CPT 36561 pays $962.61 in a non-facility setting and $299.94 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $842.58 in Arkansas to $1,108.50 in District of Columbia, a 32% spread.
National non-facility rate
$962.61
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 32% 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 | $1,108.50 | $327.87 | |
| Alaska | $1,090.97 | $385.22 | |
| California | $1,090.87 | $306.75 | |
| New York | $1,068.76 | $329.49 | |
| New Jersey | $1,068.46 | $322.29 | |
| Washington | $1,065.77 | $310.32 | |
| Massachusetts | $1,054.68 | $310.17 | |
| Hawaii | $1,050.93 | $297.47 | |
| Connecticut | $1,030.20 | $316.50 | |
| Colorado | $1,005.43 | $300.34 | |
| Maryland | $999.07 | $308.23 | |
| Florida | $995.13 | $330.24 | |
| Oregon | $995.06 | $296.93 | |
| New Hampshire | $989.08 | $299.23 | |
| Rhode Island | $987.26 | $302.72 | |
| Puerto Rico | $970.30 | $300.34 | |
| Virgin Islands | $970.30 | $300.34 | |
| Illinois | $967.13 | $326.82 | |
| Montana | $962.55 | $299.88 | |
| Minnesota | $961.80 | $279.91 | |
| Nevada | $958.06 | $294.72 | |
| Wyoming | $954.36 | $291.69 | |
| Delaware | $951.45 | $296.72 | |
| Pennsylvania | $951.29 | $302.20 | |
| Texas | $949.89 | $297.49 | |
| North Dakota | $943.77 | $281.09 | |
| South Dakota | $941.54 | $278.87 | |
| Virginia | $940.67 | $289.26 | |
| Vermont | $939.52 | $283.47 | |
| Arizona | $935.04 | $292.91 | |
| Georgia | $934.99 | $302.80 | |
| Michigan | $930.27 | $308.02 | |
| Maine | $917.74 | $284.55 | |
| Utah | $914.85 | $291.93 | |
| Wisconsin | $909.49 | $274.64 | |
| New Mexico | $907.39 | $299.72 | |
| South Carolina | $901.45 | $289.14 | |
| North Carolina | $901.43 | $283.16 | |
| Missouri | $901.01 | $292.90 | |
| Louisiana | $899.54 | $294.52 | |
| Ohio | $898.30 | $293.28 | |
| Indiana | $892.13 | $277.83 | |
| Idaho | $886.52 | $276.86 | |
| Nebraska | $885.73 | $274.08 | |
| Iowa | $880.40 | $274.05 | |
| Tennessee | $880.39 | $278.01 | |
| West Virginia | $879.07 | $303.20 | |
| Kentucky | $877.54 | $288.42 | |
| Oklahoma | $876.13 | $284.36 | |
| Kansas | $875.63 | $276.57 | |
| Alabama | $856.07 | $276.23 | |
| Mississippi | $851.17 | $280.61 | |
| Arkansas | $842.58 | $273.34 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates