CPT 15240

Fth/Gf Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20sqcm/<

CPT 15240 pays $937.56 in a non-facility setting and $698.08 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $837.89 in Arkansas to $1,123.14 in Alaska, a 34% spread.

National non-facility rate

$937.56

Office and other outpatient settings

Facility rate
$698.08

Hospital and ASC settings

Highest state
$1,123.14

Alaska

Lowest state
$837.89

Arkansas · 34% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $937.56
CPT 15240 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $937.56, national facility $698.08.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,123.14$868.09
District of Columbia
$1,059.52$777.41
New York
$1,033.66$766.49
California
$1,030.94$747.56
New Jersey
$1,028.51$758.85
Washington
$1,016.45$743.43
Massachusetts
$1,008.71$739.65
Connecticut
$996.34$738.42
Hawaii
$994.78$722.48
Florida
$981.46$741.18
Maryland
$968.96$719.30
Colorado
$967.37$712.56
Illinois
$960.52$729.12
Oregon
$957.64$705.34
Rhode Island
$957.49$710.11
New Hampshire
$954.73$705.43
Puerto Rico
$942.99$700.87
Virgin Islands
$942.99$700.87
Montana
$937.47$697.99
Pennsylvania
$932.32$697.75
Nevada
$930.70$690.97
Delaware
$928.12$691.51
Texas
$927.68$691.91
Wyoming
$926.01$686.53
Minnesota
$922.36$675.93
Michigan
$921.86$696.99
Georgia
$921.31$692.84
Virginia
$915.08$679.67
Arizona
$913.99$681.93
North Dakota
$911.18$671.69
Vermont
$910.08$672.99
South Dakota
$908.07$668.58
New Mexico
$900.50$680.89
Utah
$899.78$674.67
Maine
$896.31$667.49
Louisiana
$891.44$672.79
Missouri
$891.24$671.48
Ohio
$889.71$671.06
South Carolina
$888.79$667.50
North Carolina
$884.40$660.96
West Virginia
$884.12$676.01
Wisconsin
$883.55$654.12
Indiana
$874.28$652.28
Kentucky
$872.28$659.38
Idaho
$869.82$649.50
Oklahoma
$868.37$654.51
Nebraska
$867.26$646.22
Tennessee
$866.57$648.88
Iowa
$863.68$644.55
Kansas
$862.33$645.84
Alabama
$849.02$639.47
Mississippi
$848.95$642.75
Arkansas
$837.89$632.17

Billed by 1 specialties

Commercial rates for 15240

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates