CPT 36410

Vnpnxr 3 Years/> Phys/Qhp Skill

CPT 36410 pays $19.04 in a non-facility setting and $8.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $16.97 in Arkansas to $22.55 in Alaska, a 33% spread.

National non-facility rate

$19.04

Office and other outpatient settings

Facility rate
$8.02

Hospital and ASC settings

Highest state
$22.55

Alaska

Lowest state
$16.97

Arkansas · 33% 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 $19.04
CPT 36410 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $19.04, national facility $8.02.
StateRate compared visuallyNon-facilityFacility
Alaska
$22.55$10.81
District of Columbia
$21.64$8.65
California
$21.21$8.17
New York
$20.99$8.70
New Jersey
$20.96$8.55
Washington
$20.82$8.25
Massachusetts
$20.63$8.25
Hawaii
$20.45$7.92
Connecticut
$20.25$8.38
Colorado
$19.76$8.03
Florida
$19.71$8.65
Maryland
$19.69$8.20
Oregon
$19.56$7.95
Rhode Island
$19.49$8.10
New Hampshire
$19.46$7.99
Illinois
$19.25$8.60
Puerto Rico
$19.16$8.02
Virgin Islands
$19.16$8.02
Montana
$19.04$8.01
Nevada
$18.94$7.91
Minnesota
$18.93$7.58
Pennsylvania
$18.89$8.09
Wyoming
$18.86$7.84
Delaware
$18.85$7.96
Texas
$18.83$7.98
North Dakota
$18.64$7.62
Virginia
$18.63$7.80
Georgia
$18.61$8.10
South Dakota
$18.59$7.57
Vermont
$18.58$7.67
Arizona
$18.56$7.88
Michigan
$18.56$8.21
Maine
$18.24$7.71
Utah
$18.23$7.87
New Mexico
$18.15$8.04
Wisconsin
$18.06$7.50
Missouri
$18.01$7.90
South Carolina
$18.00$7.81
Louisiana
$17.99$7.93
North Carolina
$17.97$7.69
Ohio
$17.97$7.91
Indiana
$17.79$7.58
West Virginia
$17.71$8.13
Idaho
$17.70$7.56
Nebraska
$17.67$7.50
Kentucky
$17.61$7.81
Tennessee
$17.60$7.59
Iowa
$17.59$7.50
Oklahoma
$17.57$7.72
Kansas
$17.52$7.56
Alabama
$17.20$7.56
Mississippi
$17.15$7.66
Arkansas
$16.97$7.50

Billed by 1 specialties

Commercial rates for 36410

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

See negotiated rates