CPT 19288 pays $456.92 in a non-facility setting and $53.44 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $397.01 in Arkansas to $532.82 in District of Columbia, a 34% spread.
National non-facility rate
$456.92
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 | $532.82 | $57.52 | |
| California | $531.94 | $54.51 | |
| Washington | $514.96 | $54.99 | |
| Hawaii | $511.57 | $52.81 | |
| New Jersey | $511.21 | $56.89 | |
| Massachusetts | $508.27 | $54.95 | |
| New York | $507.88 | $57.75 | |
| Alaska | $502.73 | $73.02 | |
| Connecticut | $490.26 | $55.71 | |
| Colorado | $482.86 | $53.56 | |
| Oregon | $478.15 | $53.08 | |
| Maryland | $475.25 | $54.62 | |
| New Hampshire | $473.28 | $53.26 | |
| Rhode Island | $470.85 | $54.06 | |
| Minnesota | $466.03 | $50.84 | |
| Florida | $462.09 | $57.26 | |
| Puerto Rico | $461.39 | $53.47 | |
| Virgin Islands | $461.39 | $53.47 | |
| Montana | $456.92 | $53.43 | |
| Nevada | $456.67 | $52.78 | |
| Wyoming | $455.88 | $52.40 | |
| North Dakota | $454.54 | $51.06 | |
| South Dakota | $454.26 | $50.78 | |
| Delaware | $451.79 | $53.15 | |
| Vermont | $450.83 | $51.38 | |
| Texas | $450.50 | $53.27 | |
| Pennsylvania | $449.15 | $53.94 | |
| Virginia | $448.76 | $52.13 | |
| Illinois | $446.85 | $56.98 | |
| Arizona | $443.60 | $52.63 | |
| Georgia | $438.86 | $53.94 | |
| Maine | $437.13 | $51.60 | |
| Wisconsin | $436.88 | $50.35 | |
| Michigan | $433.48 | $54.61 | |
| Utah | $431.85 | $52.57 | |
| North Carolina | $427.93 | $51.48 | |
| South Carolina | $425.07 | $52.26 | |
| Indiana | $424.85 | $50.82 | |
| New Mexico | $423.60 | $53.61 | |
| Missouri | $423.01 | $52.75 | |
| Nebraska | $422.77 | $50.36 | |
| Idaho | $421.92 | $50.71 | |
| Louisiana | $421.34 | $52.96 | |
| Ohio | $421.19 | $52.81 | |
| Iowa | $419.56 | $50.37 | |
| Tennessee | $417.65 | $50.89 | |
| Kansas | $415.46 | $50.72 | |
| Oklahoma | $412.04 | $51.73 | |
| Kentucky | $410.94 | $52.25 | |
| West Virginia | $404.79 | $54.16 | |
| Alabama | $403.79 | $50.74 | |
| Mississippi | $398.73 | $51.33 | |
| Arkansas | $397.01 | $50.41 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates