CPT 20527 pays $94.19 in a non-facility setting and $58.45 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $83.34 in Arkansas to $111.29 in Alaska, a 34% spread.
National non-facility rate
$94.19
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $111.29 | $73.23 | |
| District of Columbia | $106.49 | $64.38 | |
| New York | $104.40 | $64.52 | |
| New Jersey | $103.34 | $63.10 | |
| California | $102.56 | $60.27 | |
| Washington | $101.60 | $60.86 | |
| Massachusetts | $100.94 | $60.78 | |
| Connecticut | $100.42 | $61.93 | |
| Florida | $100.38 | $64.52 | |
| Hawaii | $99.07 | $58.43 | |
| Illinois | $98.23 | $63.69 | |
| Maryland | $97.45 | $60.19 | |
| Colorado | $96.72 | $58.69 | |
| Rhode Island | $95.95 | $59.03 | |
| New Hampshire | $95.66 | $58.45 | |
| Oregon | $95.65 | $58.00 | |
| Puerto Rico | $94.70 | $58.57 | |
| Virgin Islands | $94.70 | $58.57 | |
| Montana | $94.18 | $58.44 | |
| Pennsylvania | $93.79 | $58.79 | |
| Michigan | $93.41 | $59.86 | |
| Nevada | $93.19 | $57.41 | |
| Texas | $93.06 | $57.88 | |
| Delaware | $93.05 | $57.74 | |
| Georgia | $92.95 | $58.86 | |
| Wyoming | $92.54 | $56.80 | |
| Arizona | $91.57 | $56.94 | |
| Virginia | $91.39 | $56.26 | |
| Minnesota | $91.32 | $54.55 | |
| New Mexico | $90.89 | $58.12 | |
| Vermont | $90.50 | $55.12 | |
| North Dakota | $90.42 | $54.68 | |
| Utah | $90.24 | $56.64 | |
| South Dakota | $89.98 | $54.24 | |
| West Virginia | $89.71 | $58.65 | |
| Louisiana | $89.69 | $57.06 | |
| Missouri | $89.55 | $56.76 | |
| Ohio | $89.45 | $56.82 | |
| Maine | $89.37 | $55.22 | |
| South Carolina | $89.05 | $56.03 | |
| North Carolina | $88.21 | $54.86 | |
| Kentucky | $87.53 | $55.76 | |
| Wisconsin | $87.48 | $53.25 | |
| Indiana | $86.91 | $53.78 | |
| Oklahoma | $86.88 | $54.96 | |
| Idaho | $86.44 | $53.56 | |
| Tennessee | $86.24 | $53.75 | |
| Nebraska | $86.00 | $53.01 | |
| Kansas | $85.75 | $53.44 | |
| Iowa | $85.68 | $52.98 | |
| Mississippi | $84.87 | $54.10 | |
| Alabama | $84.55 | $53.28 | |
| Arkansas | $83.34 | $52.64 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates