
| Idaho | $354.29 | $354.29 | |
| Kansas | $353.76 | $353.76 | |
| Alabama | $352.96 | $352.96 | |
| Wisconsin | $352.89 | $352.89 | |
| Nebraska | $351.79 | $351.79 | |
| Iowa | $351.63 | $351.63 | |
| Arkansas | $350.05 | $350.05 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates