CPT 13100 pays $338.02 in a non-facility setting and $171.35 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $300.02 in Arkansas to $396.38 in Alaska, a 32% spread.
National non-facility rate
$338.02
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 | $396.38 | $218.87 | |
| District of Columbia | $385.27 | $188.93 | |
| California | $377.83 | $180.61 | |
| New York | $373.35 | $187.41 | |
| New Jersey | $372.79 | $185.12 | |
| Washington | $370.50 | $180.50 | |
| Massachusetts | $367.10 | $179.84 | |
| Hawaii | $364.21 | $174.70 | |
| Connecticut | $360.07 | $180.56 | |
| Colorado | $351.16 | $173.82 | |
| Florida | $350.16 | $182.93 | |
| Maryland | $349.92 | $176.16 | |
| Oregon | $347.68 | $172.09 | |
| Rhode Island | $346.11 | $173.94 | |
| New Hampshire | $345.87 | $172.36 | |
| Illinois | $341.61 | $180.57 | |
| Puerto Rico | $340.35 | $171.84 | |
| Virgin Islands | $340.35 | $171.84 | |
| Montana | $337.99 | $171.32 | |
| Nevada | $336.24 | $169.40 | |
| Minnesota | $336.17 | $164.66 | |
| Pennsylvania | $335.05 | $171.80 | |
| Wyoming | $334.89 | $168.22 | |
| Delaware | $334.55 | $169.88 | |
| Texas | $334.16 | $170.08 | |
| North Dakota | $330.87 | $164.20 | |
| Virginia | $330.60 | $166.77 | |
| Georgia | $330.03 | $171.03 | |
| South Dakota | $330.03 | $163.36 | |
| Vermont | $329.80 | $164.79 | |
| Arizona | $329.21 | $167.71 | |
| Michigan | $329.00 | $172.50 | |
| Maine | $323.37 | $164.12 | |
| Utah | $323.10 | $166.43 | |
| New Mexico | $321.50 | $168.66 | |
| Wisconsin | $320.11 | $160.44 | |
| Missouri | $319.05 | $166.10 | |
| South Carolina | $318.88 | $164.87 | |
| Louisiana | $318.74 | $166.56 | |
| North Carolina | $318.39 | $162.89 | |
| Ohio | $318.27 | $166.10 | |
| Indiana | $315.18 | $160.68 | |
| Idaho | $313.43 | $160.09 | |
| West Virginia | $313.31 | $168.48 | |
| Nebraska | $312.97 | $159.14 | |
| Tennessee | $311.69 | $160.19 | |
| Kentucky | $311.67 | $163.50 | |
| Iowa | $311.38 | $158.87 | |
| Oklahoma | $310.93 | $162.09 | |
| Kansas | $310.15 | $159.48 | |
| Alabama | $304.28 | $158.45 | |
| Mississippi | $303.17 | $159.67 | |
| Arkansas | $300.02 | $156.85 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates