CPT 11901 pays $68.81 in a non-facility setting and $36.41 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $61.97 in Arkansas to $83.41 in Alaska, a 35% spread.
National non-facility rate
$68.81
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 35% 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 | $83.41 | $48.90 | |
| District of Columbia | $77.67 | $39.50 | |
| California | $76.08 | $37.74 | |
| New York | $75.55 | $39.41 | |
| New Jersey | $75.43 | $38.95 | |
| Washington | $74.79 | $37.86 | |
| Massachusetts | $74.17 | $37.77 | |
| Hawaii | $73.36 | $36.52 | |
| Connecticut | $72.93 | $38.04 | |
| Colorado | $71.19 | $36.72 | |
| Florida | $71.15 | $38.65 | |
| Maryland | $71.04 | $37.27 | |
| Oregon | $70.53 | $36.40 | |
| Rhode Island | $70.38 | $36.91 | |
| New Hampshire | $70.17 | $36.44 | |
| Illinois | $69.66 | $38.36 | |
| Puerto Rico | $69.22 | $36.46 | |
| Virgin Islands | $69.22 | $36.46 | |
| Montana | $68.80 | $36.40 | |
| Nevada | $68.46 | $36.02 | |
| Pennsylvania | $68.37 | $36.64 | |
| Minnesota | $68.33 | $34.99 | |
| Delaware | $68.21 | $36.20 | |
| Wyoming | $68.20 | $35.80 | |
| Texas | $68.16 | $36.26 | |
| Georgia | $67.45 | $36.54 | |
| Virginia | $67.43 | $35.58 | |
| North Dakota | $67.42 | $35.02 | |
| Michigan | $67.29 | $36.87 | |
| South Dakota | $67.25 | $34.85 | |
| Vermont | $67.25 | $35.17 | |
| Arizona | $67.22 | $35.82 | |
| Utah | $66.14 | $35.69 | |
| Maine | $66.13 | $35.18 | |
| New Mexico | $65.92 | $36.21 | |
| Wisconsin | $65.49 | $34.45 | |
| Missouri | $65.44 | $35.71 | |
| Louisiana | $65.40 | $35.82 | |
| South Carolina | $65.38 | $35.45 | |
| Ohio | $65.31 | $35.73 | |
| North Carolina | $65.25 | $35.03 | |
| Indiana | $64.65 | $34.62 | |
| West Virginia | $64.52 | $36.36 | |
| Idaho | $64.34 | $34.53 | |
| Nebraska | $64.24 | $34.34 | |
| Kentucky | $64.12 | $35.32 | |
| Tennessee | $64.05 | $34.59 | |
| Iowa | $63.96 | $34.32 | |
| Oklahoma | $63.96 | $35.03 | |
| Kansas | $63.77 | $34.48 | |
| Alabama | $62.74 | $34.39 | |
| Mississippi | $62.58 | $34.68 | |
| Arkansas | $61.97 | $34.14 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates