CPT 20220 pays $223.12 in a non-facility setting and $76.49 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $197.29 in Arkansas to $258.09 in Alaska, a 31% spread.
National non-facility rate
$223.12
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 31% 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 |
|---|---|---|---|
| Alaska | $258.09 | $101.93 | |
| District of Columbia | $255.80 | $83.07 | |
| California | $252.44 | $78.94 | |
| New Jersey | $246.98 | $81.87 | |
| New York | $246.63 | $83.05 | |
| Washington | $246.53 | $79.37 | |
| Massachusetts | $243.97 | $79.24 | |
| Hawaii | $243.15 | $76.43 | |
| Connecticut | $237.99 | $80.07 | |
| Colorado | $232.99 | $76.98 | |
| Maryland | $231.21 | $78.35 | |
| Oregon | $230.73 | $76.26 | |
| New Hampshire | $229.12 | $76.48 | |
| Florida | $229.04 | $81.92 | |
| Rhode Island | $228.93 | $77.46 | |
| Puerto Rico | $224.83 | $76.59 | |
| Virgin Islands | $224.83 | $76.59 | |
| Minnesota | $223.87 | $72.98 | |
| Montana | $223.11 | $76.48 | |
| Illinois | $222.96 | $81.27 | |
| Nevada | $222.33 | $75.56 | |
| Wyoming | $221.64 | $75.01 | |
| Delaware | $220.85 | $75.98 | |
| Pennsylvania | $220.64 | $77.01 | |
| Texas | $220.47 | $76.12 | |
| North Dakota | $219.75 | $73.12 | |
| South Dakota | $219.35 | $72.72 | |
| Vermont | $218.68 | $73.51 | |
| Virginia | $218.67 | $74.53 | |
| Arizona | $217.23 | $75.14 | |
| Georgia | $216.79 | $76.90 | |
| Michigan | $215.45 | $77.76 | |
| Maine | $213.71 | $73.61 | |
| Utah | $212.72 | $74.89 | |
| Wisconsin | $212.31 | $71.84 | |
| New Mexico | $210.68 | $76.22 | |
| North Carolina | $210.10 | $73.30 | |
| South Carolina | $209.83 | $74.34 | |
| Missouri | $209.55 | $75.00 | |
| Louisiana | $209.15 | $75.27 | |
| Ohio | $208.92 | $75.05 | |
| Indiana | $208.25 | $72.33 | |
| Idaho | $207.03 | $72.13 | |
| Nebraska | $206.98 | $71.64 | |
| Iowa | $205.78 | $71.62 | |
| Tennessee | $205.60 | $72.31 | |
| Kansas | $204.59 | $72.04 | |
| Kentucky | $204.47 | $74.11 | |
| Oklahoma | $204.34 | $73.40 | |
| West Virginia | $204.13 | $76.70 | |
| Alabama | $200.20 | $71.89 | |
| Mississippi | $198.89 | $72.64 | |
| Arkansas | $197.29 | $71.33 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates