CPT 20205 pays $338.69 in a non-facility setting and $146.96 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $294.25 in Arkansas to $388.08 in District of Columbia, a 32% spread.
National non-facility rate
$338.69
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 | $388.08 | $162.23 | |
| Alaska | $382.81 | $178.63 | |
| New York | $377.92 | $164.03 | |
| California | $375.56 | $148.71 | |
| New Jersey | $374.72 | $158.84 | |
| Washington | $370.18 | $151.62 | |
| Massachusetts | $367.17 | $151.77 | |
| Connecticut | $363.29 | $156.81 | |
| Hawaii | $362.49 | $144.50 | |
| Florida | $360.04 | $167.68 | |
| Maryland | $351.58 | $151.71 | |
| Illinois | $350.61 | $165.36 | |
| Colorado | $350.24 | $146.25 | |
| Oregon | $346.16 | $144.18 | |
| New Hampshire | $345.83 | $146.25 | |
| Rhode Island | $345.73 | $147.68 | |
| Puerto Rico | $341.00 | $147.17 | |
| Virgin Islands | $341.00 | $147.17 | |
| Montana | $338.64 | $146.92 | |
| Pennsylvania | $335.94 | $148.15 | |
| Nevada | $335.30 | $143.39 | |
| Delaware | $333.99 | $144.57 | |
| Texas | $333.83 | $145.08 | |
| Wyoming | $333.04 | $141.32 | |
| Michigan | $332.86 | $152.84 | |
| Georgia | $332.00 | $149.10 | |
| Minnesota | $330.37 | $133.09 | |
| Virginia | $328.21 | $139.75 | |
| Arizona | $328.10 | $142.33 | |
| North Dakota | $325.79 | $134.07 | |
| Vermont | $325.56 | $135.75 | |
| South Dakota | $324.27 | $132.55 | |
| New Mexico | $323.09 | $147.28 | |
| Utah | $322.04 | $141.82 | |
| Maine | $319.87 | $136.69 | |
| Louisiana | $318.78 | $143.74 | |
| Missouri | $318.54 | $142.61 | |
| Ohio | $317.94 | $142.90 | |
| South Carolina | $317.15 | $140.00 | |
| West Virginia | $316.54 | $149.93 | |
| North Carolina | $314.74 | $135.86 | |
| Wisconsin | $313.56 | $129.89 | |
| Kentucky | $310.15 | $139.71 | |
| Indiana | $309.97 | $132.24 | |
| Oklahoma | $308.11 | $136.90 | |
| Idaho | $308.00 | $131.62 | |
| Tennessee | $306.75 | $132.47 | |
| Nebraska | $306.66 | $129.71 | |
| Iowa | $305.15 | $129.73 | |
| Kansas | $304.83 | $131.51 | |
| Mississippi | $299.59 | $134.52 | |
| Alabama | $299.20 | $131.45 | |
| Arkansas | $294.25 | $129.56 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates