CPT 11403 pays $199.74 in a non-facility setting and $135.61 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $177.13 in Arkansas to $234.44 in Alaska, a 32% spread.
National non-facility rate
$199.74
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 | $234.44 | $166.14 | |
| District of Columbia | $227.33 | $151.79 | |
| California | $222.18 | $146.29 | |
| New York | $220.79 | $149.24 | |
| New Jersey | $220.09 | $147.88 | |
| Washington | $218.28 | $145.17 | |
| Massachusetts | $216.39 | $144.34 | |
| Hawaii | $214.25 | $141.34 | |
| Connecticut | $212.82 | $143.75 | |
| Florida | $208.08 | $143.74 | |
| Colorado | $207.05 | $138.81 | |
| Maryland | $206.75 | $139.90 | |
| Oregon | $204.95 | $137.39 | |
| Rhode Island | $204.31 | $138.07 | |
| New Hampshire | $204.09 | $137.33 | |
| Illinois | $203.11 | $141.15 | |
| Puerto Rico | $201.06 | $136.22 | |
| Virgin Islands | $201.06 | $136.22 | |
| Montana | $199.72 | $135.59 | |
| Nevada | $198.47 | $134.28 | |
| Pennsylvania | $198.15 | $135.34 | |
| Minnesota | $197.68 | $131.69 | |
| Delaware | $197.61 | $134.25 | |
| Wyoming | $197.57 | $133.44 | |
| Texas | $197.43 | $134.30 | |
| Georgia | $195.41 | $134.23 | |
| Michigan | $195.11 | $134.89 | |
| Virginia | $195.05 | $132.01 | |
| North Dakota | $194.78 | $130.65 | |
| Arizona | $194.46 | $132.31 | |
| Vermont | $194.30 | $130.81 | |
| South Dakota | $194.19 | $130.06 | |
| Utah | $190.99 | $130.71 | |
| Maine | $190.76 | $129.49 | |
| New Mexico | $190.49 | $131.69 | |
| Missouri | $188.77 | $129.92 | |
| Louisiana | $188.68 | $130.13 | |
| South Carolina | $188.48 | $129.23 | |
| Wisconsin | $188.43 | $127.00 | |
| Ohio | $188.36 | $129.80 | |
| North Carolina | $187.91 | $128.07 | |
| West Virginia | $186.10 | $130.37 | |
| Indiana | $185.84 | $126.39 | |
| Idaho | $184.81 | $125.81 | |
| Kentucky | $184.42 | $127.41 | |
| Nebraska | $184.41 | $125.22 | |
| Tennessee | $183.90 | $125.60 | |
| Oklahoma | $183.79 | $126.53 | |
| Iowa | $183.52 | $124.84 | |
| Kansas | $182.96 | $124.99 | |
| Alabama | $179.66 | $123.55 | |
| Mississippi | $179.27 | $124.05 | |
| Arkansas | $177.13 | $122.04 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates