CPT 19285 pays $350.38 in a non-facility setting and $71.81 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $306.72 in Arkansas to $405.48 in District of Columbia, a 32% spread.
National non-facility rate
$350.38
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
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 |
|---|---|---|---|
| District of Columbia | $405.48 | $77.33 | |
| California | $402.56 | $72.94 | |
| Alaska | $394.18 | $97.51 | |
| Washington | $391.30 | $73.74 | |
| New Jersey | $390.13 | $76.47 | |
| New York | $388.56 | $77.80 | |
| Hawaii | $387.43 | $70.70 | |
| Massachusetts | $386.70 | $73.73 | |
| Connecticut | $374.99 | $74.98 | |
| Colorado | $368.21 | $71.82 | |
| Oregon | $364.61 | $71.15 | |
| Maryland | $363.84 | $73.44 | |
| New Hampshire | $361.47 | $71.48 | |
| Rhode Island | $360.31 | $72.56 | |
| Florida | $357.03 | $77.54 | |
| Minnesota | $354.52 | $67.88 | |
| Puerto Rico | $353.46 | $71.84 | |
| Virgin Islands | $353.46 | $71.84 | |
| Montana | $350.36 | $71.80 | |
| Nevada | $349.66 | $70.82 | |
| Wyoming | $348.81 | $70.25 | |
| North Dakota | $346.80 | $68.24 | |
| Delaware | $346.58 | $71.36 | |
| South Dakota | $346.38 | $67.82 | |
| Illinois | $346.30 | $77.13 | |
| Texas | $345.77 | $71.53 | |
| Pennsylvania | $345.37 | $72.51 | |
| Vermont | $344.52 | $68.74 | |
| Virginia | $343.70 | $69.87 | |
| Arizona | $340.55 | $70.63 | |
| Georgia | $338.35 | $72.60 | |
| Maine | $335.27 | $69.11 | |
| Michigan | $335.20 | $73.63 | |
| Wisconsin | $334.08 | $67.22 | |
| Utah | $332.43 | $70.58 | |
| North Carolina | $328.85 | $68.95 | |
| New Mexico | $327.60 | $72.16 | |
| South Carolina | $327.52 | $70.12 | |
| Missouri | $326.49 | $70.87 | |
| Indiana | $326.19 | $67.97 | |
| Louisiana | $325.52 | $71.19 | |
| Ohio | $325.29 | $70.96 | |
| Nebraska | $324.39 | $67.28 | |
| Idaho | $324.09 | $67.82 | |
| Iowa | $322.19 | $67.31 | |
| Tennessee | $321.30 | $68.09 | |
| Kansas | $319.66 | $67.84 | |
| Oklahoma | $318.12 | $69.36 | |
| Kentucky | $317.79 | $70.15 | |
| West Virginia | $315.12 | $73.05 | |
| Alabama | $311.65 | $67.91 | |
| Mississippi | $308.65 | $68.80 | |
| Arkansas | $306.72 | $67.44 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates