CPT 36511 pays $91.18 in a non-facility setting and $91.18 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $86.02 in Arkansas to $123.21 in Alaska, a 43% spread.
National non-facility rate
$91.18
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 43% 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 | $123.21 | $123.21 | |
| District of Columbia | $99.06 | $99.06 | |
| New York | $98.34 | $98.34 | |
| New Jersey | $97.63 | $97.63 | |
| California | $95.51 | $95.51 | |
| Florida | $95.37 | $95.37 | |
| Washington | $95.36 | $95.36 | |
| Connecticut | $95.07 | $95.07 | |
| Massachusetts | $95.04 | $95.04 | |
| Illinois | $94.64 | $94.64 | |
| Maryland | $93.29 | $93.29 | |
| Rhode Island | $92.67 | $92.67 | |
| Colorado | $92.40 | $92.40 | |
| Hawaii | $92.33 | $92.33 | |
| Oregon | $91.67 | $91.67 | |
| Michigan | $91.63 | $91.63 | |
| Pennsylvania | $91.63 | $91.63 | |
| New Hampshire | $91.53 | $91.53 | |
| Puerto Rico | $91.36 | $91.36 | |
| Virgin Islands | $91.36 | $91.36 | |
| Montana | $91.18 | $91.18 | |
| Georgia | $91.14 | $91.14 | |
| Texas | $90.90 | $90.90 | |
| Delaware | $90.81 | $90.81 | |
| Nevada | $90.48 | $90.48 | |
| New Mexico | $90.26 | $90.26 | |
| West Virginia | $90.21 | $90.21 | |
| Wyoming | $90.06 | $90.06 | |
| Arizona | $89.89 | $89.89 | |
| Virginia | $89.54 | $89.54 | |
| Louisiana | $89.50 | $89.50 | |
| Utah | $89.44 | $89.44 | |
| Missouri | $89.33 | $89.33 | |
| Ohio | $89.33 | $89.33 | |
| South Carolina | $88.88 | $88.88 | |
| Vermont | $88.82 | $88.82 | |
| Minnesota | $88.76 | $88.76 | |
| North Dakota | $88.61 | $88.61 | |
| Maine | $88.60 | $88.60 | |
| Kentucky | $88.41 | $88.41 | |
| South Dakota | $88.30 | $88.30 | |
| North Carolina | $88.16 | $88.16 | |
| Oklahoma | $87.89 | $87.89 | |
| Indiana | $87.37 | $87.37 | |
| Wisconsin | $87.27 | $87.27 | |
| Tennessee | $87.20 | $87.20 | |
| Idaho | $87.16 | $87.16 | |
| Mississippi | $87.03 | $87.03 | |
| Kansas | $86.95 | $86.95 | |
| Nebraska | $86.81 | $86.81 | |
| Iowa | $86.72 | $86.72 | |
| Alabama | $86.59 | $86.59 | |
| Arkansas | $86.02 | $86.02 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates