CPT 11200 pays $92.19 in a non-facility setting and $69.14 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $82.04 in Arkansas to $108.43 in Alaska, a 32% spread.
National non-facility rate
$92.19
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 32% 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 | $108.43 | $83.88 | |
| District of Columbia | $105.11 | $77.96 | |
| California | $103.43 | $76.16 | |
| New Jersey | $101.70 | $75.74 | |
| New York | $101.67 | $75.96 | |
| Washington | $101.26 | $74.98 | |
| Massachusetts | $100.28 | $74.39 | |
| Hawaii | $99.66 | $73.46 | |
| Connecticut | $98.12 | $73.30 | |
| Colorado | $95.94 | $71.42 | |
| Maryland | $95.41 | $71.38 | |
| Oregon | $95.02 | $70.74 | |
| Florida | $94.93 | $71.80 | |
| Rhode Island | $94.48 | $70.67 | |
| New Hampshire | $94.43 | $70.44 | |
| Puerto Rico | $92.84 | $69.54 | |
| Virgin Islands | $92.84 | $69.54 | |
| Illinois | $92.59 | $70.33 | |
| Montana | $92.18 | $69.13 | |
| Minnesota | $92.13 | $68.41 | |
| Nevada | $91.80 | $68.73 | |
| Wyoming | $91.49 | $68.45 | |
| Pennsylvania | $91.32 | $68.75 | |
| Delaware | $91.30 | $68.53 | |
| Texas | $91.17 | $68.48 | |
| North Dakota | $90.60 | $67.55 | |
| South Dakota | $90.41 | $67.37 | |
| Virginia | $90.33 | $67.68 | |
| Vermont | $90.24 | $67.42 | |
| Arizona | $89.86 | $67.52 | |
| Georgia | $89.86 | $67.88 | |
| Michigan | $89.44 | $67.80 | |
| Maine | $88.39 | $66.37 | |
| Utah | $88.15 | $66.48 | |
| Wisconsin | $87.70 | $65.62 | |
| New Mexico | $87.51 | $66.38 | |
| North Carolina | $87.01 | $65.51 | |
| South Carolina | $87.01 | $65.72 | |
| Missouri | $86.97 | $65.83 | |
| Louisiana | $86.85 | $65.81 | |
| Ohio | $86.74 | $65.70 | |
| Indiana | $86.23 | $64.86 | |
| Idaho | $85.75 | $64.55 | |
| Nebraska | $85.69 | $64.42 | |
| Iowa | $85.24 | $64.15 | |
| Tennessee | $85.24 | $64.29 | |
| West Virginia | $85.11 | $65.08 | |
| Kentucky | $84.99 | $64.50 | |
| Oklahoma | $84.87 | $64.29 | |
| Kansas | $84.83 | $64.00 | |
| Alabama | $83.18 | $63.01 | |
| Mississippi | $82.76 | $62.92 | |
| Arkansas | $82.04 | $62.24 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates