CPT 11900 pays $56.78 in a non-facility setting and $24.05 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $50.60 in Arkansas to $67.02 in Alaska, a 32% spread.
National non-facility rate
$56.78
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 | $67.02 | $32.16 | |
| District of Columbia | $64.67 | $26.11 | |
| California | $63.61 | $24.87 | |
| New Jersey | $62.59 | $25.74 | |
| New York | $62.59 | $26.07 | |
| Washington | $62.30 | $24.98 | |
| Massachusetts | $61.71 | $24.93 | |
| Hawaii | $61.29 | $24.08 | |
| Connecticut | $60.40 | $25.15 | |
| Colorado | $59.06 | $24.23 | |
| Maryland | $58.75 | $24.63 | |
| Florida | $58.49 | $25.65 | |
| Oregon | $58.49 | $24.01 | |
| Rhode Island | $58.18 | $24.37 | |
| New Hampshire | $58.13 | $24.06 | |
| Puerto Rico | $57.18 | $24.08 | |
| Virgin Islands | $57.18 | $24.08 | |
| Illinois | $57.08 | $25.45 | |
| Montana | $56.78 | $24.05 | |
| Minnesota | $56.71 | $23.03 | |
| Nevada | $56.54 | $23.78 | |
| Wyoming | $56.35 | $23.61 | |
| Pennsylvania | $56.27 | $24.21 | |
| Delaware | $56.24 | $23.90 | |
| Texas | $56.17 | $23.94 | |
| North Dakota | $55.79 | $23.06 | |
| South Dakota | $55.67 | $22.94 | |
| Virginia | $55.64 | $23.47 | |
| Vermont | $55.58 | $23.17 | |
| Georgia | $55.38 | $24.16 | |
| Arizona | $55.36 | $23.64 | |
| Michigan | $55.14 | $24.40 | |
| Maine | $54.46 | $23.19 | |
| Utah | $54.33 | $23.56 | |
| Wisconsin | $54.03 | $22.67 | |
| New Mexico | $53.96 | $23.94 | |
| South Carolina | $53.64 | $23.39 | |
| North Carolina | $53.63 | $23.09 | |
| Missouri | $53.62 | $23.58 | |
| Louisiana | $53.55 | $23.66 | |
| Ohio | $53.48 | $23.60 | |
| Indiana | $53.14 | $22.80 | |
| Idaho | $52.86 | $22.74 | |
| Nebraska | $52.81 | $22.60 | |
| Iowa | $52.54 | $22.59 | |
| Tennessee | $52.54 | $22.79 | |
| West Virginia | $52.51 | $24.07 | |
| Kentucky | $52.41 | $23.31 | |
| Oklahoma | $52.33 | $23.10 | |
| Kansas | $52.30 | $22.71 | |
| Alabama | $51.30 | $22.66 | |
| Mississippi | $51.05 | $22.87 | |
| Arkansas | $50.60 | $22.49 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates