CPT 19281 pays $234.81 in a non-facility setting and $83.17 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $208.70 in Arkansas to $275.14 in Alaska, a 32% spread.
National non-facility rate
$234.81
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 | $275.14 | $113.64 | |
| District of Columbia | $268.12 | $89.48 | |
| California | $264.17 | $84.74 | |
| New Jersey | $259.27 | $88.52 | |
| New York | $259.06 | $89.89 | |
| Washington | $258.39 | $85.52 | |
| Massachusetts | $255.84 | $85.48 | |
| Hawaii | $254.51 | $82.10 | |
| Connecticut | $250.02 | $86.70 | |
| Colorado | $244.65 | $83.31 | |
| Maryland | $243.09 | $85.00 | |
| Oregon | $242.31 | $82.56 | |
| Florida | $241.36 | $89.21 | |
| Rhode Island | $240.75 | $84.11 | |
| New Hampshire | $240.71 | $82.85 | |
| Puerto Rico | $236.51 | $83.20 | |
| Virgin Islands | $236.51 | $83.20 | |
| Illinois | $235.31 | $88.78 | |
| Minnesota | $235.08 | $79.04 | |
| Montana | $234.80 | $83.16 | |
| Nevada | $233.91 | $82.12 | |
| Wyoming | $233.16 | $81.52 | |
| Delaware | $232.53 | $82.71 | |
| Pennsylvania | $232.48 | $83.95 | |
| Texas | $232.18 | $82.89 | |
| North Dakota | $231.04 | $79.40 | |
| South Dakota | $230.59 | $78.95 | |
| Virginia | $230.17 | $81.10 | |
| Vermont | $230.04 | $79.92 | |
| Arizona | $228.83 | $81.89 | |
| Georgia | $228.64 | $83.98 | |
| Michigan | $227.43 | $85.04 | |
| Maine | $225.17 | $80.28 | |
| Utah | $224.36 | $81.82 | |
| Wisconsin | $223.56 | $78.29 | |
| New Mexico | $222.53 | $83.47 | |
| North Carolina | $221.57 | $80.09 | |
| South Carolina | $221.44 | $81.33 | |
| Missouri | $221.26 | $82.11 | |
| Louisiana | $220.90 | $82.45 | |
| Ohio | $220.65 | $82.20 | |
| Indiana | $219.62 | $79.05 | |
| Idaho | $218.40 | $78.89 | |
| Nebraska | $218.28 | $78.32 | |
| Iowa | $217.10 | $78.35 | |
| Tennessee | $217.01 | $79.17 | |
| West Virginia | $216.15 | $84.37 | |
| Kentucky | $216.14 | $81.33 | |
| Kansas | $215.98 | $78.90 | |
| Oklahoma | $215.92 | $80.50 | |
| Alabama | $211.64 | $78.95 | |
| Mississippi | $210.45 | $79.89 | |
| Arkansas | $208.70 | $78.44 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates