CPT 13101 pays $390.46 in a non-facility setting and $210.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $346.87 in Arkansas to $458.51 in Alaska, a 32% spread.
National non-facility rate
$390.46
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 | $458.51 | $266.43 | |
| District of Columbia | $444.97 | $232.50 | |
| California | $436.66 | $223.24 | |
| New York | $431.09 | $229.87 | |
| New Jersey | $430.59 | $227.50 | |
| Washington | $428.07 | $222.46 | |
| Massachusetts | $424.12 | $221.48 | |
| Hawaii | $420.89 | $215.82 | |
| Connecticut | $415.81 | $221.55 | |
| Colorado | $405.74 | $213.83 | |
| Maryland | $404.16 | $216.13 | |
| Florida | $403.98 | $223.02 | |
| Oregon | $401.75 | $211.74 | |
| Rhode Island | $399.86 | $213.55 | |
| New Hampshire | $399.58 | $211.82 | |
| Illinois | $394.14 | $219.87 | |
| Puerto Rico | $393.15 | $210.80 | |
| Virgin Islands | $393.15 | $210.80 | |
| Montana | $390.43 | $210.06 | |
| Minnesota | $388.68 | $203.09 | |
| Nevada | $388.49 | $207.94 | |
| Pennsylvania | $387.01 | $210.34 | |
| Wyoming | $386.98 | $206.62 | |
| Delaware | $386.52 | $208.32 | |
| Texas | $386.05 | $208.48 | |
| North Dakota | $382.52 | $202.16 | |
| Virginia | $382.05 | $204.76 | |
| South Dakota | $381.59 | $201.22 | |
| Vermont | $381.22 | $202.66 | |
| Georgia | $381.15 | $209.08 | |
| Arizona | $380.37 | $205.60 | |
| Michigan | $379.85 | $210.48 | |
| Maine | $373.75 | $201.42 | |
| Utah | $373.30 | $203.76 | |
| New Mexico | $371.30 | $205.90 | |
| Wisconsin | $370.16 | $197.37 | |
| Missouri | $368.58 | $203.06 | |
| South Carolina | $368.45 | $201.79 | |
| Louisiana | $368.19 | $203.51 | |
| North Carolina | $368.00 | $199.72 | |
| Ohio | $367.67 | $202.99 | |
| Indiana | $364.38 | $197.18 | |
| Idaho | $362.36 | $196.42 | |
| Nebraska | $361.88 | $195.40 | |
| West Virginia | $361.74 | $205.00 | |
| Tennessee | $360.32 | $196.37 | |
| Kentucky | $360.11 | $199.76 | |
| Iowa | $360.03 | $194.99 | |
| Oklahoma | $359.31 | $198.25 | |
| Kansas | $358.56 | $195.51 | |
| Alabama | $351.76 | $193.94 | |
| Mississippi | $350.38 | $195.09 | |
| Arkansas | $346.87 | $191.93 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates