CPT 36471 pays $205.08 in a non-facility setting and $66.80 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $179.71 in Arkansas to $234.91 in District of Columbia, a 31% spread.
National non-facility rate
$205.08
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 31% 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 | $234.91 | $72.02 | |
| Alaska | $234.65 | $87.38 | |
| California | $229.27 | $65.65 | |
| New York | $227.83 | $73.56 | |
| New Jersey | $226.87 | $71.16 | |
| Washington | $225.10 | $67.46 | |
| Massachusetts | $223.06 | $67.71 | |
| Hawaii | $221.09 | $63.87 | |
| Connecticut | $219.38 | $70.45 | |
| Florida | $214.74 | $76.00 | |
| Colorado | $212.93 | $65.80 | |
| Maryland | $212.70 | $68.54 | |
| Oregon | $210.64 | $64.96 | |
| New Hampshire | $209.88 | $65.93 | |
| Rhode Island | $209.80 | $66.96 | |
| Illinois | $209.13 | $75.51 | |
| Puerto Rico | $206.55 | $66.75 | |
| Virgin Islands | $206.55 | $66.75 | |
| Montana | $205.06 | $66.78 | |
| Nevada | $203.61 | $65.19 | |
| Pennsylvania | $203.18 | $67.74 | |
| Delaware | $202.59 | $65.97 | |
| Wyoming | $202.56 | $64.28 | |
| Minnesota | $202.51 | $60.22 | |
| Texas | $202.39 | $66.25 | |
| Georgia | $200.31 | $68.39 | |
| Michigan | $200.08 | $70.24 | |
| Virginia | $199.74 | $63.81 | |
| North Dakota | $199.33 | $61.05 | |
| Arizona | $199.14 | $65.15 | |
| Vermont | $198.83 | $61.93 | |
| South Dakota | $198.65 | $60.37 | |
| Utah | $195.30 | $65.31 | |
| Maine | $194.94 | $62.81 | |
| New Mexico | $194.86 | $68.06 | |
| Missouri | $192.86 | $65.96 | |
| Louisiana | $192.78 | $66.53 | |
| South Carolina | $192.48 | $64.71 | |
| Ohio | $192.40 | $66.15 | |
| Wisconsin | $192.22 | $59.75 | |
| North Carolina | $191.76 | $62.75 | |
| West Virginia | $190.05 | $69.88 | |
| Indiana | $189.40 | $61.21 | |
| Idaho | $188.25 | $61.03 | |
| Kentucky | $187.98 | $65.05 | |
| Nebraska | $187.77 | $60.13 | |
| Tennessee | $187.25 | $61.56 | |
| Oklahoma | $187.23 | $63.75 | |
| Iowa | $186.78 | $60.25 | |
| Kansas | $186.20 | $61.20 | |
| Alabama | $182.55 | $61.55 | |
| Mississippi | $182.17 | $63.11 | |
| Arkansas | $179.71 | $60.93 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates