CPT 10061

Incision & Drainage Abscess Complicated/Multiple

CPT 10061 pays $220.11 in a non-facility setting and $173.35 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $196.54 in Arkansas to $263.48 in Alaska, a 34% spread.

National non-facility rate

$220.11

Office and other outpatient settings

Facility rate
$173.35

Hospital and ASC settings

Highest state
$263.48

Alaska

Lowest state
$196.54

Arkansas · 34% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $220.11
CPT 10061 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $220.11, national facility $173.35.
StateRate compared visuallyNon-facilityFacility
Alaska
$263.48$213.68
District of Columbia
$248.68$193.59
New York
$242.80$190.64
California
$241.62$186.29
New Jersey
$241.42$188.77
Washington
$238.40$185.09
Massachusetts
$236.63$184.09
Connecticut
$233.98$183.61
Hawaii
$233.18$180.01
Florida
$230.98$184.06
Maryland
$227.50$178.75
Colorado
$226.93$177.17
Illinois
$226.07$180.89
Rhode Island
$224.70$176.40
Oregon
$224.62$175.36
New Hampshire
$224.03$175.36
Puerto Rico
$221.37$174.09
Virgin Islands
$221.37$174.09
Montana
$220.09$173.33
Pennsylvania
$218.94$173.14
Nevada
$218.40$171.59
Delaware
$217.85$171.65
Texas
$217.76$171.73
Wyoming
$217.25$170.48
Michigan
$216.72$172.81
Georgia
$216.45$171.84
Minnesota
$216.10$167.98
Virginia
$214.67$168.71
Arizona
$214.52$169.21
North Dakota
$213.56$166.80
Vermont
$213.37$167.08
South Dakota
$212.79$166.03
New Mexico
$211.60$168.72
Utah
$211.23$167.28
Maine
$210.24$165.56
Louisiana
$209.38$166.69
Missouri
$209.30$166.39
Ohio
$208.95$166.26
South Carolina
$208.63$165.43
West Virginia
$207.93$167.29
North Carolina
$207.47$163.84
Wisconsin
$207.06$162.26
Indiana
$205.01$161.66
Kentucky
$204.83$163.26
Idaho
$203.96$160.94
Oklahoma
$203.82$162.07
Nebraska
$203.30$160.14
Tennessee
$203.25$160.74
Iowa
$202.48$159.69
Kansas
$202.24$159.96
Mississippi
$199.27$159.01
Alabama
$199.17$158.25
Arkansas
$196.54$156.37

Commercial rates for 10061

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates