CPT 47490 pays $298.27 in a non-facility setting and $298.27 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $272.44 in Arkansas to $376.66 in Alaska, a 38% spread.
National non-facility rate
$298.27
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 38% 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 | $376.66 | $376.66 | |
| District of Columbia | $331.08 | $331.08 | |
| New York | $326.17 | $326.17 | |
| New Jersey | $323.59 | $323.59 | |
| California | $319.59 | $319.59 | |
| Washington | $317.47 | $317.47 | |
| Massachusetts | $315.80 | $315.80 | |
| Connecticut | $314.58 | $314.58 | |
| Florida | $314.19 | $314.19 | |
| Illinois | $309.44 | $309.44 | |
| Hawaii | $308.77 | $308.77 | |
| Maryland | $306.95 | $306.95 | |
| Colorado | $304.67 | $304.67 | |
| Rhode Island | $303.64 | $303.64 | |
| Oregon | $301.77 | $301.77 | |
| New Hampshire | $301.43 | $301.43 | |
| Puerto Rico | $299.42 | $299.42 | |
| Virgin Islands | $299.42 | $299.42 | |
| Montana | $298.24 | $298.24 | |
| Pennsylvania | $298.19 | $298.19 | |
| Michigan | $297.20 | $297.20 | |
| Texas | $295.99 | $295.99 | |
| Georgia | $295.88 | $295.88 | |
| Delaware | $295.87 | $295.87 | |
| Nevada | $295.66 | $295.66 | |
| Wyoming | $294.01 | $294.01 | |
| Arizona | $291.98 | $291.98 | |
| Virginia | $291.30 | $291.30 | |
| New Mexico | $291.03 | $291.03 | |
| Minnesota | $290.43 | $290.43 | |
| Utah | $288.99 | $288.99 | |
| Vermont | $288.92 | $288.92 | |
| West Virginia | $288.70 | $288.70 | |
| North Dakota | $288.55 | $288.55 | |
| Louisiana | $288.00 | $288.00 | |
| Missouri | $287.56 | $287.56 | |
| South Dakota | $287.40 | $287.40 | |
| Ohio | $287.36 | $287.36 | |
| Maine | $286.51 | $286.51 | |
| South Carolina | $286.17 | $286.17 | |
| North Carolina | $283.86 | $283.86 | |
| Kentucky | $282.79 | $282.79 | |
| Wisconsin | $281.61 | $281.61 | |
| Oklahoma | $281.04 | $281.04 | |
| Indiana | $280.59 | $280.59 | |
| Idaho | $279.49 | $279.49 | |
| Tennessee | $279.14 | $279.14 | |
| Nebraska | $278.32 | $278.32 | |
| Kansas | $277.97 | $277.97 | |
| Iowa | $277.61 | $277.61 | |
| Mississippi | $276.36 | $276.36 | |
| Alabama | $275.30 | $275.30 | |
| Arkansas | $272.44 | $272.44 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates