CPT 12013 pays $145.63 in a non-facility setting and $55.78 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $127.60 in Arkansas to $167.75 in Alaska, a 31% spread.
National non-facility rate
$145.63
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 | $167.75 | $72.06 | |
| District of Columbia | $166.03 | $60.19 | |
| New York | $161.95 | $61.72 | |
| California | $160.68 | $54.36 | |
| New Jersey | $160.62 | $59.45 | |
| Washington | $158.54 | $56.11 | |
| Massachusetts | $157.31 | $56.37 | |
| Connecticut | $155.78 | $59.01 | |
| Hawaii | $155.10 | $52.94 | |
| Florida | $154.49 | $64.34 | |
| Maryland | $150.96 | $57.29 | |
| Illinois | $150.71 | $63.90 | |
| Colorado | $150.33 | $54.73 | |
| Oregon | $148.63 | $53.98 | |
| Rhode Island | $148.61 | $55.79 | |
| New Hampshire | $148.47 | $54.94 | |
| Puerto Rico | $146.56 | $55.72 | |
| Virgin Islands | $146.56 | $55.72 | |
| Montana | $145.61 | $55.76 | |
| Pennsylvania | $144.62 | $56.62 | |
| Nevada | $144.22 | $54.28 | |
| Delaware | $143.75 | $54.98 | |
| Texas | $143.70 | $55.25 | |
| Michigan | $143.39 | $59.03 | |
| Wyoming | $143.28 | $53.43 | |
| Georgia | $143.00 | $57.29 | |
| Minnesota | $142.09 | $49.63 | |
| Arizona | $141.33 | $54.26 | |
| Virginia | $141.33 | $53.01 | |
| North Dakota | $140.27 | $50.42 | |
| Vermont | $140.20 | $51.25 | |
| South Dakota | $139.64 | $49.79 | |
| New Mexico | $139.40 | $57.01 | |
| Utah | $138.90 | $54.44 | |
| Maine | $137.95 | $52.10 | |
| Louisiana | $137.62 | $55.59 | |
| Missouri | $137.51 | $55.06 | |
| Ohio | $137.27 | $55.24 | |
| South Carolina | $136.91 | $53.89 | |
| West Virginia | $136.83 | $58.75 | |
| North Carolina | $135.88 | $52.05 | |
| Wisconsin | $135.32 | $49.24 | |
| Kentucky | $134.11 | $54.23 | |
| Indiana | $133.92 | $50.63 | |
| Oklahoma | $133.25 | $53.02 | |
| Idaho | $133.13 | $50.47 | |
| Tennessee | $132.64 | $50.97 | |
| Nebraska | $132.56 | $49.63 | |
| Iowa | $131.96 | $49.75 | |
| Kansas | $131.86 | $50.63 | |
| Mississippi | $129.81 | $52.45 | |
| Alabama | $129.61 | $50.99 | |
| Arkansas | $127.60 | $50.42 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates