CPT 11601 pays $227.13 in a non-facility setting and $128.26 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $201.86 in Arkansas to $267.12 in Alaska, a 32% spread.
National non-facility rate
$227.13
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 | $267.12 | $161.83 | |
| District of Columbia | $258.67 | $142.20 | |
| California | $253.67 | $136.68 | |
| New York | $250.74 | $140.44 | |
| New Jersey | $250.37 | $139.04 | |
| Washington | $248.79 | $136.08 | |
| Massachusetts | $246.52 | $135.45 | |
| Hawaii | $244.53 | $132.11 | |
| Connecticut | $241.84 | $135.36 | |
| Colorado | $235.89 | $130.69 | |
| Florida | $235.22 | $136.02 | |
| Maryland | $235.07 | $132.00 | |
| Oregon | $233.56 | $129.41 | |
| Rhode Island | $232.55 | $130.42 | |
| New Hampshire | $232.34 | $129.42 | |
| Illinois | $229.55 | $134.02 | |
| Puerto Rico | $228.67 | $128.72 | |
| Virgin Islands | $228.67 | $128.72 | |
| Montana | $227.11 | $128.24 | |
| Nevada | $225.94 | $126.97 | |
| Minnesota | $225.88 | $124.15 | |
| Pennsylvania | $225.18 | $128.34 | |
| Wyoming | $225.04 | $126.18 | |
| Delaware | $224.83 | $127.15 | |
| Texas | $224.58 | $127.24 | |
| North Dakota | $222.36 | $123.50 | |
| Virginia | $222.19 | $125.01 | |
| Georgia | $221.83 | $127.51 | |
| South Dakota | $221.80 | $122.94 | |
| Vermont | $221.65 | $123.77 | |
| Arizona | $221.27 | $125.47 | |
| Michigan | $221.14 | $128.31 | |
| Maine | $217.38 | $122.92 | |
| Utah | $217.21 | $124.28 | |
| New Mexico | $216.15 | $125.49 | |
| Wisconsin | $215.21 | $120.50 | |
| Missouri | $214.52 | $123.79 | |
| South Carolina | $214.40 | $123.05 | |
| Louisiana | $214.31 | $124.04 | |
| North Carolina | $214.07 | $121.83 | |
| Ohio | $214.00 | $123.73 | |
| Indiana | $211.94 | $120.29 | |
| Idaho | $210.77 | $119.81 | |
| West Virginia | $210.72 | $124.80 | |
| Nebraska | $210.46 | $119.21 | |
| Tennessee | $209.62 | $119.75 | |
| Kentucky | $209.61 | $121.72 | |
| Iowa | $209.40 | $118.94 | |
| Oklahoma | $209.11 | $120.83 | |
| Kansas | $208.59 | $119.22 | |
| Alabama | $204.69 | $118.18 | |
| Mississippi | $203.96 | $118.83 | |
| Arkansas | $201.86 | $116.93 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates