CPT 15789 pays $524.73 in a non-facility setting and $357.72 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $467.56 in Arkansas to $619.85 in Alaska, a 33% spread.
National non-facility rate
$524.73
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 33% 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 | $619.85 | $441.99 | |
| District of Columbia | $597.21 | $400.47 | |
| California | $586.60 | $388.99 | |
| New York | $578.55 | $392.24 | |
| New Jersey | $578.20 | $390.15 | |
| Washington | $574.97 | $384.58 | |
| Massachusetts | $569.66 | $382.03 | |
| Hawaii | $565.38 | $375.49 | |
| Connecticut | $558.23 | $378.37 | |
| Colorado | $545.27 | $367.57 | |
| Maryland | $542.89 | $368.79 | |
| Florida | $541.70 | $374.14 | |
| Oregon | $540.01 | $364.07 | |
| Rhode Island | $537.45 | $364.93 | |
| New Hampshire | $536.91 | $363.06 | |
| Illinois | $528.76 | $367.39 | |
| Puerto Rico | $528.31 | $359.46 | |
| Virgin Islands | $528.31 | $359.46 | |
| Montana | $524.69 | $357.69 | |
| Minnesota | $523.06 | $351.22 | |
| Nevada | $522.29 | $355.12 | |
| Wyoming | $520.39 | $353.38 | |
| Pennsylvania | $520.19 | $356.60 | |
| Delaware | $519.66 | $354.66 | |
| Texas | $519.03 | $354.61 | |
| North Dakota | $514.81 | $347.80 | |
| Virginia | $513.90 | $349.74 | |
| South Dakota | $513.64 | $346.63 | |
| Vermont | $513.00 | $347.66 | |
| Georgia | $512.24 | $352.92 | |
| Arizona | $511.53 | $349.71 | |
| Michigan | $510.30 | $353.49 | |
| Maine | $503.00 | $343.43 | |
| Utah | $502.14 | $345.16 | |
| New Mexico | $499.20 | $346.05 | |
| Wisconsin | $498.55 | $338.56 | |
| Missouri | $495.81 | $342.56 | |
| South Carolina | $495.77 | $341.46 | |
| North Carolina | $495.38 | $339.57 | |
| Louisiana | $495.23 | $342.76 | |
| Ohio | $494.58 | $342.11 | |
| Indiana | $490.74 | $335.92 | |
| Idaho | $488.08 | $334.44 | |
| Nebraska | $487.54 | $333.40 | |
| West Virginia | $486.33 | $341.21 | |
| Tennessee | $485.32 | $333.52 | |
| Iowa | $485.07 | $332.27 | |
| Kentucky | $484.68 | $336.21 | |
| Oklahoma | $483.76 | $334.63 | |
| Kansas | $483.03 | $332.06 | |
| Alabama | $473.98 | $327.85 | |
| Mississippi | $471.99 | $328.20 | |
| Arkansas | $467.56 | $324.10 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates