CPT 26720

Cltx Phlngl Fx Prox/Middle Px/F/T W/O Manj Ea

CPT 26720 pays $235.48 in a non-facility setting and $205.08 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $206.24 in Arkansas to $269.59 in Alaska, a 31% spread.

National non-facility rate

$235.48

Office and other outpatient settings

Facility rate
$205.08

Hospital and ASC settings

Highest state
$269.59

Alaska

Lowest state
$206.24

Arkansas · 31% 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 $235.48
CPT 26720 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $235.48, national facility $205.08.
StateRate compared visuallyNon-facilityFacility
Alaska
$269.59$237.22
District of Columbia
$269.49$233.68
California
$262.46$226.49
New York
$261.71$227.80
New Jersey
$260.34$226.12
Washington
$257.99$223.34
Massachusetts
$255.73$221.58
Hawaii
$253.16$218.60
Connecticut
$251.93$219.20
Florida
$247.41$216.92
Maryland
$244.21$212.52
Colorado
$244.16$211.82
Oregon
$241.49$209.47
Illinois
$241.03$211.66
New Hampshire
$240.78$209.14
Rhode Island
$240.75$209.35
Puerto Rico
$237.12$206.39
Virgin Islands
$237.12$206.39
Montana
$235.45$205.06
Nevada
$233.63$203.21
Pennsylvania
$233.42$203.65
Delaware
$232.56$202.53
Texas
$232.36$202.44
Wyoming
$232.35$201.96
Minnesota
$231.83$200.55
Georgia
$230.29$201.29
Michigan
$230.25$201.71
Virginia
$229.12$199.24
Arizona
$228.60$199.15
North Dakota
$228.33$197.94
Vermont
$227.88$197.79
South Dakota
$227.49$197.10
Utah
$224.29$195.72
New Mexico
$224.12$196.24
Maine
$223.60$194.56
Missouri
$221.62$193.73
Louisiana
$221.60$193.85
Ohio
$221.13$193.38
South Carolina
$221.06$192.97
Wisconsin
$220.18$191.07
North Carolina
$220.01$191.66
West Virginia
$218.91$192.50
Indiana
$217.18$189.00
Kentucky
$216.03$189.01
Idaho
$215.86$187.90
Nebraska
$215.22$187.16
Oklahoma
$215.03$187.89
Tennessee
$214.80$187.17
Iowa
$214.12$186.30
Kansas
$213.58$186.10
Alabama
$209.51$182.91
Mississippi
$209.26$183.09
Arkansas
$206.24$180.13

Billed by 1 specialties

Commercial rates for 26720

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

See negotiated rates