CPT 42825 pays $243.49 in a non-facility setting and $243.49 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $219.75 in Arkansas to $300.77 in Alaska, a 37% spread.
National non-facility rate
$243.49
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $300.77 | $300.77 | |
| District of Columbia | $271.63 | $271.63 | |
| New York | $267.76 | $267.76 | |
| New Jersey | $264.96 | $264.96 | |
| California | $261.00 | $261.00 | |
| Washington | $259.56 | $259.56 | |
| Florida | $259.05 | $259.05 | |
| Massachusetts | $258.22 | $258.22 | |
| Connecticut | $257.86 | $257.86 | |
| Illinois | $254.68 | $254.68 | |
| Hawaii | $252.26 | $252.26 | |
| Maryland | $251.03 | $251.03 | |
| Colorado | $248.60 | $248.60 | |
| Rhode Island | $247.67 | $247.67 | |
| New Hampshire | $246.13 | $246.13 | |
| Oregon | $246.03 | $246.03 | |
| Puerto Rico | $244.50 | $244.50 | |
| Virgin Islands | $244.50 | $244.50 | |
| Montana | $243.46 | $243.46 | |
| Pennsylvania | $243.31 | $243.31 | |
| Michigan | $243.12 | $243.12 | |
| Georgia | $241.61 | $241.61 | |
| Texas | $241.23 | $241.23 | |
| Delaware | $241.09 | $241.09 | |
| Nevada | $240.93 | $240.93 | |
| Wyoming | $239.32 | $239.32 | |
| Arizona | $237.67 | $237.67 | |
| New Mexico | $237.32 | $237.32 | |
| Virginia | $236.85 | $236.85 | |
| West Virginia | $235.57 | $235.57 | |
| Minnesota | $235.49 | $235.49 | |
| Utah | $235.06 | $235.06 | |
| Vermont | $234.44 | $234.44 | |
| Louisiana | $234.40 | $234.40 | |
| North Dakota | $233.97 | $233.97 | |
| Missouri | $233.92 | $233.92 | |
| Ohio | $233.77 | $233.77 | |
| South Dakota | $232.85 | $232.85 | |
| South Carolina | $232.48 | $232.48 | |
| Maine | $232.47 | $232.47 | |
| North Carolina | $230.12 | $230.12 | |
| Kentucky | $229.56 | $229.56 | |
| Oklahoma | $227.80 | $227.80 | |
| Wisconsin | $227.64 | $227.64 | |
| Indiana | $226.99 | $226.99 | |
| Idaho | $225.99 | $225.99 | |
| Tennessee | $225.77 | $225.77 | |
| Nebraska | $224.80 | $224.80 | |
| Kansas | $224.67 | $224.67 | |
| Iowa | $224.20 | $224.20 | |
| Mississippi | $223.57 | $223.57 | |
| Alabama | $222.38 | $222.38 | |
| Arkansas | $219.75 | $219.75 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates