CPT 43275 pays $328.33 in a non-facility setting and $328.33 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $304.81 in Arkansas to $433.83 in Alaska, a 42% spread.
National non-facility rate
$328.33
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 | $433.83 | $433.83 | |
| District of Columbia | $357.42 | $357.42 | |
| New York | $357.24 | $357.24 | |
| Florida | $352.63 | $352.63 | |
| New Jersey | $351.95 | $351.95 | |
| Illinois | $349.56 | $349.56 | |
| Connecticut | $344.25 | $344.25 | |
| Washington | $341.14 | $341.14 | |
| Massachusetts | $340.54 | $340.54 | |
| California | $339.29 | $339.29 | |
| Maryland | $336.58 | $336.58 | |
| Michigan | $333.83 | $333.83 | |
| Rhode Island | $332.46 | $332.46 | |
| Colorado | $330.54 | $330.54 | |
| Pennsylvania | $330.46 | $330.46 | |
| Georgia | $330.00 | $330.00 | |
| West Virginia | $328.86 | $328.86 | |
| Puerto Rico | $328.82 | $328.82 | |
| Virgin Islands | $328.82 | $328.82 | |
| Hawaii | $328.53 | $328.53 | |
| New Hampshire | $328.42 | $328.42 | |
| Montana | $328.28 | $328.28 | |
| Oregon | $327.35 | $327.35 | |
| New Mexico | $326.84 | $326.84 | |
| Texas | $326.52 | $326.52 | |
| Delaware | $325.93 | $325.93 | |
| Nevada | $324.17 | $324.17 | |
| Louisiana | $322.61 | $322.61 | |
| Arizona | $322.21 | $322.21 | |
| Wyoming | $321.73 | $321.73 | |
| Ohio | $321.62 | $321.62 | |
| Missouri | $321.39 | $321.39 | |
| Utah | $320.97 | $320.97 | |
| Virginia | $319.52 | $319.52 | |
| South Carolina | $318.48 | $318.48 | |
| Kentucky | $317.35 | $317.35 | |
| Maine | $315.31 | $315.31 | |
| Vermont | $315.00 | $315.00 | |
| Oklahoma | $314.16 | $314.16 | |
| North Carolina | $313.84 | $313.84 | |
| North Dakota | $313.25 | $313.25 | |
| Minnesota | $312.77 | $312.77 | |
| South Dakota | $311.48 | $311.48 | |
| Mississippi | $310.66 | $310.66 | |
| Indiana | $309.48 | $309.48 | |
| Tennessee | $309.34 | $309.34 | |
| Idaho | $308.59 | $308.59 | |
| Kansas | $308.11 | $308.11 | |
| Wisconsin | $307.43 | $307.43 | |
| Alabama | $307.38 | $307.38 | |
| Nebraska | $306.42 | $306.42 | |
| Iowa | $306.27 | $306.27 | |
| Arkansas | $304.81 | $304.81 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates