CPT 11401 pays $154.98 in a non-facility setting and $94.52 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $137.18 in Arkansas to $180.47 in Alaska, a 32% spread.
National non-facility rate
$154.98
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 | $180.47 | $116.08 | |
| District of Columbia | $177.04 | $105.83 | |
| California | $173.80 | $102.27 | |
| New York | $171.35 | $103.91 | |
| New Jersey | $171.16 | $103.09 | |
| Washington | $170.27 | $101.35 | |
| Massachusetts | $168.66 | $100.74 | |
| Hawaii | $167.51 | $98.77 | |
| Connecticut | $165.24 | $100.13 | |
| Colorado | $161.22 | $96.89 | |
| Maryland | $160.52 | $97.50 | |
| Florida | $160.40 | $99.74 | |
| Oregon | $159.61 | $95.92 | |
| Rhode Island | $158.76 | $96.31 | |
| New Hampshire | $158.74 | $95.80 | |
| Illinois | $156.35 | $97.94 | |
| Puerto Rico | $156.09 | $94.97 | |
| Virgin Islands | $156.09 | $94.97 | |
| Montana | $154.97 | $94.51 | |
| Minnesota | $154.35 | $92.14 | |
| Nevada | $154.20 | $93.68 | |
| Wyoming | $153.59 | $93.14 | |
| Pennsylvania | $153.51 | $94.30 | |
| Delaware | $153.35 | $93.62 | |
| Texas | $153.16 | $93.64 | |
| North Dakota | $151.81 | $91.35 | |
| Virginia | $151.57 | $92.15 | |
| South Dakota | $151.43 | $90.98 | |
| Vermont | $151.26 | $91.41 | |
| Georgia | $151.13 | $93.46 | |
| Arizona | $150.87 | $92.28 | |
| Michigan | $150.58 | $93.81 | |
| Maine | $148.18 | $90.42 | |
| Utah | $147.96 | $91.13 | |
| New Mexico | $147.10 | $91.66 | |
| Wisconsin | $146.75 | $88.83 | |
| Missouri | $146.01 | $90.54 | |
| South Carolina | $145.98 | $90.12 | |
| Louisiana | $145.85 | $90.65 | |
| North Carolina | $145.82 | $89.42 | |
| Ohio | $145.64 | $90.44 | |
| Indiana | $144.36 | $88.32 | |
| Idaho | $143.53 | $87.91 | |
| Nebraska | $143.35 | $87.55 | |
| West Virginia | $143.15 | $90.61 | |
| Tennessee | $142.69 | $87.73 | |
| Iowa | $142.59 | $87.27 | |
| Kentucky | $142.55 | $88.81 | |
| Oklahoma | $142.24 | $88.26 | |
| Kansas | $141.97 | $87.32 | |
| Alabama | $139.18 | $86.28 | |
| Mississippi | $138.59 | $86.54 | |
| Arkansas | $137.18 | $85.25 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates