CPT 11981 pays $107.55 in a non-facility setting and $54.78 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $95.20 in Arkansas to $127.06 in Alaska, a 33% spread.
National non-facility rate
$107.55
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 | $127.06 | $70.86 | |
| District of Columbia | $121.64 | $59.47 | |
| New York | $119.17 | $60.29 | |
| New Jersey | $118.04 | $58.61 | |
| California | $117.30 | $54.85 | |
| Washington | $116.12 | $55.96 | |
| Massachusetts | $115.35 | $56.06 | |
| Connecticut | $114.65 | $57.81 | |
| Florida | $114.40 | $61.45 | |
| Hawaii | $113.29 | $53.29 | |
| Illinois | $111.93 | $60.94 | |
| Maryland | $111.27 | $56.26 | |
| Colorado | $110.52 | $54.37 | |
| Rhode Island | $109.59 | $55.08 | |
| Oregon | $109.30 | $53.71 | |
| New Hampshire | $109.28 | $54.34 | |
| Puerto Rico | $108.14 | $54.79 | |
| Virgin Islands | $108.14 | $54.79 | |
| Montana | $107.54 | $54.76 | |
| Pennsylvania | $107.07 | $55.38 | |
| Michigan | $106.54 | $56.98 | |
| Nevada | $106.44 | $53.62 | |
| Delaware | $106.27 | $54.13 | |
| Texas | $106.27 | $54.32 | |
| Georgia | $106.07 | $55.72 | |
| Wyoming | $105.73 | $52.95 | |
| Arizona | $104.57 | $53.44 | |
| Minnesota | $104.45 | $50.15 | |
| Virginia | $104.41 | $52.53 | |
| New Mexico | $103.69 | $55.30 | |
| Vermont | $103.45 | $51.21 | |
| North Dakota | $103.38 | $50.61 | |
| Utah | $103.03 | $53.42 | |
| South Dakota | $102.89 | $50.12 | |
| Louisiana | $102.36 | $54.18 | |
| West Virginia | $102.26 | $56.40 | |
| Missouri | $102.22 | $53.79 | |
| Maine | $102.11 | $51.68 | |
| Ohio | $102.09 | $53.90 | |
| South Carolina | $101.68 | $52.91 | |
| North Carolina | $100.77 | $51.53 | |
| Wisconsin | $100.03 | $49.47 | |
| Kentucky | $99.91 | $52.99 | |
| Indiana | $99.31 | $50.39 | |
| Oklahoma | $99.20 | $52.07 | |
| Idaho | $98.78 | $50.23 | |
| Tennessee | $98.53 | $50.56 | |
| Nebraska | $98.30 | $49.59 | |
| Kansas | $97.98 | $50.27 | |
| Iowa | $97.93 | $49.64 | |
| Mississippi | $96.90 | $51.46 | |
| Alabama | $96.57 | $50.40 | |
| Arkansas | $95.20 | $49.87 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates