CPT 35875 pays $538.42 in a non-facility setting and $538.42 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $473.15 in Wisconsin to $679.93 in Alaska, a 44% spread.
National non-facility rate
$538.42
Office and other outpatient settings
Hospital and ASC settings
Alaska
Wisconsin · 44% 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 | $679.93 | $679.93 | |
| Florida | $622.24 | $622.24 | |
| Illinois | $616.56 | $616.56 | |
| New York | $598.38 | $598.38 | |
| District of Columbia | $585.25 | $585.25 | |
| New Jersey | $576.42 | $576.42 | |
| Connecticut | $571.71 | $571.71 | |
| Michigan | $568.18 | $568.18 | |
| West Virginia | $563.17 | $563.17 | |
| Maryland | $554.10 | $554.10 | |
| Georgia | $551.62 | $551.62 | |
| New Mexico | $547.75 | $547.75 | |
| Massachusetts | $547.07 | $547.07 | |
| Pennsylvania | $545.57 | $545.57 | |
| Washington | $544.98 | $544.98 | |
| Rhode Island | $538.87 | $538.87 | |
| Montana | $538.25 | $538.25 | |
| Puerto Rico | $538.21 | $538.21 | |
| Virgin Islands | $538.21 | $538.21 | |
| Louisiana | $533.76 | $533.76 | |
| Texas | $532.50 | $532.50 | |
| New Hampshire | $531.55 | $531.55 | |
| Ohio | $530.32 | $530.32 | |
| Delaware | $530.05 | $530.05 | |
| Colorado | $529.78 | $529.78 | |
| California | $529.12 | $529.12 | |
| Missouri | $528.71 | $528.71 | |
| Nevada | $523.80 | $523.80 | |
| Utah | $523.36 | $523.36 | |
| Arizona | $522.59 | $522.59 | |
| Oregon | $522.25 | $522.25 | |
| Kentucky | $519.69 | $519.69 | |
| South Carolina | $517.50 | $517.50 | |
| Wyoming | $515.50 | $515.50 | |
| Hawaii | $515.16 | $515.16 | |
| Virginia | $510.78 | $510.78 | |
| Oklahoma | $507.93 | $507.93 | |
| Mississippi | $501.34 | $501.34 | |
| Maine | $500.98 | $500.98 | |
| North Carolina | $499.81 | $499.81 | |
| Vermont | $493.85 | $493.85 | |
| Tennessee | $488.39 | $488.39 | |
| Alabama | $487.50 | $487.50 | |
| North Dakota | $486.04 | $486.04 | |
| Indiana | $485.71 | $485.71 | |
| Kansas | $484.97 | $484.97 | |
| Idaho | $483.86 | $483.86 | |
| Arkansas | $481.39 | $481.39 | |
| South Dakota | $479.87 | $479.87 | |
| Minnesota | $479.28 | $479.28 | |
| Iowa | $476.65 | $476.65 | |
| Nebraska | $475.78 | $475.78 | |
| Wisconsin | $473.15 | $473.15 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates