CPT 26055 pays $629.61 in a non-facility setting and $287.58 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $548.44 in Arkansas to $727.87 in District of Columbia, a 33% spread.
National non-facility rate
$629.61
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 33% 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 | $727.87 | $324.96 | |
| California | $717.66 | $312.95 | |
| Alaska | $704.60 | $340.34 | |
| New Jersey | $700.55 | $315.43 | |
| New York | $700.21 | $318.65 | |
| Washington | $699.97 | $310.06 | |
| Massachusetts | $692.32 | $308.06 | |
| Hawaii | $691.19 | $302.31 | |
| Connecticut | $674.89 | $306.53 | |
| Colorado | $659.16 | $295.24 | |
| Maryland | $654.06 | $297.50 | |
| Oregon | $652.29 | $291.97 | |
| Florida | $649.64 | $306.48 | |
| New Hampshire | $648.06 | $292.01 | |
| Rhode Island | $646.24 | $292.92 | |
| Puerto Rico | $634.92 | $289.13 | |
| Virgin Islands | $634.92 | $289.13 | |
| Minnesota | $630.73 | $278.79 | |
| Illinois | $630.43 | $299.95 | |
| Montana | $629.57 | $287.54 | |
| Nevada | $626.88 | $284.51 | |
| Wyoming | $624.57 | $282.54 | |
| Delaware | $622.05 | $284.13 | |
| Pennsylvania | $621.42 | $286.41 | |
| Texas | $620.90 | $284.17 | |
| North Dakota | $618.10 | $276.07 | |
| South Dakota | $616.74 | $274.72 | |
| Virginia | $615.26 | $279.05 | |
| Vermont | $614.95 | $276.34 | |
| Arizona | $611.04 | $279.61 | |
| Georgia | $610.15 | $283.86 | |
| Michigan | $606.45 | $285.29 | |
| Maine | $599.72 | $272.91 | |
| Utah | $597.09 | $275.59 | |
| Wisconsin | $594.82 | $267.16 | |
| New Mexico | $591.25 | $277.61 | |
| North Carolina | $588.51 | $269.40 | |
| South Carolina | $588.01 | $271.98 | |
| Missouri | $587.39 | $273.53 | |
| Louisiana | $586.23 | $273.96 | |
| Ohio | $585.48 | $273.21 | |
| Indiana | $582.49 | $265.43 | |
| Idaho | $578.68 | $264.01 | |
| Nebraska | $578.36 | $262.67 | |
| Iowa | $574.66 | $261.70 | |
| Tennessee | $574.32 | $263.41 | |
| Kentucky | $571.46 | $267.40 | |
| West Virginia | $571.27 | $274.05 | |
| Kansas | $571.13 | $261.94 | |
| Oklahoma | $570.82 | $265.39 | |
| Alabama | $557.57 | $258.30 | |
| Mississippi | $553.80 | $259.31 | |
| Arkansas | $548.44 | $254.64 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates