CPT 11056 pays $81.16 in a non-facility setting and $19.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $71.57 in Arkansas to $93.50 in District of Columbia, a 31% spread.
National non-facility rate
$81.16
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 31% 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 |
|---|---|---|---|
| District of Columbia | $93.50 | $21.10 | |
| Alaska | $92.87 | $27.42 | |
| California | $92.77 | $20.05 | |
| Washington | $90.28 | $20.22 | |
| New Jersey | $90.11 | $20.91 | |
| New York | $89.76 | $21.19 | |
| Hawaii | $89.30 | $19.42 | |
| Massachusetts | $89.26 | $20.21 | |
| Connecticut | $86.66 | $20.47 | |
| Colorado | $85.13 | $19.74 | |
| Oregon | $84.32 | $19.58 | |
| Maryland | $84.18 | $20.11 | |
| New Hampshire | $83.60 | $19.62 | |
| Rhode Island | $83.43 | $19.94 | |
| Florida | $82.64 | $20.98 | |
| Minnesota | $82.06 | $18.82 | |
| Puerto Rico | $81.84 | $19.71 | |
| Virgin Islands | $81.84 | $19.71 | |
| Montana | $81.16 | $19.70 | |
| Nevada | $81.00 | $19.49 | |
| Wyoming | $80.82 | $19.36 | |
| North Dakota | $80.37 | $18.91 | |
| Delaware | $80.35 | $19.63 | |
| Illinois | $80.30 | $20.91 | |
| South Dakota | $80.28 | $18.82 | |
| Texas | $80.18 | $19.67 | |
| Pennsylvania | $80.10 | $19.90 | |
| Vermont | $79.87 | $19.03 | |
| Virginia | $79.69 | $19.28 | |
| Arizona | $79.00 | $19.45 | |
| Georgia | $78.53 | $19.90 | |
| Maine | $77.84 | $19.12 | |
| Michigan | $77.84 | $20.13 | |
| Wisconsin | $77.57 | $18.70 | |
| Utah | $77.22 | $19.45 | |
| North Carolina | $76.43 | $19.09 | |
| New Mexico | $76.17 | $19.81 | |
| South Carolina | $76.14 | $19.35 | |
| Missouri | $75.92 | $19.52 | |
| Indiana | $75.84 | $18.87 | |
| Louisiana | $75.71 | $19.59 | |
| Ohio | $75.65 | $19.54 | |
| Nebraska | $75.45 | $18.72 | |
| Idaho | $75.38 | $18.84 | |
| Iowa | $74.96 | $18.73 | |
| Tennessee | $74.77 | $18.91 | |
| Kansas | $74.41 | $18.85 | |
| Oklahoma | $74.08 | $19.19 | |
| Kentucky | $74.01 | $19.37 | |
| West Virginia | $73.43 | $20.02 | |
| Alabama | $72.65 | $18.88 | |
| Mississippi | $71.99 | $19.08 | |
| Arkansas | $71.57 | $18.78 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates