CPT 15793 pays $470.62 in a non-facility setting and $317.98 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $417.27 in Arkansas to $549.57 in Alaska, a 32% spread.
National non-facility rate
$470.62
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 | $549.57 | $387.00 | |
| District of Columbia | $537.42 | $357.61 | |
| California | $528.23 | $347.61 | |
| New York | $519.90 | $349.61 | |
| New Jersey | $519.66 | $347.78 | |
| Washington | $517.24 | $343.23 | |
| Massachusetts | $512.28 | $340.79 | |
| Hawaii | $509.04 | $335.49 | |
| Connecticut | $501.51 | $337.11 | |
| Colorado | $489.78 | $327.37 | |
| Maryland | $487.34 | $328.21 | |
| Florida | $485.94 | $332.79 | |
| Oregon | $484.97 | $324.16 | |
| Rhode Island | $482.22 | $324.55 | |
| New Hampshire | $482.13 | $323.23 | |
| Puerto Rico | $473.99 | $319.67 | |
| Virgin Islands | $473.99 | $319.67 | |
| Illinois | $473.74 | $326.25 | |
| Montana | $470.59 | $317.95 | |
| Minnesota | $469.51 | $312.44 | |
| Nevada | $468.44 | $315.64 | |
| Wyoming | $466.71 | $314.07 | |
| Pennsylvania | $466.12 | $316.61 | |
| Delaware | $465.83 | $315.01 | |
| Texas | $465.20 | $314.92 | |
| North Dakota | $461.69 | $309.05 | |
| Virginia | $460.65 | $310.60 | |
| South Dakota | $460.64 | $308.00 | |
| Vermont | $459.93 | $308.81 | |
| Georgia | $458.74 | $313.12 | |
| Arizona | $458.33 | $310.42 | |
| Michigan | $456.82 | $313.49 | |
| Maine | $450.47 | $304.62 | |
| Utah | $449.49 | $306.00 | |
| New Mexico | $446.53 | $306.55 | |
| Wisconsin | $446.50 | $300.27 | |
| South Carolina | $443.54 | $302.50 | |
| Missouri | $443.49 | $303.41 | |
| North Carolina | $443.31 | $300.89 | |
| Louisiana | $442.91 | $303.54 | |
| Ohio | $442.32 | $302.96 | |
| Indiana | $439.05 | $297.55 | |
| Idaho | $436.56 | $296.13 | |
| Nebraska | $436.12 | $295.23 | |
| West Virginia | $434.30 | $301.66 | |
| Tennessee | $433.93 | $295.18 | |
| Iowa | $433.79 | $294.12 | |
| Kentucky | $433.08 | $297.38 | |
| Oklahoma | $432.31 | $296.00 | |
| Kansas | $431.80 | $293.82 | |
| Alabama | $423.26 | $289.70 | |
| Mississippi | $421.29 | $289.87 | |
| Arkansas | $417.27 | $286.15 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates