CPT 19125 pays $634.95 in a non-facility setting and $452.58 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $556.83 in Arkansas to $742.11 in Alaska, a 33% spread.
National non-facility rate
$634.95
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 | $742.11 | $547.89 | |
| District of Columbia | $717.32 | $502.49 | |
| New York | $707.19 | $503.74 | |
| New Jersey | $696.29 | $490.94 | |
| Florida | $689.28 | $506.30 | |
| California | $683.25 | $467.45 | |
| Washington | $680.52 | $472.62 | |
| Connecticut | $678.89 | $482.48 | |
| Massachusetts | $676.97 | $472.08 | |
| Illinois | $674.65 | $498.43 | |
| Hawaii | $660.79 | $453.44 | |
| Maryland | $657.48 | $467.36 | |
| Colorado | $648.38 | $454.34 | |
| Rhode Island | $644.94 | $456.56 | |
| New Hampshire | $642.74 | $452.89 | |
| Oregon | $640.49 | $448.37 | |
| Puerto Rico | $638.08 | $453.71 | |
| Virgin Islands | $638.08 | $453.71 | |
| Michigan | $635.79 | $464.55 | |
| Montana | $634.84 | $452.47 | |
| Pennsylvania | $633.38 | $454.75 | |
| Georgia | $629.70 | $455.72 | |
| Texas | $626.56 | $447.02 | |
| Delaware | $626.04 | $445.86 | |
| Nevada | $625.94 | $443.39 | |
| Wyoming | $620.36 | $437.99 | |
| New Mexico | $616.26 | $449.03 | |
| Arizona | $615.68 | $438.96 | |
| Virginia | $612.32 | $433.05 | |
| West Virginia | $611.84 | $453.36 | |
| Utah | $607.56 | $436.14 | |
| Louisiana | $606.18 | $439.67 | |
| Minnesota | $605.92 | $418.26 | |
| Missouri | $604.34 | $436.99 | |
| Ohio | $603.99 | $437.48 | |
| Vermont | $603.62 | $423.08 | |
| North Dakota | $601.62 | $419.25 | |
| South Carolina | $599.09 | $430.58 | |
| Maine | $597.93 | $423.67 | |
| South Dakota | $597.69 | $415.32 | |
| North Carolina | $590.50 | $420.35 | |
| Kentucky | $590.10 | $427.98 | |
| Oklahoma | $583.80 | $420.95 | |
| Wisconsin | $580.96 | $406.25 | |
| Indiana | $579.75 | $410.70 | |
| Idaho | $576.49 | $408.71 | |
| Tennessee | $576.11 | $410.34 | |
| Kansas | $572.46 | $407.60 | |
| Nebraska | $572.25 | $403.92 | |
| Iowa | $570.42 | $403.56 | |
| Mississippi | $570.12 | $413.10 | |
| Alabama | $565.46 | $405.89 | |
| Arkansas | $556.83 | $400.17 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates