CPT 32491 pays $1,407.51 in a non-facility setting and $1,407.51 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,248.32 in Wisconsin to $1,750.13 in Alaska, a 40% spread.
National non-facility rate
$1,407.51
Office and other outpatient settings
Hospital and ASC settings
Alaska
Wisconsin · 40% 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 |
|---|---|---|---|
| Alaska | $1,750.13 | $1,750.13 | |
| Florida | $1,604.82 | $1,604.82 | |
| Illinois | $1,586.27 | $1,586.27 | |
| New York | $1,564.69 | $1,564.69 | |
| District of Columbia | $1,542.66 | $1,542.66 | |
| New Jersey | $1,514.61 | $1,514.61 | |
| Connecticut | $1,496.58 | $1,496.58 | |
| Michigan | $1,468.82 | $1,468.82 | |
| Maryland | $1,450.33 | $1,450.33 | |
| West Virginia | $1,447.19 | $1,447.19 | |
| Massachusetts | $1,445.27 | $1,445.27 | |
| Washington | $1,442.69 | $1,442.69 | |
| Georgia | $1,432.03 | $1,432.03 | |
| Pennsylvania | $1,421.44 | $1,421.44 | |
| New Mexico | $1,417.73 | $1,417.73 | |
| Rhode Island | $1,413.25 | $1,413.25 | |
| California | $1,411.55 | $1,411.55 | |
| Puerto Rico | $1,408.57 | $1,408.57 | |
| Virgin Islands | $1,408.57 | $1,408.57 | |
| Montana | $1,407.10 | $1,407.10 | |
| New Hampshire | $1,397.14 | $1,397.14 | |
| Colorado | $1,396.25 | $1,396.25 | |
| Texas | $1,391.44 | $1,391.44 | |
| Delaware | $1,386.17 | $1,386.17 | |
| Louisiana | $1,384.32 | $1,384.32 | |
| Oregon | $1,377.08 | $1,377.08 | |
| Ohio | $1,376.25 | $1,376.25 | |
| Nevada | $1,373.31 | $1,373.31 | |
| Missouri | $1,373.11 | $1,373.11 | |
| Hawaii | $1,372.18 | $1,372.18 | |
| Arizona | $1,365.96 | $1,365.96 | |
| Utah | $1,363.69 | $1,363.69 | |
| Wyoming | $1,353.67 | $1,353.67 | |
| Kentucky | $1,347.91 | $1,347.91 | |
| South Carolina | $1,347.69 | $1,347.69 | |
| Virginia | $1,340.20 | $1,340.20 | |
| Oklahoma | $1,320.84 | $1,320.84 | |
| Maine | $1,313.33 | $1,313.33 | |
| North Carolina | $1,307.40 | $1,307.40 | |
| Vermont | $1,301.43 | $1,301.43 | |
| Mississippi | $1,300.86 | $1,300.86 | |
| North Dakota | $1,284.51 | $1,284.51 | |
| Tennessee | $1,277.20 | $1,277.20 | |
| Indiana | $1,273.45 | $1,273.45 | |
| Minnesota | $1,272.70 | $1,272.70 | |
| Alabama | $1,270.33 | $1,270.33 | |
| South Dakota | $1,270.01 | $1,270.01 | |
| Kansas | $1,268.47 | $1,268.47 | |
| Idaho | $1,268.11 | $1,268.11 | |
| Arkansas | $1,253.72 | $1,253.72 | |
| Iowa | $1,250.47 | $1,250.47 | |
| Nebraska | $1,249.57 | $1,249.57 | |
| Wisconsin | $1,248.32 | $1,248.32 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates