CPT 12005 pays $211.09 in a non-facility setting and $89.85 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $185.43 in Arkansas to $245.33 in Alaska, a 32% spread.
National non-facility rate
$211.09
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 | $245.33 | $116.20 | |
| District of Columbia | $239.78 | $96.96 | |
| New York | $234.63 | $99.37 | |
| New Jersey | $232.29 | $95.77 | |
| California | $231.12 | $87.65 | |
| Washington | $228.65 | $90.43 | |
| Massachusetts | $227.05 | $90.83 | |
| Connecticut | $225.60 | $95.02 | |
| Florida | $225.13 | $103.48 | |
| Hawaii | $223.21 | $85.36 | |
| Illinois | $219.93 | $102.77 | |
| Maryland | $218.68 | $92.28 | |
| Colorado | $217.20 | $88.20 | |
| Rhode Island | $215.14 | $89.89 | |
| New Hampshire | $214.74 | $88.52 | |
| Oregon | $214.73 | $87.00 | |
| Puerto Rico | $212.34 | $89.76 | |
| Virgin Islands | $212.34 | $89.76 | |
| Montana | $211.06 | $89.82 | |
| Pennsylvania | $209.94 | $91.18 | |
| Michigan | $208.86 | $95.01 | |
| Nevada | $208.83 | $87.46 | |
| Delaware | $208.37 | $88.58 | |
| Texas | $208.37 | $89.00 | |
| Georgia | $207.91 | $92.24 | |
| Wyoming | $207.36 | $86.11 | |
| Arizona | $204.91 | $87.43 | |
| Minnesota | $204.83 | $80.07 | |
| Virginia | $204.62 | $85.43 | |
| New Mexico | $202.97 | $91.79 | |
| Vermont | $202.67 | $82.64 | |
| North Dakota | $202.56 | $81.32 | |
| Utah | $201.67 | $87.70 | |
| South Dakota | $201.56 | $80.31 | |
| Louisiana | $200.23 | $89.54 | |
| Missouri | $199.95 | $88.69 | |
| West Virginia | $199.91 | $94.55 | |
| Maine | $199.83 | $83.98 | |
| Ohio | $199.67 | $88.98 | |
| South Carolina | $198.86 | $86.83 | |
| North Carolina | $197.02 | $83.90 | |
| Wisconsin | $195.59 | $79.43 | |
| Kentucky | $195.15 | $87.37 | |
| Indiana | $194.03 | $81.64 | |
| Oklahoma | $193.70 | $85.43 | |
| Idaho | $192.92 | $81.37 | |
| Tennessee | $192.38 | $82.17 | |
| Nebraska | $191.95 | $80.04 | |
| Kansas | $191.24 | $81.63 | |
| Iowa | $191.16 | $80.22 | |
| Mississippi | $188.91 | $84.52 | |
| Alabama | $188.29 | $82.20 | |
| Arkansas | $185.43 | $81.28 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates