CPT 36430 pays $47.43 in a non-facility setting and $47.43 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $40.40 in Arkansas to $55.81 in District of Columbia, a 38% spread.
National non-facility rate
$47.43
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 38% 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 |
|---|---|---|---|
| District of Columbia | $55.81 | $55.81 | |
| California | $55.48 | $55.48 | |
| Washington | $53.72 | $53.72 | |
| Hawaii | $53.37 | $53.37 | |
| New Jersey | $53.36 | $53.36 | |
| New York | $53.16 | $53.16 | |
| Massachusetts | $53.01 | $53.01 | |
| Connecticut | $51.21 | $51.21 | |
| Colorado | $50.18 | $50.18 | |
| Alaska | $50.00 | $50.00 | |
| Oregon | $49.64 | $49.64 | |
| Maryland | $49.48 | $49.48 | |
| New Hampshire | $49.21 | $49.21 | |
| Rhode Island | $48.85 | $48.85 | |
| Florida | $48.53 | $48.53 | |
| Minnesota | $48.07 | $48.07 | |
| Puerto Rico | $47.92 | $47.92 | |
| Virgin Islands | $47.92 | $47.92 | |
| Montana | $47.43 | $47.43 | |
| Nevada | $47.31 | $47.31 | |
| Wyoming | $47.17 | $47.17 | |
| North Dakota | $46.83 | $46.83 | |
| Illinois | $46.78 | $46.78 | |
| Delaware | $46.77 | $46.77 | |
| South Dakota | $46.76 | $46.76 | |
| Texas | $46.64 | $46.64 | |
| Pennsylvania | $46.55 | $46.55 | |
| Vermont | $46.47 | $46.47 | |
| Virginia | $46.35 | $46.35 | |
| Arizona | $45.85 | $45.85 | |
| Georgia | $45.49 | $45.49 | |
| Michigan | $45.01 | $45.01 | |
| Maine | $44.99 | $44.99 | |
| Wisconsin | $44.79 | $44.79 | |
| Utah | $44.54 | $44.54 | |
| North Carolina | $43.96 | $43.96 | |
| New Mexico | $43.78 | $43.78 | |
| South Carolina | $43.75 | $43.75 | |
| Missouri | $43.59 | $43.59 | |
| Indiana | $43.53 | $43.53 | |
| Louisiana | $43.44 | $43.44 | |
| Ohio | $43.40 | $43.40 | |
| Nebraska | $43.23 | $43.23 | |
| Idaho | $43.19 | $43.19 | |
| Iowa | $42.88 | $42.88 | |
| Tennessee | $42.74 | $42.74 | |
| Kansas | $42.48 | $42.48 | |
| Oklahoma | $42.24 | $42.24 | |
| Kentucky | $42.19 | $42.19 | |
| West Virginia | $41.78 | $41.78 | |
| Alabama | $41.19 | $41.19 | |
| Mississippi | $40.71 | $40.71 | |
| Arkansas | $40.40 | $40.40 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates