CPT 43820 pays $1,256.54 in a non-facility setting and $1,256.54 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,114.31 in Wisconsin to $1,562.32 in Alaska, a 40% spread.
National non-facility rate
$1,256.54
Office and other outpatient settings
Hospital and ASC settings
Alaska
Wisconsin · 40% 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 | $1,562.32 | $1,562.32 | |
| Florida | $1,432.84 | $1,432.84 | |
| Illinois | $1,416.29 | $1,416.29 | |
| New York | $1,396.90 | $1,396.90 | |
| District of Columbia | $1,377.19 | $1,377.19 | |
| New Jersey | $1,352.15 | $1,352.15 | |
| Connecticut | $1,336.08 | $1,336.08 | |
| Michigan | $1,311.35 | $1,311.35 | |
| Maryland | $1,294.77 | $1,294.77 | |
| West Virginia | $1,292.06 | $1,292.06 | |
| Massachusetts | $1,290.20 | $1,290.20 | |
| Washington | $1,287.89 | $1,287.89 | |
| Georgia | $1,278.47 | $1,278.47 | |
| Pennsylvania | $1,268.99 | $1,268.99 | |
| New Mexico | $1,265.71 | $1,265.71 | |
| Rhode Island | $1,261.64 | $1,261.64 | |
| California | $1,260.04 | $1,260.04 | |
| Puerto Rico | $1,257.48 | $1,257.48 | |
| Virgin Islands | $1,257.48 | $1,257.48 | |
| Montana | $1,256.17 | $1,256.17 | |
| New Hampshire | $1,247.26 | $1,247.26 | |
| Colorado | $1,246.44 | $1,246.44 | |
| Texas | $1,242.18 | $1,242.18 | |
| Delaware | $1,237.47 | $1,237.47 | |
| Louisiana | $1,235.86 | $1,235.86 | |
| Oregon | $1,229.31 | $1,229.31 | |
| Ohio | $1,228.64 | $1,228.64 | |
| Nevada | $1,225.98 | $1,225.98 | |
| Missouri | $1,225.84 | $1,225.84 | |
| Hawaii | $1,224.90 | $1,224.90 | |
| Arizona | $1,219.43 | $1,219.43 | |
| Utah | $1,217.41 | $1,217.41 | |
| Wyoming | $1,208.43 | $1,208.43 | |
| Kentucky | $1,203.33 | $1,203.33 | |
| South Carolina | $1,203.12 | $1,203.12 | |
| Virginia | $1,196.40 | $1,196.40 | |
| Oklahoma | $1,179.15 | $1,179.15 | |
| Maine | $1,172.40 | $1,172.40 | |
| North Carolina | $1,167.12 | $1,167.12 | |
| Vermont | $1,161.75 | $1,161.75 | |
| Mississippi | $1,161.31 | $1,161.31 | |
| North Dakota | $1,146.63 | $1,146.63 | |
| Tennessee | $1,140.14 | $1,140.14 | |
| Indiana | $1,136.78 | $1,136.78 | |
| Minnesota | $1,136.07 | $1,136.07 | |
| Alabama | $1,134.02 | $1,134.02 | |
| South Dakota | $1,133.67 | $1,133.67 | |
| Kansas | $1,132.34 | $1,132.34 | |
| Idaho | $1,132.01 | $1,132.01 | |
| Arkansas | $1,119.18 | $1,119.18 | |
| Iowa | $1,116.26 | $1,116.26 | |
| Nebraska | $1,115.44 | $1,115.44 | |
| Wisconsin | $1,114.31 | $1,114.31 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates