CPT 43453 pays $831.68 in a non-facility setting and $77.49 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $718.80 in Arkansas to $973.66 in District of Columbia, a 35% spread.
National non-facility rate
$831.68
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 35% 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 | $973.66 | $85.22 | |
| California | $973.51 | $81.09 | |
| Washington | $941.04 | $81.26 | |
| Hawaii | $936.00 | $78.48 | |
| New Jersey | $932.80 | $83.58 | |
| Massachusetts | $928.36 | $81.03 | |
| New York | $926.17 | $84.79 | |
| Alaska | $902.56 | $99.34 | |
| Connecticut | $893.91 | $81.65 | |
| Colorado | $880.83 | $78.37 | |
| Oregon | $872.11 | $77.57 | |
| Maryland | $865.89 | $79.64 | |
| New Hampshire | $862.91 | $77.79 | |
| Rhode Island | $857.64 | $78.56 | |
| Minnesota | $850.07 | $74.00 | |
| Puerto Rico | $840.17 | $77.68 | |
| Virgin Islands | $840.17 | $77.68 | |
| Florida | $839.97 | $83.27 | |
| Montana | $831.67 | $77.48 | |
| Nevada | $831.46 | $76.51 | |
| Wyoming | $830.12 | $75.93 | |
| North Dakota | $828.11 | $73.92 | |
| South Dakota | $827.69 | $73.50 | |
| Delaware | $821.95 | $76.80 | |
| Vermont | $820.91 | $74.26 | |
| Texas | $819.42 | $76.92 | |
| Virginia | $816.66 | $75.29 | |
| Pennsylvania | $816.52 | $77.79 | |
| Illinois | $811.00 | $82.26 | |
| Arizona | $806.64 | $75.83 | |
| Georgia | $797.06 | $77.56 | |
| Wisconsin | $794.77 | $72.25 | |
| Maine | $794.73 | $74.10 | |
| Michigan | $786.56 | $78.37 | |
| Utah | $784.27 | $75.33 | |
| North Carolina | $777.26 | $73.60 | |
| Indiana | $771.66 | $72.52 | |
| South Carolina | $771.51 | $74.63 | |
| New Mexico | $768.16 | $76.56 | |
| Nebraska | $767.89 | $71.77 | |
| Missouri | $767.38 | $75.28 | |
| Idaho | $766.12 | $72.26 | |
| Louisiana | $764.11 | $75.54 | |
| Ohio | $763.88 | $75.30 | |
| Iowa | $761.76 | $71.68 | |
| Tennessee | $757.93 | $72.37 | |
| Kansas | $753.83 | $72.04 | |
| Oklahoma | $746.89 | $73.40 | |
| Kentucky | $744.60 | $74.12 | |
| West Virginia | $732.11 | $76.71 | |
| Alabama | $731.58 | $71.67 | |
| Mississippi | $721.71 | $72.35 | |
| Arkansas | $718.80 | $70.95 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates