CPT 20969 pays $2,322.36 in a non-facility setting and $2,322.36 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $2,125.13 in Arkansas to $2,999.74 in Alaska, a 41% spread.
National non-facility rate
$2,322.36
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 41% 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 | $2,999.74 | $2,999.74 | |
| New York | $2,545.52 | $2,545.52 | |
| Florida | $2,540.06 | $2,540.06 | |
| District of Columbia | $2,537.50 | $2,537.50 | |
| Illinois | $2,514.30 | $2,514.30 | |
| New Jersey | $2,494.86 | $2,494.86 | |
| Connecticut | $2,447.16 | $2,447.16 | |
| Washington | $2,407.03 | $2,407.03 | |
| Massachusetts | $2,404.86 | $2,404.86 | |
| Maryland | $2,385.40 | $2,385.40 | |
| California | $2,383.87 | $2,383.87 | |
| Michigan | $2,377.66 | $2,377.66 | |
| Rhode Island | $2,346.17 | $2,346.17 | |
| Georgia | $2,341.04 | $2,341.04 | |
| West Virginia | $2,339.95 | $2,339.95 | |
| Pennsylvania | $2,338.78 | $2,338.78 | |
| Colorado | $2,329.61 | $2,329.61 | |
| Puerto Rico | $2,325.72 | $2,325.72 | |
| Virgin Islands | $2,325.72 | $2,325.72 | |
| Montana | $2,321.91 | $2,321.91 | |
| New Hampshire | $2,319.12 | $2,319.12 | |
| New Mexico | $2,317.09 | $2,317.09 | |
| Hawaii | $2,310.75 | $2,310.75 | |
| Texas | $2,304.76 | $2,304.76 | |
| Oregon | $2,304.13 | $2,304.13 | |
| Delaware | $2,299.37 | $2,299.37 | |
| Nevada | $2,284.94 | $2,284.94 | |
| Louisiana | $2,279.54 | $2,279.54 | |
| Ohio | $2,270.66 | $2,270.66 | |
| Arizona | $2,270.49 | $2,270.49 | |
| Missouri | $2,268.14 | $2,268.14 | |
| Wyoming | $2,263.14 | $2,263.14 | |
| Utah | $2,262.21 | $2,262.21 | |
| Virginia | $2,244.93 | $2,244.93 | |
| South Carolina | $2,241.44 | $2,241.44 | |
| Kentucky | $2,234.71 | $2,234.71 | |
| Maine | $2,209.91 | $2,209.91 | |
| Oklahoma | $2,205.74 | $2,205.74 | |
| Vermont | $2,203.68 | $2,203.68 | |
| North Carolina | $2,198.91 | $2,198.91 | |
| North Dakota | $2,187.05 | $2,187.05 | |
| Minnesota | $2,179.84 | $2,179.84 | |
| Mississippi | $2,177.39 | $2,177.39 | |
| South Dakota | $2,171.11 | $2,171.11 | |
| Tennessee | $2,160.91 | $2,160.91 | |
| Indiana | $2,160.37 | $2,160.37 | |
| Idaho | $2,153.10 | $2,153.10 | |
| Kansas | $2,150.32 | $2,150.32 | |
| Alabama | $2,146.60 | $2,146.60 | |
| Wisconsin | $2,138.89 | $2,138.89 | |
| Nebraska | $2,133.30 | $2,133.30 | |
| Iowa | $2,132.71 | $2,132.71 | |
| Arkansas | $2,125.13 | $2,125.13 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates