CPT 11721

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CPT 11721 pays $45.09 in a non-facility setting and $21.38 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $40.65 in Arkansas to $54.86 in Alaska, a 35% spread.

National non-facility rate

$45.09

Office and other outpatient settings

Facility rate
$21.38

Hospital and ASC settings

Highest state
$54.86

Alaska

Lowest state
$40.65

Arkansas · 35% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $45.09
CPT 11721 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $45.09, national facility $21.38.
StateRate compared visuallyNon-facilityFacility
Alaska
$54.86$29.61
District of Columbia
$50.81$22.88
California
$49.67$21.61
New York
$49.50$23.05
New Jersey
$49.38$22.68
Washington
$48.90$21.86
Massachusetts
$48.51$21.87
Hawaii
$47.91$20.95
Connecticut
$47.78$22.24
Florida
$46.76$22.96
Colorado
$46.58$21.35
Maryland
$46.54$21.82
Oregon
$46.15$21.16
Rhode Island
$46.10$21.60
New Hampshire
$45.94$21.25
Illinois
$45.81$22.89
Puerto Rico
$45.35$21.37
Virgin Islands
$45.35$21.37
Montana
$45.09$21.37
Nevada
$44.84$21.10
Pennsylvania
$44.84$21.61
Delaware
$44.70$21.27
Texas
$44.67$21.32
Minnesota
$44.66$20.26
Wyoming
$44.66$20.94
Georgia
$44.26$21.64
Michigan
$44.20$21.93
Virginia
$44.16$20.85
North Dakota
$44.10$20.38
Arizona
$44.05$21.07
Vermont
$44.01$20.53
South Dakota
$43.98$20.27
Utah
$43.38$21.09
Maine
$43.32$20.66
New Mexico
$43.29$21.55
Missouri
$42.95$21.19
Louisiana
$42.93$21.28
South Carolina
$42.89$20.97
Ohio
$42.87$21.22
Wisconsin
$42.86$20.14
North Carolina
$42.77$20.64
West Virginia
$42.44$21.83
Indiana
$42.36$20.37
Idaho
$42.15$20.34
Kentucky
$42.09$21.01
Nebraska
$42.07$20.18
Tennessee
$41.98$20.42
Oklahoma
$41.97$20.79
Iowa
$41.90$20.20
Kansas
$41.79$20.36
Alabama
$41.15$20.40
Mississippi
$41.08$20.66
Arkansas
$40.65$20.28

Billed by 1 specialties

Commercial rates for 11721

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates