CPT 36513 pays $88.18 in a non-facility setting and $88.18 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $83.09 in Arkansas to $119.50 in Alaska, a 44% spread.
National non-facility rate
$88.18
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 44% 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 | $119.50 | $119.50 | |
| District of Columbia | $95.45 | $95.45 | |
| New York | $95.23 | $95.23 | |
| New Jersey | $94.20 | $94.20 | |
| Florida | $93.30 | $93.30 | |
| Illinois | $92.68 | $92.68 | |
| Connecticut | $91.97 | $91.97 | |
| Washington | $91.58 | $91.58 | |
| Massachusetts | $91.38 | $91.38 | |
| California | $91.31 | $91.31 | |
| Maryland | $90.19 | $90.19 | |
| Rhode Island | $89.42 | $89.42 | |
| Michigan | $89.28 | $89.28 | |
| Colorado | $88.92 | $88.92 | |
| Pennsylvania | $88.77 | $88.77 | |
| Georgia | $88.51 | $88.51 | |
| Hawaii | $88.35 | $88.35 | |
| Puerto Rico | $88.29 | $88.29 | |
| Virgin Islands | $88.29 | $88.29 | |
| New Hampshire | $88.24 | $88.24 | |
| Montana | $88.17 | $88.17 | |
| Oregon | $88.17 | $88.17 | |
| West Virginia | $88.16 | $88.16 | |
| Texas | $87.88 | $87.88 | |
| New Mexico | $87.78 | $87.78 | |
| Delaware | $87.75 | $87.75 | |
| Nevada | $87.30 | $87.30 | |
| Louisiana | $86.89 | $86.89 | |
| Arizona | $86.86 | $86.86 | |
| Wyoming | $86.79 | $86.79 | |
| Ohio | $86.68 | $86.68 | |
| Missouri | $86.64 | $86.64 | |
| Utah | $86.57 | $86.57 | |
| Virginia | $86.31 | $86.31 | |
| South Carolina | $86.03 | $86.03 | |
| Kentucky | $85.76 | $85.76 | |
| Maine | $85.39 | $85.39 | |
| Vermont | $85.36 | $85.36 | |
| Oklahoma | $85.09 | $85.09 | |
| North Carolina | $85.06 | $85.06 | |
| North Dakota | $85.00 | $85.00 | |
| Minnesota | $84.93 | $84.93 | |
| South Dakota | $84.63 | $84.63 | |
| Mississippi | $84.32 | $84.32 | |
| Indiana | $84.14 | $84.14 | |
| Tennessee | $84.09 | $84.09 | |
| Idaho | $83.95 | $83.95 | |
| Kansas | $83.83 | $83.83 | |
| Wisconsin | $83.74 | $83.74 | |
| Alabama | $83.65 | $83.65 | |
| Nebraska | $83.49 | $83.49 | |
| Iowa | $83.45 | $83.45 | |
| Arkansas | $83.09 | $83.09 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates