CPT 16000 pays $90.18 in a non-facility setting and $42.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $79.84 in Arkansas to $106.11 in Alaska, a 33% spread.
National non-facility rate
$90.18
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 | $106.11 | $54.89 | |
| District of Columbia | $102.31 | $45.65 | |
| New York | $99.85 | $46.19 | |
| California | $99.21 | $42.30 | |
| New Jersey | $99.16 | $45.01 | |
| Washington | $97.90 | $43.07 | |
| Massachusetts | $97.16 | $43.12 | |
| Connecticut | $96.14 | $44.34 | |
| Hawaii | $95.76 | $41.07 | |
| Florida | $95.11 | $46.85 | |
| Maryland | $93.33 | $43.19 | |
| Colorado | $93.03 | $41.85 | |
| Illinois | $92.95 | $46.48 | |
| Rhode Island | $92.05 | $42.36 | |
| Oregon | $92.03 | $41.36 | |
| New Hampshire | $91.86 | $41.79 | |
| Puerto Rico | $90.72 | $42.10 | |
| Virgin Islands | $90.72 | $42.10 | |
| Montana | $90.17 | $42.08 | |
| Pennsylvania | $89.64 | $42.53 | |
| Nevada | $89.40 | $41.26 | |
| Delaware | $89.15 | $41.63 | |
| Texas | $89.12 | $41.76 | |
| Wyoming | $88.88 | $40.78 | |
| Michigan | $88.80 | $43.64 | |
| Georgia | $88.63 | $42.74 | |
| Minnesota | $88.28 | $38.79 | |
| Virginia | $87.76 | $40.48 | |
| Arizona | $87.72 | $41.12 | |
| North Dakota | $87.21 | $39.11 | |
| Vermont | $87.15 | $39.53 | |
| South Dakota | $86.86 | $38.76 | |
| New Mexico | $86.53 | $42.43 | |
| Utah | $86.30 | $41.09 | |
| Maine | $85.81 | $39.86 | |
| Louisiana | $85.54 | $41.62 | |
| Missouri | $85.48 | $41.35 | |
| Ohio | $85.34 | $41.43 | |
| South Carolina | $85.17 | $40.72 | |
| West Virginia | $84.99 | $43.19 | |
| North Carolina | $84.61 | $39.74 | |
| Wisconsin | $84.36 | $38.28 | |
| Kentucky | $83.53 | $40.77 | |
| Indiana | $83.51 | $38.92 | |
| Oklahoma | $83.06 | $40.11 | |
| Idaho | $83.05 | $38.80 | |
| Tennessee | $82.76 | $39.04 | |
| Nebraska | $82.75 | $38.35 | |
| Iowa | $82.39 | $38.38 | |
| Kansas | $82.31 | $38.83 | |
| Mississippi | $81.08 | $39.66 | |
| Alabama | $80.99 | $38.91 | |
| Arkansas | $79.84 | $38.52 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates