CPT 26080

Arthrt Expl Drg/Rmvl Loose/Fb Iphal Jt Ea

CPT 26080 pays $387.78 in a non-facility setting and $387.78 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $343.99 in Arkansas to $461.92 in Alaska, a 34% spread.

National non-facility rate

$387.78

Office and other outpatient settings

Facility rate
$387.78

Hospital and ASC settings

Highest state
$461.92

Alaska

Lowest state
$343.99

Arkansas · 34% 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 $387.78
CPT 26080 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $387.78, national facility $387.78.
StateRate compared visuallyNon-facilityFacility
Alaska
$461.92$461.92
District of Columbia
$436.93$436.93
New York
$429.53$429.53
New Jersey
$424.58$424.58
California
$419.40$419.40
Washington
$416.43$416.43
Florida
$415.06$415.06
Massachusetts
$413.99$413.99
Connecticut
$413.07$413.07
Illinois
$406.63$406.63
Hawaii
$405.30$405.30
Maryland
$400.95$400.95
Colorado
$397.09$397.09
Rhode Island
$394.59$394.59
New Hampshire
$393.06$393.06
Oregon
$392.65$392.65
Puerto Rico
$389.72$389.72
Virgin Islands
$389.72$389.72
Montana
$387.73$387.73
Pennsylvania
$386.64$386.64
Michigan
$386.16$386.16
Georgia
$383.67$383.67
Nevada
$383.31$383.31
Texas
$383.27$383.27
Delaware
$383.11$383.11
Wyoming
$380.49$380.49
Arizona
$377.11$377.11
Virginia
$375.90$375.90
New Mexico
$375.65$375.65
Minnesota
$374.24$374.24
Utah
$372.08$372.08
West Virginia
$371.83$371.83
Vermont
$371.78$371.78
North Dakota
$371.12$371.12
Louisiana
$370.48$370.48
Missouri
$369.72$369.72
Ohio
$369.38$369.38
South Dakota
$369.15$369.15
Maine
$367.78$367.78
South Carolina
$367.30$367.30
North Carolina
$363.31$363.31
Kentucky
$361.63$361.63
Wisconsin
$359.38$359.38
Oklahoma
$358.62$358.62
Indiana
$357.73$357.73
Idaho
$355.87$355.87
Tennessee
$355.31$355.31
Nebraska
$353.85$353.85
Kansas
$353.31$353.31
Iowa
$352.67$352.67
Mississippi
$350.70$350.70
Alabama
$348.85$348.85
Arkansas
$343.99$343.99

Billed by 1 specialties

Commercial rates for 26080

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

See negotiated rates