CPT 20561 pays $38.08 in a non-facility setting and $19.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $34.58 in Arkansas to $46.87 in Alaska, a 36% spread.
National non-facility rate
$38.08
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 36% 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 | $46.87 | $27.30 | |
| District of Columbia | $42.84 | $21.20 | |
| California | $42.10 | $20.36 | |
| New Jersey | $41.66 | $20.98 | |
| New York | $41.65 | $21.16 | |
| Washington | $41.35 | $20.41 | |
| Massachusetts | $41.01 | $20.37 | |
| Hawaii | $40.58 | $19.70 | |
| Connecticut | $40.25 | $20.46 | |
| Colorado | $39.41 | $19.87 | |
| Maryland | $39.27 | $20.12 | |
| Florida | $39.10 | $20.67 | |
| Oregon | $39.07 | $19.72 | |
| Rhode Island | $38.97 | $20.00 | |
| New Hampshire | $38.83 | $19.70 | |
| Illinois | $38.32 | $20.57 | |
| Puerto Rico | $38.30 | $19.72 | |
| Virgin Islands | $38.30 | $19.72 | |
| Montana | $38.08 | $19.70 | |
| Minnesota | $37.99 | $19.09 | |
| Nevada | $37.93 | $19.54 | |
| Pennsylvania | $37.85 | $19.86 | |
| Wyoming | $37.82 | $19.45 | |
| Delaware | $37.80 | $19.65 | |
| Texas | $37.76 | $19.68 | |
| North Dakota | $37.48 | $19.11 | |
| Virginia | $37.42 | $19.36 | |
| South Dakota | $37.41 | $19.04 | |
| Vermont | $37.37 | $19.18 | |
| Georgia | $37.31 | $19.79 | |
| Arizona | $37.27 | $19.47 | |
| Michigan | $37.18 | $19.93 | |
| Maine | $36.75 | $19.20 | |
| Utah | $36.69 | $19.42 | |
| New Mexico | $36.50 | $19.66 | |
| Wisconsin | $36.49 | $18.89 | |
| Missouri | $36.30 | $19.44 | |
| South Carolina | $36.30 | $19.33 | |
| North Carolina | $36.28 | $19.14 | |
| Louisiana | $36.26 | $19.49 | |
| Ohio | $36.23 | $19.45 | |
| Indiana | $36.00 | $18.97 | |
| Idaho | $35.84 | $18.94 | |
| Nebraska | $35.81 | $18.85 | |
| West Virginia | $35.71 | $19.74 | |
| Tennessee | $35.67 | $18.97 | |
| Iowa | $35.66 | $18.85 | |
| Kentucky | $35.62 | $19.29 | |
| Oklahoma | $35.57 | $19.16 | |
| Kansas | $35.53 | $18.92 | |
| Alabama | $34.97 | $18.90 | |
| Mississippi | $34.84 | $19.03 | |
| Arkansas | $34.58 | $18.80 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates