CPT 11201 pays $18.37 in a non-facility setting and $13.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $16.75 in Arkansas to $23.12 in Alaska, a 38% spread.
National non-facility rate
$18.37
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 38% 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 | $23.12 | $17.43 | |
| District of Columbia | $20.42 | $14.12 | |
| New York | $20.10 | $14.14 | |
| New Jersey | $19.94 | $13.93 | |
| California | $19.72 | $13.39 | |
| Washington | $19.58 | $13.48 | |
| Massachusetts | $19.47 | $13.47 | |
| Connecticut | $19.39 | $13.63 | |
| Florida | $19.35 | $13.98 | |
| Hawaii | $19.05 | $12.97 | |
| Illinois | $19.05 | $13.88 | |
| Maryland | $18.91 | $13.34 | |
| Colorado | $18.78 | $13.09 | |
| Rhode Island | $18.70 | $13.18 | |
| Oregon | $18.60 | $12.97 | |
| New Hampshire | $18.57 | $13.01 | |
| Puerto Rico | $18.44 | $13.04 | |
| Virgin Islands | $18.44 | $13.04 | |
| Montana | $18.37 | $13.02 | |
| Pennsylvania | $18.36 | $13.12 | |
| Michigan | $18.29 | $13.27 | |
| Texas | $18.23 | $12.97 | |
| Delaware | $18.22 | $12.94 | |
| Georgia | $18.21 | $13.11 | |
| Nevada | $18.21 | $12.86 | |
| Wyoming | $18.11 | $12.77 | |
| Arizona | $17.98 | $12.80 | |
| Virginia | $17.94 | $12.69 | |
| New Mexico | $17.91 | $13.01 | |
| Minnesota | $17.90 | $12.40 | |
| Vermont | $17.80 | $12.50 | |
| Utah | $17.79 | $12.76 | |
| North Dakota | $17.78 | $12.43 | |
| West Virginia | $17.75 | $13.11 | |
| Louisiana | $17.72 | $12.84 | |
| South Dakota | $17.71 | $12.36 | |
| Missouri | $17.69 | $12.79 | |
| Ohio | $17.68 | $12.80 | |
| Maine | $17.64 | $12.53 | |
| South Carolina | $17.61 | $12.67 | |
| North Carolina | $17.47 | $12.49 | |
| Kentucky | $17.40 | $12.64 | |
| Wisconsin | $17.34 | $12.22 | |
| Oklahoma | $17.29 | $12.52 | |
| Indiana | $17.27 | $12.32 | |
| Idaho | $17.20 | $12.28 | |
| Tennessee | $17.18 | $12.32 | |
| Nebraska | $17.13 | $12.20 | |
| Kansas | $17.10 | $12.27 | |
| Iowa | $17.08 | $12.20 | |
| Mississippi | $16.99 | $12.39 | |
| Alabama | $16.93 | $12.26 | |
| Arkansas | $16.75 | $12.16 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates