CPT 11604 pays $310.96 in a non-facility setting and $181.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $277.07 in Arkansas to $369.20 in Alaska, a 33% spread.
National non-facility rate
$310.96
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 | $369.20 | $230.83 | |
| District of Columbia | $352.65 | $199.59 | |
| California | $344.17 | $190.43 | |
| New York | $343.13 | $198.18 | |
| New Jersey | $341.87 | $195.57 | |
| Washington | $338.61 | $190.49 | |
| Massachusetts | $335.82 | $189.84 | |
| Hawaii | $331.97 | $184.24 | |
| Connecticut | $330.80 | $190.87 | |
| Florida | $324.26 | $193.90 | |
| Colorado | $321.72 | $183.47 | |
| Maryland | $321.60 | $186.15 | |
| Oregon | $318.49 | $181.61 | |
| Rhode Island | $317.90 | $183.68 | |
| New Hampshire | $317.26 | $182.01 | |
| Illinois | $316.93 | $191.39 | |
| Puerto Rico | $312.90 | $181.54 | |
| Virgin Islands | $312.90 | $181.54 | |
| Montana | $310.94 | $181.01 | |
| Nevada | $308.93 | $178.87 | |
| Pennsylvania | $308.83 | $181.56 | |
| Delaware | $307.80 | $179.43 | |
| Texas | $307.57 | $179.65 | |
| Wyoming | $307.49 | $177.56 | |
| Minnesota | $307.19 | $173.50 | |
| Georgia | $304.80 | $180.85 | |
| Michigan | $304.55 | $182.54 | |
| Virginia | $303.73 | $176.01 | |
| North Dakota | $303.03 | $173.10 | |
| Arizona | $303.01 | $177.11 | |
| Vermont | $302.42 | $173.79 | |
| South Dakota | $302.09 | $172.16 | |
| Utah | $297.94 | $175.80 | |
| New Mexico | $297.51 | $178.37 | |
| Maine | $297.32 | $173.17 | |
| Missouri | $294.75 | $175.52 | |
| Louisiana | $294.68 | $176.05 | |
| South Carolina | $294.18 | $174.13 | |
| Ohio | $294.16 | $175.53 | |
| Wisconsin | $293.55 | $169.08 | |
| North Carolina | $293.11 | $171.89 | |
| West Virginia | $291.26 | $178.35 | |
| Indiana | $289.90 | $169.46 | |
| Idaho | $288.37 | $168.83 | |
| Kentucky | $288.25 | $172.74 | |
| Nebraska | $287.68 | $167.76 | |
| Oklahoma | $287.18 | $171.16 | |
| Tennessee | $287.09 | $168.98 | |
| Iowa | $286.38 | $167.50 | |
| Kansas | $285.67 | $168.22 | |
| Alabama | $280.86 | $167.18 | |
| Mississippi | $280.45 | $168.59 | |
| Arkansas | $277.07 | $165.46 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates