CPT 43753 pays $20.37 in a non-facility setting and $20.37 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $18.40 in Wisconsin to $26.72 in Alaska, a 45% spread.
National non-facility rate
$20.37
Office and other outpatient settings
Hospital and ASC settings
Alaska
Wisconsin · 45% 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 | $26.72 | $26.72 | |
| Florida | $22.91 | $22.91 | |
| Illinois | $22.76 | $22.76 | |
| New York | $22.38 | $22.38 | |
| District of Columbia | $22.01 | $22.01 | |
| New Jersey | $21.73 | $21.73 | |
| Connecticut | $21.46 | $21.46 | |
| Michigan | $21.28 | $21.28 | |
| West Virginia | $21.13 | $21.13 | |
| Maryland | $20.90 | $20.90 | |
| Georgia | $20.78 | $20.78 | |
| Massachusetts | $20.75 | $20.75 | |
| Washington | $20.69 | $20.69 | |
| New Mexico | $20.66 | $20.66 | |
| Pennsylvania | $20.63 | $20.63 | |
| Rhode Island | $20.46 | $20.46 | |
| Montana | $20.37 | $20.37 | |
| Puerto Rico | $20.37 | $20.37 | |
| Virgin Islands | $20.37 | $20.37 | |
| Louisiana | $20.24 | $20.24 | |
| California | $20.23 | $20.23 | |
| Texas | $20.22 | $20.22 | |
| Colorado | $20.16 | $20.16 | |
| New Hampshire | $20.16 | $20.16 | |
| Delaware | $20.14 | $20.14 | |
| Ohio | $20.13 | $20.13 | |
| Missouri | $20.09 | $20.09 | |
| Nevada | $19.93 | $19.93 | |
| Utah | $19.92 | $19.92 | |
| Oregon | $19.91 | $19.91 | |
| Arizona | $19.90 | $19.90 | |
| Kentucky | $19.81 | $19.81 | |
| South Carolina | $19.75 | $19.75 | |
| Wyoming | $19.68 | $19.68 | |
| Hawaii | $19.66 | $19.66 | |
| Virginia | $19.54 | $19.54 | |
| Oklahoma | $19.46 | $19.46 | |
| Mississippi | $19.26 | $19.26 | |
| Maine | $19.24 | $19.24 | |
| North Carolina | $19.21 | $19.21 | |
| Vermont | $19.02 | $19.02 | |
| Tennessee | $18.86 | $18.86 | |
| Alabama | $18.84 | $18.84 | |
| North Dakota | $18.79 | $18.79 | |
| Indiana | $18.78 | $18.78 | |
| Kansas | $18.76 | $18.76 | |
| Idaho | $18.73 | $18.73 | |
| Arkansas | $18.65 | $18.65 | |
| South Dakota | $18.60 | $18.60 | |
| Minnesota | $18.58 | $18.58 | |
| Iowa | $18.51 | $18.51 | |
| Nebraska | $18.48 | $18.48 | |
| Wisconsin | $18.40 | $18.40 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates