CPT 36475 pays $1,056.14 in a non-facility setting and $246.50 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $918.36 in Arkansas to $1,220.22 in District of Columbia, a 33% spread.
National non-facility rate
$1,056.14
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 33% 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 | $1,220.22 | $266.47 | |
| California | $1,199.62 | $241.60 | |
| Alaska | $1,180.16 | $317.89 | |
| New York | $1,175.82 | $272.59 | |
| New Jersey | $1,174.67 | $263.02 | |
| Washington | $1,171.78 | $248.79 | |
| Massachusetts | $1,159.41 | $249.78 | |
| Hawaii | $1,155.74 | $235.18 | |
| Connecticut | $1,132.72 | $260.74 | |
| Colorado | $1,103.88 | $242.42 | |
| Maryland | $1,097.27 | $253.23 | |
| Florida | $1,095.32 | $282.98 | |
| Oregon | $1,092.11 | $239.15 | |
| New Hampshire | $1,085.98 | $243.15 | |
| Rhode Island | $1,083.16 | $246.80 | |
| Puerto Rico | $1,064.86 | $246.31 | |
| Virgin Islands | $1,064.86 | $246.31 | |
| Illinois | $1,063.21 | $280.90 | |
| Montana | $1,056.06 | $246.42 | |
| Minnesota | $1,053.60 | $220.48 | |
| Nevada | $1,050.57 | $240.12 | |
| Wyoming | $1,046.15 | $236.51 | |
| Pennsylvania | $1,043.02 | $249.98 | |
| Delaware | $1,042.98 | $243.06 | |
| Texas | $1,041.26 | $244.17 | |
| North Dakota | $1,033.32 | $223.68 | |
| South Dakota | $1,030.63 | $220.99 | |
| Virginia | $1,030.48 | $234.60 | |
| Vermont | $1,028.71 | $227.17 | |
| Georgia | $1,025.07 | $252.68 | |
| Arizona | $1,024.41 | $239.87 | |
| Michigan | $1,020.24 | $259.99 | |
| Maine | $1,004.19 | $230.58 | |
| Utah | $1,001.52 | $240.46 | |
| Wisconsin | $994.06 | $218.43 | |
| New Mexico | $993.72 | $251.28 | |
| South Carolina | $986.15 | $238.05 | |
| Missouri | $985.96 | $242.98 | |
| North Carolina | $985.65 | $230.26 | |
| Louisiana | $984.42 | $245.22 | |
| Ohio | $982.93 | $243.73 | |
| Indiana | $974.71 | $224.17 | |
| Idaho | $968.29 | $223.42 | |
| Nebraska | $967.18 | $219.88 | |
| West Virginia | $961.99 | $258.42 | |
| Tennessee | $961.45 | $225.49 | |
| Iowa | $961.15 | $220.33 | |
| Kentucky | $959.07 | $239.30 | |
| Oklahoma | $957.15 | $234.14 | |
| Kansas | $955.96 | $224.05 | |
| Alabama | $933.84 | $225.40 | |
| Mississippi | $928.65 | $231.55 | |
| Arkansas | $918.36 | $222.88 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates