CPT 43276 pays $419.18 in a non-facility setting and $419.18 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $389.41 in Arkansas to $554.85 in Alaska, a 42% spread.
National non-facility rate
$419.18
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 | $554.85 | $554.85 | |
| New York | $455.99 | $455.99 | |
| District of Columbia | $455.97 | $455.97 | |
| Florida | $450.50 | $450.50 | |
| New Jersey | $449.12 | $449.12 | |
| Illinois | $446.68 | $446.68 | |
| Connecticut | $439.40 | $439.40 | |
| Washington | $435.14 | $435.14 | |
| Massachusetts | $434.43 | $434.43 | |
| California | $432.57 | $432.57 | |
| Maryland | $429.65 | $429.65 | |
| Michigan | $426.51 | $426.51 | |
| Rhode Island | $424.37 | $424.37 | |
| Pennsylvania | $422.01 | $422.01 | |
| Colorado | $421.77 | $421.77 | |
| Georgia | $421.51 | $421.51 | |
| West Virginia | $420.38 | $420.38 | |
| Puerto Rico | $419.77 | $419.77 | |
| Virgin Islands | $419.77 | $419.77 | |
| New Hampshire | $419.13 | $419.13 | |
| Montana | $419.12 | $419.12 | |
| Hawaii | $418.90 | $418.90 | |
| Oregon | $417.71 | $417.71 | |
| New Mexico | $417.58 | $417.58 | |
| Texas | $416.91 | $416.91 | |
| Delaware | $416.13 | $416.13 | |
| Nevada | $413.81 | $413.81 | |
| Louisiana | $412.15 | $412.15 | |
| Arizona | $411.41 | $411.41 | |
| Ohio | $410.87 | $410.87 | |
| Wyoming | $410.67 | $410.67 | |
| Missouri | $410.56 | $410.56 | |
| Utah | $409.93 | $409.93 | |
| Virginia | $407.88 | $407.88 | |
| South Carolina | $406.78 | $406.78 | |
| Kentucky | $405.46 | $405.46 | |
| Maine | $402.57 | $402.57 | |
| Vermont | $402.03 | $402.03 | |
| Oklahoma | $401.34 | $401.34 | |
| North Carolina | $400.76 | $400.76 | |
| North Dakota | $399.74 | $399.74 | |
| Minnesota | $398.99 | $398.99 | |
| South Dakota | $397.45 | $397.45 | |
| Mississippi | $396.94 | $396.94 | |
| Indiana | $395.16 | $395.16 | |
| Tennessee | $395.06 | $395.06 | |
| Idaho | $394.05 | $394.05 | |
| Kansas | $393.49 | $393.49 | |
| Alabama | $392.66 | $392.66 | |
| Wisconsin | $392.39 | $392.39 | |
| Nebraska | $391.23 | $391.23 | |
| Iowa | $391.07 | $391.07 | |
| Arkansas | $389.41 | $389.41 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates