CPT 43274 pays $402.15 in a non-facility setting and $402.15 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $373.82 in Arkansas to $532.65 in Alaska, a 42% spread.
National non-facility rate
$402.15
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 | $532.65 | $532.65 | |
| District of Columbia | $437.48 | $437.48 | |
| New York | $437.29 | $437.29 | |
| Florida | $431.55 | $431.55 | |
| New Jersey | $430.90 | $430.90 | |
| Illinois | $427.89 | $427.89 | |
| Connecticut | $421.45 | $421.45 | |
| Washington | $417.69 | $417.69 | |
| Massachusetts | $416.97 | $416.97 | |
| California | $415.43 | $415.43 | |
| Maryland | $412.16 | $412.16 | |
| Michigan | $408.86 | $408.86 | |
| Rhode Island | $407.22 | $407.22 | |
| Colorado | $404.82 | $404.82 | |
| Pennsylvania | $404.80 | $404.80 | |
| Georgia | $404.22 | $404.22 | |
| West Virginia | $402.92 | $402.92 | |
| Puerto Rico | $402.73 | $402.73 | |
| Virgin Islands | $402.73 | $402.73 | |
| Hawaii | $402.25 | $402.25 | |
| New Hampshire | $402.21 | $402.21 | |
| Montana | $402.09 | $402.09 | |
| Oregon | $400.95 | $400.95 | |
| New Mexico | $400.42 | $400.42 | |
| Texas | $400.01 | $400.01 | |
| Delaware | $399.28 | $399.28 | |
| Nevada | $397.11 | $397.11 | |
| Louisiana | $395.31 | $395.31 | |
| Arizona | $394.77 | $394.77 | |
| Wyoming | $394.16 | $394.16 | |
| Ohio | $394.11 | $394.11 | |
| Missouri | $393.83 | $393.83 | |
| Utah | $393.30 | $393.30 | |
| Virginia | $391.49 | $391.49 | |
| South Carolina | $390.30 | $390.30 | |
| Kentucky | $388.97 | $388.97 | |
| Maine | $386.43 | $386.43 | |
| Vermont | $386.01 | $386.01 | |
| Oklahoma | $385.11 | $385.11 | |
| North Carolina | $384.68 | $384.68 | |
| North Dakota | $383.89 | $383.89 | |
| Minnesota | $383.27 | $383.27 | |
| South Dakota | $381.74 | $381.74 | |
| Mississippi | $380.89 | $380.89 | |
| Indiana | $379.40 | $379.40 | |
| Tennessee | $379.26 | $379.26 | |
| Idaho | $378.34 | $378.34 | |
| Kansas | $377.77 | $377.77 | |
| Alabama | $376.91 | $376.91 | |
| Wisconsin | $376.88 | $376.88 | |
| Nebraska | $375.70 | $375.70 | |
| Iowa | $375.53 | $375.53 | |
| Arkansas | $373.82 | $373.82 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates