CPT 11404 pays $231.13 in a non-facility setting and $151.97 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $204.11 in Arkansas to $269.91 in Alaska, a 32% spread.
National non-facility rate
$231.13
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 | $269.91 | $185.60 | |
| District of Columbia | $262.96 | $169.71 | |
| New York | $256.09 | $167.78 | |
| California | $255.64 | $161.98 | |
| New Jersey | $254.61 | $165.47 | |
| Washington | $251.81 | $161.56 | |
| Massachusetts | $249.78 | $160.84 | |
| Hawaii | $246.66 | $156.66 | |
| Connecticut | $246.61 | $161.35 | |
| Florida | $243.02 | $163.59 | |
| Maryland | $239.35 | $156.82 | |
| Colorado | $238.95 | $154.72 | |
| Illinois | $237.26 | $160.77 | |
| Oregon | $236.40 | $153.01 | |
| Rhode Island | $236.10 | $154.33 | |
| New Hampshire | $235.79 | $153.39 | |
| Puerto Rico | $232.61 | $152.58 | |
| Virgin Islands | $232.61 | $152.58 | |
| Montana | $231.11 | $151.95 | |
| Pennsylvania | $229.50 | $151.96 | |
| Nevada | $229.28 | $150.04 | |
| Delaware | $228.46 | $150.25 | |
| Texas | $228.33 | $150.39 | |
| Wyoming | $228.01 | $148.85 | |
| Minnesota | $227.03 | $145.57 | |
| Michigan | $226.87 | $152.53 | |
| Georgia | $226.69 | $151.17 | |
| Virginia | $225.04 | $147.23 | |
| Arizona | $224.74 | $148.04 | |
| North Dakota | $223.99 | $144.83 | |
| Vermont | $223.69 | $145.32 | |
| South Dakota | $223.15 | $143.99 | |
| New Mexico | $221.08 | $148.49 | |
| Utah | $220.89 | $146.48 | |
| Maine | $219.95 | $144.32 | |
| Louisiana | $218.62 | $146.35 | |
| Missouri | $218.57 | $145.93 | |
| Ohio | $218.15 | $145.88 | |
| South Carolina | $217.91 | $144.76 | |
| North Carolina | $216.72 | $142.87 | |
| West Virginia | $216.63 | $147.84 | |
| Wisconsin | $216.50 | $140.67 | |
| Indiana | $213.98 | $140.60 | |
| Kentucky | $213.43 | $143.06 | |
| Idaho | $212.77 | $139.95 | |
| Oklahoma | $212.37 | $141.68 | |
| Nebraska | $212.08 | $139.02 | |
| Tennessee | $211.89 | $139.93 | |
| Iowa | $211.11 | $138.68 | |
| Kansas | $210.74 | $139.18 | |
| Alabama | $207.13 | $137.86 | |
| Mississippi | $207.10 | $138.95 | |
| Arkansas | $204.11 | $136.11 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates