CPT 11765 pays $163.00 in a non-facility setting and $89.18 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $144.58 in Arkansas to $189.34 in Alaska, a 31% spread.
National non-facility rate
$163.00
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 31% 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 | $189.34 | $110.72 | |
| District of Columbia | $186.89 | $99.93 | |
| California | $185.08 | $97.74 | |
| Washington | $180.45 | $96.30 | |
| New Jersey | $180.44 | $97.33 | |
| New York | $179.86 | $97.51 | |
| Massachusetts | $178.51 | $95.58 | |
| Hawaii | $178.20 | $94.28 | |
| Connecticut | $173.68 | $94.18 | |
| Colorado | $170.51 | $91.97 | |
| Oregon | $168.92 | $91.15 | |
| Maryland | $168.86 | $91.90 | |
| New Hampshire | $167.55 | $90.71 | |
| Rhode Island | $167.39 | $91.14 | |
| Florida | $166.24 | $92.18 | |
| Minnesota | $164.37 | $88.41 | |
| Puerto Rico | $164.27 | $89.65 | |
| Virgin Islands | $164.27 | $89.65 | |
| Montana | $162.99 | $89.17 | |
| Nevada | $162.61 | $88.72 | |
| Wyoming | $162.21 | $88.40 | |
| Illinois | $161.82 | $90.49 | |
| Delaware | $161.45 | $88.52 | |
| North Dakota | $161.21 | $87.39 | |
| Texas | $161.14 | $88.47 | |
| Pennsylvania | $161.10 | $88.79 | |
| South Dakota | $161.00 | $87.18 | |
| Vermont | $160.31 | $87.23 | |
| Virginia | $160.07 | $87.51 | |
| Arizona | $158.84 | $87.31 | |
| Georgia | $158.12 | $87.70 | |
| Michigan | $156.89 | $87.57 | |
| Maine | $156.52 | $85.99 | |
| Wisconsin | $155.87 | $85.15 | |
| Utah | $155.48 | $86.09 | |
| North Carolina | $153.85 | $84.98 | |
| New Mexico | $153.62 | $85.93 | |
| South Carolina | $153.41 | $85.20 | |
| Missouri | $153.05 | $85.31 | |
| Louisiana | $152.68 | $85.28 | |
| Indiana | $152.67 | $84.25 | |
| Ohio | $152.56 | $85.17 | |
| Nebraska | $151.87 | $83.74 | |
| Idaho | $151.79 | $83.88 | |
| Iowa | $150.96 | $83.42 | |
| Tennessee | $150.66 | $83.56 | |
| Kansas | $149.96 | $83.23 | |
| Oklahoma | $149.46 | $83.54 | |
| Kentucky | $149.39 | $83.77 | |
| West Virginia | $148.54 | $84.39 | |
| Alabama | $146.66 | $82.07 | |
| Mississippi | $145.50 | $81.94 | |
| Arkansas | $144.58 | $81.18 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates