CPT 12007 pays $255.85 in a non-facility setting and $133.94 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $225.98 in Arkansas to $302.96 in Alaska, a 34% spread.
National non-facility rate
$255.85
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 34% 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 | $302.96 | $173.12 | |
| District of Columbia | $288.33 | $144.71 | |
| New York | $284.03 | $148.03 | |
| New Jersey | $280.15 | $142.87 | |
| Florida | $275.92 | $153.60 | |
| California | $275.53 | $131.27 | |
| Washington | $274.15 | $135.16 | |
| Connecticut | $272.92 | $141.62 | |
| Massachusetts | $272.67 | $135.70 | |
| Illinois | $270.30 | $152.50 | |
| Hawaii | $266.40 | $127.78 | |
| Maryland | $264.66 | $137.57 | |
| Colorado | $261.45 | $131.73 | |
| Rhode Island | $260.05 | $134.11 | |
| New Hampshire | $259.03 | $132.12 | |
| Oregon | $258.40 | $129.97 | |
| Puerto Rico | $257.09 | $133.83 | |
| Virgin Islands | $257.09 | $133.83 | |
| Montana | $255.81 | $133.90 | |
| Michigan | $255.71 | $141.24 | |
| Pennsylvania | $255.25 | $135.83 | |
| Georgia | $253.59 | $137.29 | |
| Texas | $252.72 | $132.69 | |
| Delaware | $252.54 | $132.09 | |
| Nevada | $252.53 | $130.50 | |
| Wyoming | $250.47 | $128.55 | |
| Arizona | $248.51 | $130.38 | |
| New Mexico | $248.34 | $136.55 | |
| Virginia | $247.37 | $127.53 | |
| West Virginia | $246.36 | $140.41 | |
| Minnesota | $245.35 | $119.90 | |
| Utah | $245.30 | $130.70 | |
| Louisiana | $244.59 | $133.28 | |
| Vermont | $244.21 | $123.52 | |
| Missouri | $243.95 | $132.07 | |
| Ohio | $243.78 | $132.48 | |
| North Dakota | $243.55 | $121.64 | |
| South Dakota | $242.10 | $120.19 | |
| South Carolina | $242.06 | $129.41 | |
| Maine | $241.86 | $125.37 | |
| North Carolina | $238.95 | $125.21 | |
| Kentucky | $238.48 | $130.10 | |
| Oklahoma | $236.19 | $127.32 | |
| Wisconsin | $235.61 | $118.82 | |
| Indiana | $234.94 | $121.93 | |
| Idaho | $233.69 | $121.53 | |
| Tennessee | $233.47 | $122.65 | |
| Nebraska | $232.14 | $119.62 | |
| Kansas | $232.08 | $121.87 | |
| Iowa | $231.41 | $119.86 | |
| Mississippi | $230.90 | $125.93 | |
| Alabama | $229.29 | $122.61 | |
| Arkansas | $225.98 | $121.26 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates