CPT 43281 pays $1,424.88 in a non-facility setting and $1,424.88 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,254.88 in Wisconsin to $1,778.51 in Alaska, a 42% spread.
National non-facility rate
$1,424.88
Office and other outpatient settings
Hospital and ASC settings
Alaska
Wisconsin · 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 | $1,778.51 | $1,778.51 | |
| Florida | $1,639.42 | $1,639.42 | |
| Illinois | $1,622.07 | $1,622.07 | |
| New York | $1,585.52 | $1,585.52 | |
| District of Columbia | $1,556.42 | $1,556.42 | |
| New Jersey | $1,530.06 | $1,530.06 | |
| Connecticut | $1,515.20 | $1,515.20 | |
| Michigan | $1,496.44 | $1,496.44 | |
| West Virginia | $1,478.43 | $1,478.43 | |
| Maryland | $1,467.77 | $1,467.77 | |
| Massachusetts | $1,455.42 | $1,455.42 | |
| Georgia | $1,455.17 | $1,455.17 | |
| Washington | $1,451.22 | $1,451.22 | |
| New Mexico | $1,442.56 | $1,442.56 | |
| Pennsylvania | $1,441.41 | $1,441.41 | |
| Rhode Island | $1,427.98 | $1,427.98 | |
| Puerto Rico | $1,425.16 | $1,425.16 | |
| Virgin Islands | $1,425.16 | $1,425.16 | |
| Montana | $1,424.43 | $1,424.43 | |
| California | $1,413.78 | $1,413.78 | |
| New Hampshire | $1,410.35 | $1,410.35 | |
| Texas | $1,408.45 | $1,408.45 | |
| Colorado | $1,407.22 | $1,407.22 | |
| Louisiana | $1,406.51 | $1,406.51 | |
| Delaware | $1,402.45 | $1,402.45 | |
| Ohio | $1,397.71 | $1,397.71 | |
| Missouri | $1,393.93 | $1,393.93 | |
| Nevada | $1,387.56 | $1,387.56 | |
| Oregon | $1,387.29 | $1,387.29 | |
| Arizona | $1,382.09 | $1,382.09 | |
| Utah | $1,381.91 | $1,381.91 | |
| Hawaii | $1,375.59 | $1,375.59 | |
| Kentucky | $1,368.75 | $1,368.75 | |
| Wyoming | $1,366.26 | $1,366.26 | |
| South Carolina | $1,365.76 | $1,365.76 | |
| Virginia | $1,352.94 | $1,352.94 | |
| Oklahoma | $1,338.97 | $1,338.97 | |
| Maine | $1,325.86 | $1,325.86 | |
| North Carolina | $1,321.18 | $1,321.18 | |
| Mississippi | $1,319.75 | $1,319.75 | |
| Vermont | $1,310.18 | $1,310.18 | |
| North Dakota | $1,290.96 | $1,290.96 | |
| Tennessee | $1,290.19 | $1,290.19 | |
| Alabama | $1,285.41 | $1,285.41 | |
| Indiana | $1,284.69 | $1,284.69 | |
| Kansas | $1,281.09 | $1,281.09 | |
| Idaho | $1,279.43 | $1,279.43 | |
| Minnesota | $1,275.82 | $1,275.82 | |
| South Dakota | $1,275.18 | $1,275.18 | |
| Arkansas | $1,268.58 | $1,268.58 | |
| Iowa | $1,260.63 | $1,260.63 | |
| Nebraska | $1,259.01 | $1,259.01 | |
| Wisconsin | $1,254.88 | $1,254.88 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates