CPT 43450 pays $212.10 in a non-facility setting and $73.15 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $186.35 in Arkansas to $244.35 in District of Columbia, a 31% spread.
National non-facility rate
$212.10
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 31% 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 |
|---|---|---|---|
| District of Columbia | $244.35 | $80.67 | |
| California | $241.60 | $77.19 | |
| Alaska | $241.47 | $93.49 | |
| Washington | $235.50 | $77.10 | |
| New Jersey | $235.49 | $79.04 | |
| New York | $234.99 | $79.98 | |
| Massachusetts | $232.92 | $76.81 | |
| Hawaii | $232.64 | $74.65 | |
| Connecticut | $226.71 | $77.07 | |
| Colorado | $222.08 | $74.24 | |
| Maryland | $220.05 | $75.20 | |
| Oregon | $219.89 | $73.51 | |
| New Hampshire | $218.25 | $73.60 | |
| Rhode Island | $217.80 | $74.27 | |
| Florida | $217.39 | $77.98 | |
| Puerto Rico | $213.84 | $73.36 | |
| Virgin Islands | $213.84 | $73.36 | |
| Minnesota | $213.36 | $70.39 | |
| Montana | $212.09 | $73.14 | |
| Nevada | $211.42 | $72.34 | |
| Illinois | $211.23 | $76.97 | |
| Wyoming | $210.79 | $71.85 | |
| Delaware | $209.81 | $72.53 | |
| Pennsylvania | $209.43 | $73.33 | |
| Texas | $209.41 | $72.61 | |
| North Dakota | $209.12 | $70.17 | |
| South Dakota | $208.77 | $69.82 | |
| Vermont | $207.97 | $70.41 | |
| Virginia | $207.81 | $71.23 | |
| Arizona | $206.25 | $71.61 | |
| Georgia | $205.54 | $72.98 | |
| Michigan | $204.05 | $73.58 | |
| Maine | $202.87 | $70.10 | |
| Wisconsin | $201.68 | $68.57 | |
| Utah | $201.66 | $71.05 | |
| New Mexico | $199.38 | $71.96 | |
| North Carolina | $199.21 | $69.57 | |
| South Carolina | $198.78 | $70.39 | |
| Missouri | $198.40 | $70.90 | |
| Louisiana | $197.95 | $71.09 | |
| Ohio | $197.75 | $70.89 | |
| Indiana | $197.45 | $68.65 | |
| Nebraska | $196.25 | $68.00 | |
| Idaho | $196.23 | $68.40 | |
| Iowa | $195.02 | $67.88 | |
| Tennessee | $194.73 | $68.43 | |
| Kansas | $193.74 | $68.13 | |
| Kentucky | $193.32 | $69.79 | |
| Oklahoma | $193.29 | $69.21 | |
| West Virginia | $192.60 | $71.85 | |
| Alabama | $189.25 | $67.68 | |
| Mississippi | $187.81 | $68.17 | |
| Arkansas | $186.35 | $67.00 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates