CPT 19286 pays $286.58 in a non-facility setting and $36.07 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $249.05 in Arkansas to $333.96 in District of Columbia, a 34% spread.
National non-facility rate
$286.58
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 34% 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 | $333.96 | $38.86 | |
| California | $333.09 | $36.67 | |
| Washington | $322.64 | $37.06 | |
| New Jersey | $320.49 | $38.42 | |
| Hawaii | $320.37 | $35.54 | |
| New York | $318.55 | $39.09 | |
| Massachusetts | $318.50 | $37.05 | |
| Alaska | $315.72 | $48.93 | |
| Connecticut | $307.47 | $37.67 | |
| Colorado | $302.63 | $36.09 | |
| Oregon | $299.66 | $35.75 | |
| Maryland | $298.05 | $36.89 | |
| New Hampshire | $296.69 | $35.92 | |
| Rhode Island | $295.22 | $36.45 | |
| Minnesota | $291.88 | $34.11 | |
| Florida | $290.28 | $38.94 | |
| Puerto Rico | $289.35 | $36.09 | |
| Virgin Islands | $289.35 | $36.09 | |
| Montana | $286.57 | $36.07 | |
| Nevada | $286.33 | $35.58 | |
| Wyoming | $285.80 | $35.29 | |
| North Dakota | $284.79 | $34.29 | |
| South Dakota | $284.58 | $34.08 | |
| Delaware | $283.34 | $35.84 | |
| Texas | $282.55 | $35.93 | |
| Vermont | $282.54 | $34.53 | |
| Pennsylvania | $281.79 | $36.42 | |
| Virginia | $281.35 | $35.10 | |
| Illinois | $280.78 | $38.73 | |
| Arizona | $278.22 | $35.47 | |
| Georgia | $275.44 | $36.46 | |
| Maine | $274.07 | $34.71 | |
| Wisconsin | $273.75 | $33.77 | |
| Michigan | $272.20 | $36.97 | |
| Utah | $270.92 | $35.45 | |
| North Carolina | $268.35 | $34.63 | |
| South Carolina | $266.68 | $35.22 | |
| Indiana | $266.36 | $34.14 | |
| New Mexico | $265.95 | $36.23 | |
| Missouri | $265.47 | $35.59 | |
| Nebraska | $265.01 | $33.79 | |
| Idaho | $264.53 | $34.06 | |
| Louisiana | $264.46 | $35.75 | |
| Ohio | $264.34 | $35.63 | |
| Iowa | $263.02 | $33.81 | |
| Tennessee | $261.91 | $34.19 | |
| Kansas | $260.53 | $34.07 | |
| Oklahoma | $258.53 | $34.83 | |
| Kentucky | $257.92 | $35.22 | |
| West Virginia | $254.36 | $36.67 | |
| Alabama | $253.29 | $34.10 | |
| Mississippi | $250.23 | $34.55 | |
| Arkansas | $249.05 | $33.86 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates