CPT 36591 pays $30.39 in a non-facility setting and $30.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $25.99 in Arkansas to $35.78 in District of Columbia, a 38% spread.
National non-facility rate
$30.39
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 38% 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 | $35.78 | $35.78 | |
| California | $35.75 | $35.75 | |
| Washington | $34.53 | $34.53 | |
| Hawaii | $34.37 | $34.37 | |
| New Jersey | $34.21 | $34.21 | |
| Massachusetts | $34.06 | $34.06 | |
| New York | $33.99 | $33.99 | |
| Connecticut | $32.78 | $32.78 | |
| Colorado | $32.25 | $32.25 | |
| Alaska | $32.20 | $32.20 | |
| Oregon | $31.91 | $31.91 | |
| Maryland | $31.70 | $31.70 | |
| New Hampshire | $31.59 | $31.59 | |
| Rhode Island | $31.35 | $31.35 | |
| Minnesota | $31.03 | $31.03 | |
| Florida | $30.81 | $30.81 | |
| Puerto Rico | $30.72 | $30.72 | |
| Virgin Islands | $30.72 | $30.72 | |
| Montana | $30.39 | $30.39 | |
| Nevada | $30.37 | $30.37 | |
| Wyoming | $30.31 | $30.31 | |
| North Dakota | $30.20 | $30.20 | |
| South Dakota | $30.17 | $30.17 | |
| Delaware | $30.00 | $30.00 | |
| Vermont | $29.93 | $29.93 | |
| Texas | $29.91 | $29.91 | |
| Pennsylvania | $29.80 | $29.80 | |
| Virginia | $29.79 | $29.79 | |
| Illinois | $29.68 | $29.68 | |
| Arizona | $29.41 | $29.41 | |
| Georgia | $29.08 | $29.08 | |
| Maine | $28.93 | $28.93 | |
| Wisconsin | $28.90 | $28.90 | |
| Michigan | $28.70 | $28.70 | |
| Utah | $28.56 | $28.56 | |
| North Carolina | $28.26 | $28.26 | |
| South Carolina | $28.06 | $28.06 | |
| Indiana | $28.03 | $28.03 | |
| New Mexico | $27.97 | $27.97 | |
| Missouri | $27.91 | $27.91 | |
| Nebraska | $27.87 | $27.87 | |
| Idaho | $27.81 | $27.81 | |
| Louisiana | $27.80 | $27.80 | |
| Ohio | $27.78 | $27.78 | |
| Iowa | $27.64 | $27.64 | |
| Tennessee | $27.50 | $27.50 | |
| Kansas | $27.34 | $27.34 | |
| Oklahoma | $27.10 | $27.10 | |
| Kentucky | $27.03 | $27.03 | |
| West Virginia | $26.60 | $26.60 | |
| Alabama | $26.49 | $26.49 | |
| Mississippi | $26.13 | $26.13 | |
| Arkansas | $25.99 | $25.99 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates