CPT 43775 pays $1,000.02 in a non-facility setting and $1,000.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $871.70 in Wisconsin to $1,263.42 in Alaska, a 45% spread.
National non-facility rate
$1,000.02
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 | $1,263.42 | $1,263.42 | |
| Florida | $1,166.88 | $1,166.88 | |
| Illinois | $1,156.98 | $1,156.98 | |
| New York | $1,113.23 | $1,113.23 | |
| District of Columbia | $1,084.31 | $1,084.31 | |
| New Jersey | $1,068.94 | $1,068.94 | |
| Connecticut | $1,062.56 | $1,062.56 | |
| Michigan | $1,061.82 | $1,061.82 | |
| West Virginia | $1,054.70 | $1,054.70 | |
| Maryland | $1,029.09 | $1,029.09 | |
| Georgia | $1,028.15 | $1,028.15 | |
| New Mexico | $1,022.00 | $1,022.00 | |
| Pennsylvania | $1,014.83 | $1,014.83 | |
| Massachusetts | $1,011.28 | $1,011.28 | |
| Washington | $1,006.35 | $1,006.35 | |
| Montana | $999.67 | $999.67 | |
| Puerto Rico | $999.15 | $999.15 | |
| Virgin Islands | $999.15 | $999.15 | |
| Rhode Island | $998.96 | $998.96 | |
| Louisiana | $994.30 | $994.30 | |
| Texas | $988.69 | $988.69 | |
| Ohio | $987.45 | $987.45 | |
| New Hampshire | $984.65 | $984.65 | |
| Missouri | $984.04 | $984.04 | |
| Delaware | $983.67 | $983.67 | |
| Colorado | $979.79 | $979.79 | |
| California | $972.84 | $972.84 | |
| Utah | $972.46 | $972.46 | |
| Nevada | $970.84 | $970.84 | |
| Arizona | $969.74 | $969.74 | |
| Kentucky | $967.26 | $967.26 | |
| Oregon | $965.35 | $965.35 | |
| South Carolina | $961.46 | $961.46 | |
| Wyoming | $954.34 | $954.34 | |
| Hawaii | $948.07 | $948.07 | |
| Virginia | $945.64 | $945.64 | |
| Oklahoma | $943.65 | $943.65 | |
| Mississippi | $931.84 | $931.84 | |
| Maine | $927.25 | $927.25 | |
| North Carolina | $925.84 | $925.84 | |
| Vermont | $911.63 | $911.63 | |
| Tennessee | $904.06 | $904.06 | |
| Alabama | $903.69 | $903.69 | |
| Indiana | $897.99 | $897.99 | |
| Kansas | $897.46 | $897.46 | |
| North Dakota | $895.66 | $895.66 | |
| Idaho | $894.58 | $894.58 | |
| Arkansas | $892.16 | $892.16 | |
| South Dakota | $883.37 | $883.37 | |
| Minnesota | $881.00 | $881.00 | |
| Iowa | $880.43 | $880.43 | |
| Nebraska | $878.37 | $878.37 | |
| Wisconsin | $871.70 | $871.70 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates