CPT 22513 pays $5,801.07 in a non-facility setting and $453.58 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $5,004.78 in Arkansas to $6,795.34 in District of Columbia, a 36% spread.
National non-facility rate
$5,801.07
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
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 |
|---|---|---|---|
| District of Columbia | $6,795.34 | $496.00 | |
| California | $6,789.14 | $461.59 | |
| Washington | $6,564.26 | $468.13 | |
| Hawaii | $6,527.98 | $447.89 | |
| New Jersey | $6,508.74 | $487.48 | |
| Massachusetts | $6,476.07 | $468.17 | |
| New York | $6,465.26 | $499.61 | |
| Alaska | $6,273.67 | $578.60 | |
| Connecticut | $6,238.68 | $479.44 | |
| Colorado | $6,142.85 | $453.13 | |
| Oregon | $6,081.31 | $447.73 | |
| Maryland | $6,041.14 | $466.39 | |
| New Hampshire | $6,018.66 | $451.93 | |
| Rhode Island | $5,981.17 | $457.22 | |
| Minnesota | $5,922.70 | $420.13 | |
| Florida | $5,868.93 | $503.63 | |
| Puerto Rico | $5,860.42 | $454.11 | |
| Virgin Islands | $5,860.42 | $454.11 | |
| Montana | $5,800.96 | $453.48 | |
| Nevada | $5,797.78 | $444.95 | |
| Wyoming | $5,787.43 | $439.95 | |
| North Dakota | $5,769.92 | $422.44 | |
| South Dakota | $5,766.25 | $418.76 | |
| Delaware | $5,731.58 | $448.26 | |
| Vermont | $5,720.49 | $426.48 | |
| Texas | $5,714.15 | $449.55 | |
| Pennsylvania | $5,695.15 | $457.29 | |
| Virginia | $5,692.71 | $436.13 | |
| Illinois | $5,665.31 | $498.31 | |
| Arizona | $5,624.04 | $442.33 | |
| Georgia | $5,560.31 | $458.81 | |
| Maine | $5,538.20 | $428.68 | |
| Wisconsin | $5,535.16 | $412.27 | |
| Michigan | $5,488.95 | $467.66 | |
| Utah | $5,467.70 | $441.06 | |
| North Carolina | $5,415.84 | $426.64 | |
| South Carolina | $5,377.71 | $436.63 | |
| Indiana | $5,375.02 | $417.90 | |
| New Mexico | $5,357.84 | $454.20 | |
| Missouri | $5,350.13 | $442.92 | |
| Nebraska | $5,347.49 | $411.76 | |
| Idaho | $5,336.07 | $416.38 | |
| Louisiana | $5,327.90 | $445.65 | |
| Ohio | $5,325.85 | $443.60 | |
| Iowa | $5,304.75 | $411.80 | |
| Tennessee | $5,279.29 | $418.42 | |
| Kansas | $5,250.22 | $416.10 | |
| Oklahoma | $5,204.40 | $429.10 | |
| Kentucky | $5,189.77 | $435.85 | |
| West Virginia | $5,107.48 | $460.52 | |
| Alabama | $5,094.93 | $415.88 | |
| Mississippi | $5,027.46 | $423.28 | |
| Arkansas | $5,004.78 | $411.29 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates