CPT 47000 pays $287.92 in a non-facility setting and $76.49 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $252.95 in Arkansas to $332.13 in District of Columbia, a 31% spread.
National non-facility rate
$287.92
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 31% 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 | $332.13 | $83.07 | |
| California | $329.12 | $78.94 | |
| Alaska | $327.10 | $101.93 | |
| Washington | $320.40 | $79.37 | |
| New Jersey | $319.94 | $81.87 | |
| New York | $318.92 | $83.05 | |
| Hawaii | $316.82 | $76.43 | |
| Massachusetts | $316.77 | $79.24 | |
| Connecticut | $307.78 | $80.07 | |
| Colorado | $301.94 | $76.98 | |
| Oregon | $299.00 | $76.26 | |
| Maryland | $298.76 | $78.35 | |
| New Hampshire | $296.57 | $76.48 | |
| Rhode Island | $295.86 | $77.46 | |
| Florida | $294.05 | $81.92 | |
| Minnesota | $290.54 | $72.98 | |
| Puerto Rico | $290.34 | $76.59 | |
| Virgin Islands | $290.34 | $76.59 | |
| Montana | $287.90 | $76.48 | |
| Nevada | $287.20 | $75.56 | |
| Wyoming | $286.44 | $75.01 | |
| Illinois | $285.57 | $81.27 | |
| Delaware | $284.87 | $75.98 | |
| North Dakota | $284.54 | $73.12 | |
| Texas | $284.27 | $76.12 | |
| South Dakota | $284.15 | $72.72 | |
| Pennsylvania | $284.11 | $77.01 | |
| Vermont | $282.83 | $73.51 | |
| Virginia | $282.36 | $74.53 | |
| Arizona | $280.02 | $75.14 | |
| Georgia | $278.60 | $76.90 | |
| Michigan | $276.29 | $77.76 | |
| Maine | $275.63 | $73.61 | |
| Wisconsin | $274.39 | $71.84 | |
| Utah | $273.63 | $74.89 | |
| North Carolina | $270.56 | $73.30 | |
| New Mexico | $270.09 | $76.22 | |
| South Carolina | $269.70 | $74.34 | |
| Missouri | $269.02 | $75.00 | |
| Indiana | $268.32 | $72.33 | |
| Louisiana | $268.31 | $75.27 | |
| Ohio | $268.08 | $75.05 | |
| Nebraska | $266.79 | $71.64 | |
| Idaho | $266.65 | $72.13 | |
| Iowa | $265.07 | $71.62 | |
| Tennessee | $264.50 | $72.31 | |
| Kansas | $263.17 | $72.04 | |
| Oklahoma | $262.20 | $73.40 | |
| Kentucky | $262.07 | $74.11 | |
| West Virginia | $260.43 | $76.70 | |
| Alabama | $256.89 | $71.89 | |
| Mississippi | $254.68 | $72.64 | |
| Arkansas | $252.95 | $71.33 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates