CPT 42826 pays $231.47 in a non-facility setting and $231.47 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $209.14 in Arkansas to $287.09 in Alaska, a 37% spread.
National non-facility rate
$231.47
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 | $287.09 | $287.09 | |
| District of Columbia | $257.71 | $257.71 | |
| New York | $254.48 | $254.48 | |
| New Jersey | $251.57 | $251.57 | |
| California | $247.07 | $247.07 | |
| Florida | $246.99 | $246.99 | |
| Washington | $246.07 | $246.07 | |
| Connecticut | $245.03 | $245.03 | |
| Massachusetts | $244.90 | $244.90 | |
| Illinois | $242.98 | $242.98 | |
| Hawaii | $238.86 | $238.86 | |
| Maryland | $238.56 | $238.56 | |
| Colorado | $235.91 | $235.91 | |
| Rhode Island | $235.27 | $235.27 | |
| New Hampshire | $233.70 | $233.70 | |
| Oregon | $233.45 | $233.45 | |
| Puerto Rico | $232.36 | $232.36 | |
| Virgin Islands | $232.36 | $232.36 | |
| Michigan | $231.71 | $231.71 | |
| Pennsylvania | $231.47 | $231.47 | |
| Montana | $231.44 | $231.44 | |
| Georgia | $230.04 | $230.04 | |
| Texas | $229.35 | $229.35 | |
| Delaware | $229.17 | $229.17 | |
| Nevada | $228.89 | $228.89 | |
| Wyoming | $227.30 | $227.30 | |
| New Mexico | $226.12 | $226.12 | |
| Arizona | $225.96 | $225.96 | |
| Virginia | $225.00 | $225.00 | |
| West Virginia | $224.86 | $224.86 | |
| Utah | $223.64 | $223.64 | |
| Louisiana | $223.24 | $223.24 | |
| Minnesota | $223.17 | $223.17 | |
| Missouri | $222.72 | $222.72 | |
| Ohio | $222.62 | $222.62 | |
| Vermont | $222.52 | $222.52 | |
| North Dakota | $221.94 | $221.94 | |
| South Carolina | $221.22 | $221.22 | |
| Maine | $220.89 | $220.89 | |
| South Dakota | $220.82 | $220.82 | |
| North Carolina | $218.77 | $218.77 | |
| Kentucky | $218.65 | $218.65 | |
| Oklahoma | $216.85 | $216.85 | |
| Wisconsin | $216.04 | $216.04 | |
| Indiana | $215.69 | $215.69 | |
| Idaho | $214.76 | $214.76 | |
| Tennessee | $214.65 | $214.65 | |
| Kansas | $213.61 | $213.61 | |
| Nebraska | $213.55 | $213.55 | |
| Iowa | $213.03 | $213.03 | |
| Mississippi | $212.94 | $212.94 | |
| Alabama | $211.61 | $211.61 | |
| Arkansas | $209.14 | $209.14 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates