CPT 17004 pays $162.33 in a non-facility setting and $82.83 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $144.26 in Arkansas to $190.12 in Alaska, a 32% spread.
National non-facility rate
$162.33
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 | $190.12 | $105.46 | |
| District of Columbia | $185.39 | $91.75 | |
| California | $182.70 | $88.63 | |
| New Jersey | $179.26 | $89.75 | |
| New York | $179.10 | $90.42 | |
| Washington | $178.67 | $88.05 | |
| Massachusetts | $176.91 | $87.60 | |
| Hawaii | $176.01 | $85.63 | |
| Connecticut | $172.85 | $87.24 | |
| Colorado | $169.16 | $84.58 | |
| Maryland | $168.06 | $85.19 | |
| Oregon | $167.54 | $83.80 | |
| Florida | $166.82 | $87.06 | |
| Rhode Island | $166.45 | $84.33 | |
| New Hampshire | $166.43 | $83.67 | |
| Puerto Rico | $163.51 | $83.14 | |
| Virgin Islands | $163.51 | $83.14 | |
| Illinois | $162.62 | $85.81 | |
| Minnesota | $162.56 | $80.76 | |
| Montana | $162.32 | $82.83 | |
| Nevada | $161.72 | $82.14 | |
| Wyoming | $161.20 | $81.71 | |
| Delaware | $160.75 | $82.21 | |
| Pennsylvania | $160.71 | $82.85 | |
| Texas | $160.51 | $82.25 | |
| North Dakota | $159.75 | $80.26 | |
| South Dakota | $159.45 | $79.95 | |
| Virginia | $159.13 | $80.98 | |
| Vermont | $159.05 | $80.35 | |
| Arizona | $158.19 | $81.16 | |
| Georgia | $158.04 | $82.20 | |
| Michigan | $157.19 | $82.55 | |
| Maine | $155.67 | $79.71 | |
| Utah | $155.09 | $80.37 | |
| Wisconsin | $154.57 | $78.41 | |
| New Mexico | $153.80 | $80.91 | |
| North Carolina | $153.17 | $79.01 | |
| South Carolina | $153.07 | $79.62 | |
| Missouri | $152.94 | $79.99 | |
| Louisiana | $152.68 | $80.10 | |
| Ohio | $152.51 | $79.93 | |
| Indiana | $151.83 | $78.14 | |
| Idaho | $150.98 | $77.85 | |
| Nebraska | $150.91 | $77.54 | |
| Iowa | $150.09 | $77.35 | |
| Tennessee | $150.01 | $77.75 | |
| Kentucky | $149.39 | $78.72 | |
| West Virginia | $149.37 | $80.29 | |
| Kansas | $149.30 | $77.44 | |
| Oklahoma | $149.24 | $78.26 | |
| Alabama | $146.29 | $76.73 | |
| Mississippi | $145.46 | $77.01 | |
| Arkansas | $144.26 | $75.97 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates