CPT 15788 pays $381.77 in a non-facility setting and $195.73 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $335.02 in Arkansas to $440.80 in District of Columbia, a 32% spread.
National non-facility rate
$381.77
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
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 |
|---|---|---|---|
| District of Columbia | $440.80 | $221.64 | |
| California | $436.99 | $216.85 | |
| Alaska | $432.45 | $234.31 | |
| Washington | $425.25 | $213.16 | |
| New Jersey | $424.48 | $215.00 | |
| New York | $423.05 | $215.50 | |
| Hawaii | $420.64 | $209.11 | |
| Massachusetts | $420.39 | $211.37 | |
| Connecticut | $408.26 | $207.89 | |
| Colorado | $400.58 | $202.63 | |
| Oregon | $396.67 | $200.68 | |
| Maryland | $396.24 | $202.29 | |
| New Hampshire | $393.41 | $199.74 | |
| Rhode Island | $392.38 | $200.20 | |
| Florida | $389.75 | $203.09 | |
| Minnesota | $385.48 | $194.04 | |
| Puerto Rico | $385.03 | $196.94 | |
| Virgin Islands | $385.03 | $196.94 | |
| Montana | $381.76 | $195.71 | |
| Nevada | $380.85 | $194.62 | |
| Wyoming | $379.86 | $193.82 | |
| Illinois | $378.37 | $198.60 | |
| Delaware | $377.70 | $193.88 | |
| North Dakota | $377.41 | $191.36 | |
| South Dakota | $376.89 | $190.85 | |
| Texas | $376.88 | $193.72 | |
| Pennsylvania | $376.61 | $194.38 | |
| Vermont | $375.08 | $190.90 | |
| Virginia | $374.41 | $191.52 | |
| Arizona | $371.22 | $190.94 | |
| Georgia | $369.23 | $191.74 | |
| Michigan | $366.08 | $191.39 | |
| Maine | $365.40 | $187.63 | |
| Wisconsin | $363.82 | $185.59 | |
| Utah | $362.65 | $187.77 | |
| North Carolina | $358.60 | $185.02 | |
| New Mexico | $357.83 | $187.23 | |
| South Carolina | $357.39 | $185.49 | |
| Missouri | $356.44 | $185.71 | |
| Indiana | $355.64 | $183.17 | |
| Louisiana | $355.47 | $185.61 | |
| Ohio | $355.18 | $185.33 | |
| Nebraska | $353.62 | $181.90 | |
| Idaho | $353.40 | $182.24 | |
| Iowa | $351.31 | $181.08 | |
| Tennessee | $350.50 | $181.38 | |
| Kansas | $348.72 | $180.54 | |
| Oklahoma | $347.36 | $181.22 | |
| Kentucky | $347.15 | $181.76 | |
| West Virginia | $344.82 | $183.14 | |
| Alabama | $340.30 | $177.51 | |
| Mississippi | $337.28 | $177.10 | |
| Arkansas | $335.02 | $175.21 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates