CPT 36516 pays $2,227.84 in a non-facility setting and $74.48 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,916.85 in Arkansas to $2,621.17 in California, a 37% spread.
National non-facility rate
$2,227.84
Office and other outpatient settings
Hospital and ASC settings
California
Arkansas · 37% 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 |
|---|---|---|---|
| California | $2,621.17 | $73.16 | |
| District of Columbia | $2,617.34 | $80.69 | |
| Washington | $2,530.13 | $75.30 | |
| Hawaii | $2,519.58 | $71.21 | |
| New Jersey | $2,504.26 | $79.58 | |
| Massachusetts | $2,494.88 | $75.59 | |
| New York | $2,484.77 | $82.48 | |
| Connecticut | $2,398.04 | $78.88 | |
| Alaska | $2,388.73 | $95.40 | |
| Colorado | $2,364.47 | $73.30 | |
| Oregon | $2,340.86 | $72.30 | |
| Maryland | $2,321.43 | $76.56 | |
| New Hampshire | $2,315.16 | $73.52 | |
| Rhode Island | $2,299.00 | $74.58 | |
| Minnesota | $2,282.41 | $66.60 | |
| Puerto Rico | $2,251.48 | $74.44 | |
| Virgin Islands | $2,251.48 | $74.44 | |
| Florida | $2,246.12 | $85.59 | |
| Nevada | $2,228.05 | $72.54 | |
| Montana | $2,227.82 | $74.46 | |
| Wyoming | $2,224.80 | $71.44 | |
| North Dakota | $2,220.90 | $67.54 | |
| South Dakota | $2,220.08 | $66.72 | |
| Delaware | $2,200.93 | $73.41 | |
| Vermont | $2,200.41 | $68.59 | |
| Texas | $2,193.72 | $73.75 | |
| Virginia | $2,187.59 | $70.84 | |
| Pennsylvania | $2,184.71 | $75.50 | |
| Illinois | $2,165.59 | $84.91 | |
| Arizona | $2,159.03 | $72.43 | |
| Georgia | $2,130.61 | $76.30 | |
| Wisconsin | $2,128.80 | $65.89 | |
| Maine | $2,127.11 | $69.58 | |
| Michigan | $2,100.52 | $78.51 | |
| Utah | $2,096.72 | $72.57 | |
| North Carolina | $2,078.54 | $69.46 | |
| Indiana | $2,063.76 | $67.60 | |
| South Carolina | $2,061.52 | $71.82 | |
| Nebraska | $2,053.83 | $66.29 | |
| New Mexico | $2,050.46 | $75.84 | |
| Missouri | $2,049.37 | $73.31 | |
| Idaho | $2,048.45 | $67.36 | |
| Louisiana | $2,040.00 | $73.99 | |
| Ohio | $2,039.55 | $73.53 | |
| Iowa | $2,036.73 | $66.41 | |
| Tennessee | $2,025.38 | $67.98 | |
| Kansas | $2,014.17 | $67.53 | |
| Oklahoma | $1,993.54 | $70.59 | |
| Kentucky | $1,986.49 | $72.16 | |
| Alabama | $1,952.09 | $67.91 | |
| West Virginia | $1,949.21 | $77.95 | |
| Mississippi | $1,923.80 | $69.76 | |
| Arkansas | $1,916.85 | $67.12 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates