CPT 22552

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CPT 22552 pays $353.05 in a non-facility setting and $353.05 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $301.52 in Wisconsin to $432.06 in Alaska, a 43% spread.

National non-facility rate

$353.05

Office and other outpatient settings

Facility rate
$353.05

Hospital and ASC settings

Highest state
$432.06

Alaska

Lowest state
$301.52

Wisconsin · 43% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $353.05
CPT 22552 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $353.05, national facility $353.05.
StateRate compared visuallyNon-facilityFacility
Alaska
$432.06$432.06
Florida
$419.69$419.69
Illinois
$415.29$415.29
New York
$396.53$396.53
District of Columbia
$385.07$385.07
New Jersey
$378.70$378.70
Connecticut
$377.49$377.49
Michigan
$377.29$377.29
West Virginia
$373.96$373.96
Maryland
$364.26$364.26
Georgia
$363.88$363.88
New Mexico
$361.24$361.24
Pennsylvania
$358.33$358.33
Massachusetts
$356.89$356.89
Washington
$354.88$354.88
Montana
$352.91$352.91
Puerto Rico
$352.78$352.78
Virgin Islands
$352.78$352.78
Rhode Island
$351.84$351.84
Louisiana
$350.15$350.15
Texas
$348.12$348.12
Ohio
$347.42$347.42
New Hampshire
$347.20$347.20
Delaware
$346.17$346.17
Missouri
$346.09$346.09
Colorado
$344.78$344.78
Utah
$341.62$341.62
California
$341.57$341.57
Nevada
$341.40$341.40
Arizona
$340.74$340.74
Kentucky
$339.19$339.19
Oregon
$339.15$339.15
South Carolina
$337.12$337.12
Wyoming
$334.81$334.81
Hawaii
$333.26$333.26
Virginia
$331.22$331.22
Oklahoma
$329.79$329.79
Mississippi
$324.85$324.85
Maine
$323.68$323.68
North Carolina
$322.96$322.96
Vermont
$317.69$317.69
Tennessee
$314.10$314.10
Alabama
$313.71$313.71
Indiana
$311.80$311.80
Kansas
$311.43$311.43
North Dakota
$311.38$311.38
Idaho
$310.39$310.39
Arkansas
$309.00$309.00
South Dakota
$306.47$306.47
Minnesota
$305.73$305.73
Iowa
$304.70$304.70
Nebraska
$303.94$303.94
Wisconsin
$301.52$301.52

Billed by 1 specialties

Commercial rates for 22552

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates