CPT 43460 pays $187.71 in a non-facility setting and $187.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $173.85 in Arkansas to $246.46 in Alaska, a 42% spread.
National non-facility rate
$187.71
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 | $246.46 | $246.46 | |
| District of Columbia | $204.89 | $204.89 | |
| New York | $204.41 | $204.41 | |
| New Jersey | $201.55 | $201.55 | |
| Florida | $201.16 | $201.16 | |
| Illinois | $199.23 | $199.23 | |
| Connecticut | $196.99 | $196.99 | |
| Washington | $195.66 | $195.66 | |
| Massachusetts | $195.23 | $195.23 | |
| California | $194.90 | $194.90 | |
| Maryland | $192.54 | $192.54 | |
| Michigan | $190.37 | $190.37 | |
| Rhode Island | $190.20 | $190.20 | |
| Colorado | $189.33 | $189.33 | |
| Pennsylvania | $188.77 | $188.77 | |
| Hawaii | $188.67 | $188.67 | |
| Georgia | $188.35 | $188.35 | |
| Puerto Rico | $188.05 | $188.05 | |
| Virgin Islands | $188.05 | $188.05 | |
| New Hampshire | $188.01 | $188.01 | |
| Montana | $187.69 | $187.69 | |
| Oregon | $187.50 | $187.50 | |
| West Virginia | $187.20 | $187.20 | |
| Texas | $186.62 | $186.62 | |
| New Mexico | $186.37 | $186.37 | |
| Delaware | $186.31 | $186.31 | |
| Nevada | $185.42 | $185.42 | |
| Arizona | $184.14 | $184.14 | |
| Wyoming | $184.07 | $184.07 | |
| Louisiana | $184.01 | $184.01 | |
| Ohio | $183.47 | $183.47 | |
| Missouri | $183.37 | $183.37 | |
| Utah | $183.28 | $183.28 | |
| Virginia | $182.74 | $182.74 | |
| South Carolina | $181.80 | $181.80 | |
| Kentucky | $180.96 | $180.96 | |
| Vermont | $180.28 | $180.28 | |
| Maine | $180.24 | $180.24 | |
| North Dakota | $179.38 | $179.38 | |
| Minnesota | $179.29 | $179.29 | |
| North Carolina | $179.29 | $179.29 | |
| Oklahoma | $179.22 | $179.22 | |
| South Dakota | $178.40 | $178.40 | |
| Mississippi | $177.09 | $177.09 | |
| Indiana | $176.85 | $176.85 | |
| Tennessee | $176.66 | $176.66 | |
| Idaho | $176.31 | $176.31 | |
| Kansas | $175.95 | $175.95 | |
| Wisconsin | $175.90 | $175.90 | |
| Alabama | $175.36 | $175.36 | |
| Nebraska | $175.13 | $175.13 | |
| Iowa | $175.00 | $175.00 | |
| Arkansas | $173.85 | $173.85 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates