CPT 43825 pays $1,230.49 in a non-facility setting and $1,230.49 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,085.26 in Wisconsin to $1,521.27 in Alaska, a 40% spread.
National non-facility rate
$1,230.49
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 | $1,521.27 | $1,521.27 | |
| Florida | $1,411.19 | $1,411.19 | |
| Illinois | $1,394.60 | $1,394.60 | |
| New York | $1,370.69 | $1,370.69 | |
| District of Columbia | $1,349.30 | $1,349.30 | |
| New Jersey | $1,324.47 | $1,324.47 | |
| Connecticut | $1,310.07 | $1,310.07 | |
| Michigan | $1,287.55 | $1,287.55 | |
| West Virginia | $1,268.76 | $1,268.76 | |
| Maryland | $1,268.52 | $1,268.52 | |
| Massachusetts | $1,262.00 | $1,262.00 | |
| Washington | $1,259.27 | $1,259.27 | |
| Georgia | $1,253.56 | $1,253.56 | |
| Pennsylvania | $1,243.15 | $1,243.15 | |
| New Mexico | $1,241.07 | $1,241.07 | |
| Rhode Island | $1,234.42 | $1,234.42 | |
| Puerto Rico | $1,231.30 | $1,231.30 | |
| Virgin Islands | $1,231.30 | $1,231.30 | |
| Montana | $1,230.11 | $1,230.11 | |
| California | $1,229.91 | $1,229.91 | |
| New Hampshire | $1,220.39 | $1,220.39 | |
| Colorado | $1,218.69 | $1,218.69 | |
| Texas | $1,215.75 | $1,215.75 | |
| Delaware | $1,210.89 | $1,210.89 | |
| Louisiana | $1,210.52 | $1,210.52 | |
| Ohio | $1,203.12 | $1,203.12 | |
| Oregon | $1,201.46 | $1,201.46 | |
| Missouri | $1,200.18 | $1,200.18 | |
| Nevada | $1,199.14 | $1,199.14 | |
| Hawaii | $1,196.10 | $1,196.10 | |
| Arizona | $1,192.88 | $1,192.88 | |
| Utah | $1,191.22 | $1,191.22 | |
| Wyoming | $1,181.16 | $1,181.16 | |
| Kentucky | $1,177.51 | $1,177.51 | |
| South Carolina | $1,176.80 | $1,176.80 | |
| Virginia | $1,169.07 | $1,169.07 | |
| Oklahoma | $1,152.66 | $1,152.66 | |
| Maine | $1,144.86 | $1,144.86 | |
| North Carolina | $1,139.76 | $1,139.76 | |
| Mississippi | $1,134.82 | $1,134.82 | |
| Vermont | $1,133.45 | $1,133.45 | |
| North Dakota | $1,117.80 | $1,117.80 | |
| Tennessee | $1,112.44 | $1,112.44 | |
| Indiana | $1,108.74 | $1,108.74 | |
| Alabama | $1,106.65 | $1,106.65 | |
| Minnesota | $1,106.56 | $1,106.56 | |
| Kansas | $1,104.52 | $1,104.52 | |
| South Dakota | $1,104.52 | $1,104.52 | |
| Idaho | $1,103.95 | $1,103.95 | |
| Arkansas | $1,091.66 | $1,091.66 | |
| Iowa | $1,087.87 | $1,087.87 | |
| Nebraska | $1,086.92 | $1,086.92 | |
| Wisconsin | $1,085.26 | $1,085.26 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates