CPT 37216 pays $859.74 in a non-facility setting and $859.74 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $799.59 in Arkansas to $1,138.22 in Alaska, a 42% spread.
National non-facility rate
$859.74
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 42% 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 | $1,138.22 | $1,138.22 | |
| District of Columbia | $936.11 | $936.11 | |
| New York | $934.43 | $934.43 | |
| New Jersey | $921.73 | $921.73 | |
| Florida | $919.57 | $919.57 | |
| Illinois | $911.54 | $911.54 | |
| Connecticut | $900.87 | $900.87 | |
| Washington | $894.65 | $894.65 | |
| Massachusetts | $892.80 | $892.80 | |
| California | $890.94 | $890.94 | |
| Maryland | $881.19 | $881.19 | |
| Michigan | $872.27 | $872.27 | |
| Rhode Island | $871.11 | $871.11 | |
| Colorado | $866.64 | $866.64 | |
| Pennsylvania | $864.98 | $864.98 | |
| Georgia | $863.15 | $863.15 | |
| Hawaii | $862.45 | $862.45 | |
| Puerto Rico | $861.13 | $861.13 | |
| Virgin Islands | $861.13 | $861.13 | |
| New Hampshire | $860.61 | $860.61 | |
| Montana | $859.61 | $859.61 | |
| West Virginia | $858.92 | $858.92 | |
| Oregon | $858.48 | $858.48 | |
| Texas | $855.23 | $855.23 | |
| New Mexico | $854.72 | $854.72 | |
| Delaware | $853.82 | $853.82 | |
| Nevada | $849.52 | $849.52 | |
| Louisiana | $844.25 | $844.25 | |
| Arizona | $844.18 | $844.18 | |
| Wyoming | $843.50 | $843.50 | |
| Ohio | $841.82 | $841.82 | |
| Missouri | $841.33 | $841.33 | |
| Utah | $840.66 | $840.66 | |
| Virginia | $837.78 | $837.78 | |
| South Carolina | $834.28 | $834.28 | |
| Kentucky | $830.92 | $830.92 | |
| Maine | $826.99 | $826.99 | |
| Vermont | $826.77 | $826.77 | |
| Oklahoma | $823.15 | $823.15 | |
| North Carolina | $823.00 | $823.00 | |
| North Dakota | $822.64 | $822.64 | |
| Minnesota | $821.91 | $821.91 | |
| South Dakota | $818.27 | $818.27 | |
| Mississippi | $814.00 | $814.00 | |
| Indiana | $812.18 | $812.18 | |
| Tennessee | $811.55 | $811.55 | |
| Idaho | $809.88 | $809.88 | |
| Kansas | $808.43 | $808.43 | |
| Wisconsin | $807.62 | $807.62 | |
| Alabama | $806.16 | $806.16 | |
| Nebraska | $804.58 | $804.58 | |
| Iowa | $804.08 | $804.08 | |
| Arkansas | $799.59 | $799.59 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates