CPT 49321 pays $329.33 in a non-facility setting and $329.33 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $293.38 in Arkansas to $406.11 in Alaska, a 38% spread.
National non-facility rate
$329.33
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 | $406.11 | $406.11 | |
| Florida | $369.54 | $369.54 | |
| New York | $365.60 | $365.60 | |
| Illinois | $364.57 | $364.57 | |
| District of Columbia | $363.27 | $363.27 | |
| New Jersey | $355.81 | $355.81 | |
| Connecticut | $350.20 | $350.20 | |
| Washington | $341.46 | $341.46 | |
| Massachusetts | $341.40 | $341.40 | |
| Michigan | $339.76 | $339.76 | |
| Maryland | $339.58 | $339.58 | |
| California | $336.62 | $336.62 | |
| West Virginia | $333.03 | $333.03 | |
| Georgia | $332.80 | $332.80 | |
| Rhode Island | $331.79 | $331.79 | |
| Pennsylvania | $331.57 | $331.57 | |
| Puerto Rico | $329.91 | $329.91 | |
| Virgin Islands | $329.91 | $329.91 | |
| Colorado | $329.29 | $329.29 | |
| Montana | $329.25 | $329.25 | |
| New Mexico | $328.64 | $328.64 | |
| New Hampshire | $328.59 | $328.59 | |
| Hawaii | $326.72 | $326.72 | |
| Texas | $325.60 | $325.60 | |
| Oregon | $325.01 | $325.01 | |
| Delaware | $324.64 | $324.64 | |
| Nevada | $322.41 | $322.41 | |
| Louisiana | $321.72 | $321.72 | |
| Ohio | $320.08 | $320.08 | |
| Arizona | $319.86 | $319.86 | |
| Missouri | $319.60 | $319.60 | |
| Utah | $318.43 | $318.43 | |
| Wyoming | $318.39 | $318.39 | |
| Virginia | $315.09 | $315.09 | |
| South Carolina | $314.64 | $314.64 | |
| Kentucky | $313.52 | $313.52 | |
| Maine | $308.71 | $308.71 | |
| Oklahoma | $308.15 | $308.15 | |
| Vermont | $307.44 | $307.44 | |
| North Carolina | $306.76 | $306.76 | |
| North Dakota | $304.33 | $304.33 | |
| Mississippi | $303.03 | $303.03 | |
| Minnesota | $302.90 | $302.90 | |
| South Dakota | $301.39 | $301.39 | |
| Tennessee | $299.82 | $299.82 | |
| Indiana | $299.65 | $299.65 | |
| Idaho | $298.34 | $298.34 | |
| Kansas | $297.88 | $297.88 | |
| Alabama | $297.29 | $297.29 | |
| Wisconsin | $295.58 | $295.58 | |
| Nebraska | $294.67 | $294.67 | |
| Iowa | $294.59 | $294.59 | |
| Arkansas | $293.38 | $293.38 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates