CPT 12006 pays $240.15 in a non-facility setting and $109.22 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $211.40 in Arkansas to $280.86 in Alaska, a 33% spread.
National non-facility rate
$240.15
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 | $280.86 | $141.42 | |
| District of Columbia | $272.14 | $117.90 | |
| New York | $266.76 | $120.70 | |
| New Jersey | $263.87 | $116.44 | |
| California | $261.77 | $106.85 | |
| Washington | $259.35 | $110.09 | |
| Massachusetts | $257.65 | $110.55 | |
| Florida | $256.76 | $125.39 | |
| Connecticut | $256.47 | $115.46 | |
| Hawaii | $252.89 | $104.02 | |
| Illinois | $251.04 | $124.53 | |
| Maryland | $248.66 | $112.16 | |
| Colorado | $246.65 | $107.34 | |
| Rhode Island | $244.59 | $109.33 | |
| New Hampshire | $243.98 | $107.68 | |
| Oregon | $243.84 | $105.90 | |
| Puerto Rico | $241.50 | $109.12 | |
| Virgin Islands | $241.50 | $109.12 | |
| Montana | $240.12 | $109.19 | |
| Pennsylvania | $239.05 | $110.80 | |
| Michigan | $238.23 | $115.29 | |
| Nevada | $237.45 | $106.39 | |
| Texas | $237.12 | $108.21 | |
| Delaware | $237.08 | $107.72 | |
| Georgia | $236.93 | $112.02 | |
| Wyoming | $235.72 | $104.79 | |
| Arizona | $233.20 | $106.32 | |
| Virginia | $232.67 | $103.97 | |
| Minnesota | $232.37 | $97.65 | |
| New Mexico | $231.52 | $111.45 | |
| Vermont | $230.28 | $100.66 | |
| North Dakota | $230.03 | $99.10 | |
| Utah | $229.70 | $106.62 | |
| South Dakota | $228.84 | $97.91 | |
| West Virginia | $228.46 | $114.68 | |
| Louisiana | $228.31 | $108.77 | |
| Missouri | $227.92 | $107.77 | |
| Ohio | $227.65 | $108.11 | |
| Maine | $227.32 | $102.22 | |
| South Carolina | $226.55 | $105.57 | |
| North Carolina | $224.27 | $102.11 | |
| Kentucky | $222.58 | $106.18 | |
| Wisconsin | $222.26 | $96.83 | |
| Oklahoma | $220.81 | $103.89 | |
| Indiana | $220.79 | $99.42 | |
| Idaho | $219.55 | $99.09 | |
| Tennessee | $219.04 | $100.03 | |
| Nebraska | $218.37 | $97.52 | |
| Kansas | $217.76 | $99.39 | |
| Iowa | $217.53 | $97.73 | |
| Mississippi | $215.51 | $102.78 | |
| Alabama | $214.60 | $100.03 | |
| Arkansas | $211.40 | $98.93 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates