CPT 25600 pays $385.45 in a non-facility setting and $342.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $337.54 in Arkansas to $441.64 in District of Columbia, a 31% spread.
National non-facility rate
$385.45
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 31% 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 | $441.64 | $390.49 | |
| Alaska | $440.43 | $394.19 | |
| California | $430.97 | $379.59 | |
| New York | $428.31 | $379.87 | |
| New Jersey | $426.47 | $377.58 | |
| Washington | $423.14 | $373.64 | |
| Massachusetts | $419.31 | $370.52 | |
| Hawaii | $415.60 | $366.23 | |
| Connecticut | $412.41 | $365.64 | |
| Florida | $403.76 | $360.19 | |
| Colorado | $400.21 | $354.01 | |
| Maryland | $399.80 | $354.53 | |
| Oregon | $395.89 | $350.14 | |
| New Hampshire | $394.49 | $349.29 | |
| Rhode Island | $394.31 | $349.45 | |
| Illinois | $393.16 | $351.21 | |
| Puerto Rico | $388.21 | $344.31 | |
| Virgin Islands | $388.21 | $344.31 | |
| Montana | $385.41 | $341.99 | |
| Nevada | $382.66 | $339.19 | |
| Pennsylvania | $381.86 | $339.33 | |
| Delaware | $380.72 | $337.82 | |
| Wyoming | $380.67 | $337.25 | |
| Minnesota | $380.53 | $335.85 | |
| Texas | $380.35 | $337.60 | |
| Georgia | $376.47 | $335.05 | |
| Michigan | $376.06 | $335.29 | |
| Virginia | $375.34 | $332.66 | |
| North Dakota | $374.53 | $331.11 | |
| Arizona | $374.23 | $332.15 | |
| Vermont | $373.61 | $330.62 | |
| South Dakota | $373.25 | $329.83 | |
| Utah | $366.98 | $326.16 | |
| Maine | $366.28 | $324.79 | |
| New Mexico | $366.18 | $326.37 | |
| Missouri | $362.39 | $322.54 | |
| Louisiana | $362.25 | $322.61 | |
| South Carolina | $361.67 | $321.55 | |
| Ohio | $361.53 | $321.89 | |
| Wisconsin | $361.12 | $319.52 | |
| North Carolina | $360.29 | $319.77 | |
| West Virginia | $357.13 | $319.40 | |
| Indiana | $355.82 | $315.56 | |
| Idaho | $353.64 | $313.69 | |
| Kentucky | $353.19 | $314.59 | |
| Nebraska | $352.72 | $312.65 | |
| Tennessee | $351.77 | $312.30 | |
| Oklahoma | $351.76 | $312.98 | |
| Iowa | $350.86 | $311.13 | |
| Kansas | $349.78 | $310.53 | |
| Alabama | $342.90 | $304.91 | |
| Mississippi | $342.21 | $304.82 | |
| Arkansas | $337.54 | $300.24 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates