CPT 12011 pays $139.62 in a non-facility setting and $54.44 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $122.19 in Arkansas to $159.85 in Alaska, a 31% spread.
National non-facility rate
$139.62
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 31% 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 | $159.85 | $69.14 | |
| District of Columbia | $159.66 | $59.33 | |
| New York | $155.26 | $60.24 | |
| California | $155.16 | $54.38 | |
| New Jersey | $154.29 | $58.38 | |
| Washington | $152.70 | $55.60 | |
| Massachusetts | $151.41 | $55.72 | |
| Hawaii | $149.70 | $52.86 | |
| Connecticut | $149.41 | $57.68 | |
| Florida | $147.21 | $61.76 | |
| Maryland | $144.79 | $56.00 | |
| Colorado | $144.57 | $53.95 | |
| Illinois | $143.46 | $61.16 | |
| Oregon | $142.97 | $53.24 | |
| Rhode Island | $142.65 | $54.67 | |
| New Hampshire | $142.64 | $53.98 | |
| Puerto Rico | $140.57 | $54.46 | |
| Virgin Islands | $140.57 | $54.46 | |
| Montana | $139.60 | $54.43 | |
| Pennsylvania | $138.47 | $55.04 | |
| Nevada | $138.43 | $53.17 | |
| Delaware | $137.85 | $53.70 | |
| Texas | $137.75 | $53.90 | |
| Wyoming | $137.62 | $52.45 | |
| Minnesota | $137.03 | $49.38 | |
| Michigan | $136.82 | $56.84 | |
| Georgia | $136.71 | $55.45 | |
| Virginia | $135.70 | $51.98 | |
| Arizona | $135.50 | $52.96 | |
| North Dakota | $135.05 | $49.88 | |
| Vermont | $134.85 | $50.53 | |
| South Dakota | $134.51 | $49.34 | |
| New Mexico | $133.09 | $54.99 | |
| Utah | $133.00 | $52.94 | |
| Maine | $132.42 | $51.04 | |
| Louisiana | $131.52 | $53.76 | |
| Missouri | $131.49 | $53.33 | |
| Ohio | $131.22 | $53.46 | |
| South Carolina | $131.08 | $52.38 | |
| North Carolina | $130.33 | $50.86 | |
| Wisconsin | $130.22 | $48.62 | |
| West Virginia | $130.19 | $56.18 | |
| Indiana | $128.57 | $49.62 | |
| Kentucky | $128.17 | $52.46 | |
| Idaho | $127.79 | $49.43 | |
| Oklahoma | $127.50 | $51.44 | |
| Nebraska | $127.35 | $48.74 | |
| Tennessee | $127.21 | $49.79 | |
| Iowa | $126.72 | $48.79 | |
| Kansas | $126.47 | $49.48 | |
| Alabama | $124.13 | $49.61 | |
| Mississippi | $124.10 | $50.77 | |
| Arkansas | $122.19 | $49.02 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates