CPT 11603 pays $276.23 in a non-facility setting and $163.33 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $246.44 in Arkansas to $328.47 in Alaska, a 33% spread.
National non-facility rate
$276.23
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 33% 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 | $328.47 | $208.24 | |
| District of Columbia | $313.29 | $180.30 | |
| California | $306.24 | $172.66 | |
| New York | $304.58 | $178.64 | |
| New Jersey | $303.71 | $176.59 | |
| Washington | $301.06 | $172.36 | |
| Massachusetts | $298.53 | $171.69 | |
| Hawaii | $295.33 | $166.97 | |
| Connecticut | $293.73 | $172.14 | |
| Florida | $287.24 | $173.97 | |
| Colorado | $286.01 | $165.89 | |
| Maryland | $285.64 | $167.95 | |
| Oregon | $283.19 | $164.25 | |
| Rhode Island | $282.50 | $165.88 | |
| New Hampshire | $281.96 | $164.43 | |
| Illinois | $280.74 | $171.65 | |
| Puerto Rico | $277.97 | $163.83 | |
| Virgin Islands | $277.97 | $163.83 | |
| Montana | $276.20 | $163.31 | |
| Nevada | $274.56 | $161.55 | |
| Pennsylvania | $274.26 | $163.68 | |
| Delaware | $273.49 | $161.95 | |
| Minnesota | $273.49 | $157.32 | |
| Wyoming | $273.36 | $160.46 | |
| Texas | $273.26 | $162.11 | |
| Georgia | $270.55 | $162.85 | |
| Michigan | $270.14 | $164.13 | |
| Virginia | $270.04 | $159.06 | |
| North Dakota | $269.68 | $156.78 | |
| Arizona | $269.26 | $159.87 | |
| Vermont | $269.05 | $157.28 | |
| South Dakota | $268.91 | $156.01 | |
| Utah | $264.70 | $158.58 | |
| Maine | $264.39 | $156.52 | |
| New Mexico | $264.05 | $160.53 | |
| Missouri | $261.78 | $158.18 | |
| Louisiana | $261.66 | $158.59 | |
| South Carolina | $261.40 | $157.08 | |
| Wisconsin | $261.32 | $153.16 | |
| Ohio | $261.23 | $158.16 | |
| North Carolina | $260.63 | $155.30 | |
| West Virginia | $258.27 | $160.16 | |
| Indiana | $257.91 | $153.25 | |
| Idaho | $256.55 | $152.69 | |
| Kentucky | $256.05 | $155.68 | |
| Nebraska | $256.02 | $151.82 | |
| Tennessee | $255.35 | $152.73 | |
| Oklahoma | $255.22 | $154.40 | |
| Iowa | $254.84 | $151.55 | |
| Kansas | $254.12 | $152.06 | |
| Alabama | $249.77 | $150.99 | |
| Mississippi | $249.25 | $152.05 | |
| Arkansas | $246.44 | $149.46 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates