CPT 49180 pays $170.34 in a non-facility setting and $71.14 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $152.22 in Arkansas to $202.88 in Alaska, a 33% spread.
National non-facility rate
$170.34
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 33% 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 | $202.88 | $97.23 | |
| District of Columbia | $193.28 | $76.42 | |
| California | $189.39 | $72.01 | |
| New York | $187.65 | $76.99 | |
| New Jersey | $187.34 | $75.64 | |
| Washington | $185.96 | $72.87 | |
| Massachusetts | $184.34 | $72.88 | |
| Hawaii | $182.59 | $69.80 | |
| Connecticut | $181.04 | $74.20 | |
| Colorado | $176.61 | $71.06 | |
| Florida | $176.40 | $76.86 | |
| Maryland | $176.13 | $72.71 | |
| Oregon | $174.91 | $70.40 | |
| Rhode Island | $174.33 | $71.85 | |
| New Hampshire | $174.02 | $70.75 | |
| Illinois | $172.38 | $76.53 | |
| Puerto Rico | $171.44 | $71.15 | |
| Virgin Islands | $171.44 | $71.15 | |
| Montana | $170.33 | $71.13 | |
| Nevada | $169.45 | $70.15 | |
| Minnesota | $169.24 | $67.16 | |
| Pennsylvania | $169.06 | $71.89 | |
| Wyoming | $168.78 | $69.58 | |
| Delaware | $168.72 | $70.71 | |
| Texas | $168.56 | $70.89 | |
| North Dakota | $166.77 | $67.57 | |
| Virginia | $166.74 | $69.23 | |
| Georgia | $166.65 | $72.01 | |
| South Dakota | $166.35 | $67.15 | |
| Vermont | $166.30 | $68.09 | |
| Michigan | $166.21 | $73.06 | |
| Arizona | $166.13 | $70.01 | |
| Maine | $163.30 | $68.51 | |
| Utah | $163.26 | $70.01 | |
| New Mexico | $162.60 | $71.63 | |
| Wisconsin | $161.65 | $66.62 | |
| Missouri | $161.37 | $70.33 | |
| Louisiana | $161.24 | $70.67 | |
| South Carolina | $161.24 | $69.58 | |
| Ohio | $161.01 | $70.44 | |
| North Carolina | $160.95 | $68.39 | |
| Indiana | $159.38 | $67.42 | |
| West Virginia | $158.80 | $72.60 | |
| Idaho | $158.55 | $67.28 | |
| Nebraska | $158.30 | $66.74 | |
| Kentucky | $157.86 | $69.67 | |
| Tennessee | $157.74 | $67.57 | |
| Iowa | $157.55 | $66.78 | |
| Oklahoma | $157.46 | $68.87 | |
| Kansas | $157.01 | $67.33 | |
| Alabama | $154.25 | $67.45 | |
| Mississippi | $153.78 | $68.37 | |
| Arkansas | $152.22 | $67.00 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates