CPT 20200 pays $241.82 in a non-facility setting and $90.18 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $210.16 in Arkansas to $278.18 in District of Columbia, a 32% spread.
National non-facility rate
$241.82
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 | $278.18 | $99.55 | |
| Alaska | $271.82 | $110.32 | |
| California | $271.23 | $91.80 | |
| New York | $269.56 | $100.39 | |
| New Jersey | $268.22 | $97.47 | |
| Washington | $266.19 | $93.32 | |
| Massachusetts | $263.72 | $93.35 | |
| Hawaii | $261.56 | $89.14 | |
| Connecticut | $259.38 | $96.07 | |
| Florida | $254.13 | $101.98 | |
| Colorado | $251.34 | $89.99 | |
| Maryland | $251.13 | $93.05 | |
| Oregon | $248.52 | $88.77 | |
| New Hampshire | $247.74 | $89.88 | |
| Rhode Island | $247.40 | $90.75 | |
| Illinois | $247.10 | $100.58 | |
| Puerto Rico | $243.64 | $90.33 | |
| Virgin Islands | $243.64 | $90.33 | |
| Montana | $241.80 | $90.16 | |
| Nevada | $239.94 | $88.15 | |
| Pennsylvania | $239.37 | $90.84 | |
| Delaware | $238.63 | $88.81 | |
| Wyoming | $238.61 | $86.97 | |
| Minnesota | $238.40 | $82.36 | |
| Texas | $238.38 | $89.09 | |
| Georgia | $235.95 | $91.28 | |
| Michigan | $235.75 | $93.36 | |
| Virginia | $235.09 | $86.03 | |
| North Dakota | $234.48 | $82.84 | |
| Arizona | $234.40 | $87.46 | |
| Vermont | $233.90 | $83.77 | |
| South Dakota | $233.62 | $81.98 | |
| Utah | $229.64 | $87.10 | |
| New Mexico | $229.20 | $90.14 | |
| Maine | $229.11 | $84.21 | |
| Missouri | $226.64 | $87.49 | |
| Louisiana | $226.57 | $88.12 | |
| South Carolina | $226.13 | $86.02 | |
| Ohio | $226.08 | $87.64 | |
| Wisconsin | $225.63 | $80.35 | |
| North Carolina | $225.16 | $83.68 | |
| West Virginia | $223.30 | $91.53 | |
| Indiana | $222.18 | $81.61 | |
| Idaho | $220.75 | $81.24 | |
| Kentucky | $220.57 | $85.76 | |
| Nebraska | $220.12 | $80.16 | |
| Oklahoma | $219.59 | $84.17 | |
| Tennessee | $219.54 | $81.69 | |
| Iowa | $218.90 | $80.15 | |
| Kansas | $218.22 | $81.13 | |
| Alabama | $213.70 | $81.02 | |
| Mississippi | $213.29 | $82.73 | |
| Arkansas | $210.16 | $79.90 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates