CPT 15821 pays $634.28 in a non-facility setting and $483.65 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $568.79 in Arkansas to $761.26 in Alaska, a 34% spread.
National non-facility rate
$634.28
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 34% 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 | $761.26 | $600.83 | |
| District of Columbia | $718.15 | $540.70 | |
| California | $703.77 | $525.52 | |
| New York | $697.71 | $529.66 | |
| New Jersey | $696.66 | $527.04 | |
| Washington | $691.29 | $519.56 | |
| Massachusetts | $685.37 | $516.13 | |
| Hawaii | $678.54 | $507.27 | |
| Connecticut | $673.31 | $511.07 | |
| Colorado | $657.15 | $496.87 | |
| Florida | $656.14 | $504.99 | |
| Maryland | $655.43 | $498.39 | |
| Oregon | $650.92 | $492.22 | |
| Rhode Island | $649.03 | $493.43 | |
| New Hampshire | $647.55 | $490.74 | |
| Illinois | $641.69 | $496.13 | |
| Puerto Rico | $638.25 | $485.95 | |
| Virgin Islands | $638.25 | $485.95 | |
| Montana | $634.24 | $483.60 | |
| Nevada | $631.05 | $480.26 | |
| Minnesota | $630.30 | $475.30 | |
| Pennsylvania | $629.80 | $482.25 | |
| Wyoming | $628.64 | $478.00 | |
| Delaware | $628.53 | $479.70 | |
| Texas | $627.92 | $479.62 | |
| North Dakota | $621.39 | $470.75 | |
| Virginia | $621.27 | $473.20 | |
| Georgia | $620.95 | $477.24 | |
| South Dakota | $619.87 | $469.23 | |
| Vermont | $619.66 | $470.53 | |
| Michigan | $619.35 | $477.90 | |
| Arizona | $619.07 | $473.11 | |
| Maine | $608.83 | $464.89 | |
| Utah | $608.68 | $467.08 | |
| New Mexico | $606.29 | $468.16 | |
| Wisconsin | $602.89 | $458.58 | |
| Missouri | $601.85 | $463.61 | |
| South Carolina | $601.40 | $462.21 | |
| Louisiana | $601.39 | $463.86 | |
| Ohio | $600.55 | $463.01 | |
| North Carolina | $600.33 | $459.78 | |
| Indiana | $594.67 | $455.03 | |
| West Virginia | $592.58 | $461.67 | |
| Idaho | $591.66 | $453.07 | |
| Nebraska | $590.77 | $451.73 | |
| Kentucky | $589.17 | $455.25 | |
| Tennessee | $588.76 | $451.83 | |
| Iowa | $588.06 | $450.23 | |
| Oklahoma | $587.73 | $453.21 | |
| Kansas | $586.09 | $449.92 | |
| Alabama | $576.14 | $444.33 | |
| Mississippi | $574.44 | $444.74 | |
| Arkansas | $568.79 | $439.40 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates