CPT 42830 pays $195.40 in a non-facility setting and $195.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $175.63 in Arkansas to $239.06 in Alaska, a 36% spread.
National non-facility rate
$195.40
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 36% 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 | $239.06 | $239.06 | |
| District of Columbia | $218.67 | $218.67 | |
| New York | $215.20 | $215.20 | |
| New Jersey | $213.04 | $213.04 | |
| California | $210.37 | $210.37 | |
| Washington | $208.95 | $208.95 | |
| Massachusetts | $207.79 | $207.79 | |
| Florida | $207.73 | $207.73 | |
| Connecticut | $207.22 | $207.22 | |
| Illinois | $204.00 | $204.00 | |
| Hawaii | $203.28 | $203.28 | |
| Maryland | $201.60 | $201.60 | |
| Colorado | $199.83 | $199.83 | |
| Rhode Island | $198.85 | $198.85 | |
| New Hampshire | $197.77 | $197.77 | |
| Oregon | $197.74 | $197.74 | |
| Puerto Rico | $196.27 | $196.27 | |
| Virgin Islands | $196.27 | $196.27 | |
| Montana | $195.37 | $195.37 | |
| Pennsylvania | $195.07 | $195.07 | |
| Michigan | $194.68 | $194.68 | |
| Georgia | $193.58 | $193.58 | |
| Texas | $193.47 | $193.47 | |
| Delaware | $193.39 | $193.39 | |
| Nevada | $193.37 | $193.37 | |
| Wyoming | $192.10 | $192.10 | |
| Arizona | $190.58 | $190.58 | |
| Virginia | $190.02 | $190.02 | |
| New Mexico | $189.93 | $189.93 | |
| Minnesota | $189.26 | $189.26 | |
| Utah | $188.31 | $188.31 | |
| West Virginia | $188.22 | $188.22 | |
| Vermont | $188.16 | $188.16 | |
| North Dakota | $187.86 | $187.86 | |
| Louisiana | $187.59 | $187.59 | |
| Missouri | $187.25 | $187.25 | |
| Ohio | $187.10 | $187.10 | |
| South Dakota | $186.97 | $186.97 | |
| Maine | $186.36 | $186.36 | |
| South Carolina | $186.16 | $186.16 | |
| North Carolina | $184.35 | $184.35 | |
| Kentucky | $183.60 | $183.60 | |
| Wisconsin | $182.56 | $182.56 | |
| Oklahoma | $182.24 | $182.24 | |
| Indiana | $181.82 | $181.82 | |
| Idaho | $180.98 | $180.98 | |
| Tennessee | $180.73 | $180.73 | |
| Nebraska | $180.07 | $180.07 | |
| Kansas | $179.83 | $179.83 | |
| Iowa | $179.54 | $179.54 | |
| Mississippi | $178.67 | $178.67 | |
| Alabama | $177.82 | $177.82 | |
| Arkansas | $175.63 | $175.63 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates