CPT 20611 pays $104.21 in a non-facility setting and $50.10 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $92.95 in Arkansas to $124.13 in Alaska, a 34% spread.
National non-facility rate
$104.21
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 | $124.13 | $66.50 | |
| District of Columbia | $118.02 | $54.28 | |
| California | $115.04 | $51.02 | |
| New York | $114.96 | $54.60 | |
| New Jersey | $114.48 | $53.55 | |
| Washington | $113.28 | $51.60 | |
| Massachusetts | $112.38 | $51.58 | |
| Hawaii | $110.98 | $49.46 | |
| Connecticut | $110.82 | $52.54 | |
| Florida | $108.85 | $54.56 | |
| Maryland | $107.75 | $51.34 | |
| Colorado | $107.70 | $50.13 | |
| Oregon | $106.62 | $49.61 | |
| Rhode Island | $106.49 | $50.60 | |
| Illinois | $106.44 | $54.16 | |
| New Hampshire | $106.24 | $49.91 | |
| Puerto Rico | $104.84 | $50.14 | |
| Virgin Islands | $104.84 | $50.14 | |
| Montana | $104.20 | $50.09 | |
| Pennsylvania | $103.55 | $50.55 | |
| Nevada | $103.49 | $49.33 | |
| Delaware | $103.15 | $49.69 | |
| Texas | $103.09 | $49.82 | |
| Wyoming | $103.00 | $48.89 | |
| Minnesota | $102.77 | $47.09 | |
| Georgia | $102.25 | $50.63 | |
| Michigan | $102.22 | $51.42 | |
| Virginia | $101.75 | $48.56 | |
| Arizona | $101.56 | $49.13 | |
| North Dakota | $101.43 | $47.32 | |
| Vermont | $101.26 | $47.69 | |
| South Dakota | $101.11 | $47.00 | |
| Utah | $99.91 | $49.04 | |
| New Mexico | $99.86 | $50.24 | |
| Maine | $99.63 | $47.92 | |
| Missouri | $98.89 | $49.23 | |
| Louisiana | $98.88 | $49.48 | |
| Ohio | $98.70 | $49.30 | |
| South Carolina | $98.66 | $48.66 | |
| Wisconsin | $98.30 | $46.46 | |
| North Carolina | $98.25 | $47.76 | |
| West Virginia | $97.87 | $50.85 | |
| Indiana | $97.15 | $46.99 | |
| Kentucky | $96.73 | $48.63 | |
| Idaho | $96.64 | $46.86 | |
| Nebraska | $96.39 | $46.45 | |
| Oklahoma | $96.34 | $48.02 | |
| Tennessee | $96.24 | $47.05 | |
| Iowa | $95.97 | $46.46 | |
| Kansas | $95.77 | $46.85 | |
| Alabama | $94.21 | $46.86 | |
| Mississippi | $94.12 | $47.53 | |
| Arkansas | $92.95 | $46.47 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates