CPT 49421 pays $206.75 in a non-facility setting and $206.75 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $181.46 in Wisconsin to $262.08 in Alaska, a 44% spread.
National non-facility rate
$206.75
Office and other outpatient settings
Hospital and ASC settings
Alaska
Wisconsin · 44% 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 | $262.08 | $262.08 | |
| Florida | $239.44 | $239.44 | |
| Illinois | $237.38 | $237.38 | |
| New York | $229.71 | $229.71 | |
| District of Columbia | $224.34 | $224.34 | |
| New Jersey | $221.10 | $221.10 | |
| Connecticut | $219.44 | $219.44 | |
| Michigan | $218.61 | $218.61 | |
| West Virginia | $216.94 | $216.94 | |
| Maryland | $212.70 | $212.70 | |
| Georgia | $212.09 | $212.09 | |
| New Mexico | $210.73 | $210.73 | |
| Massachusetts | $209.64 | $209.64 | |
| Pennsylvania | $209.63 | $209.63 | |
| Washington | $208.76 | $208.76 | |
| Rhode Island | $206.81 | $206.81 | |
| Montana | $206.68 | $206.68 | |
| Puerto Rico | $206.62 | $206.62 | |
| Virgin Islands | $206.62 | $206.62 | |
| Louisiana | $205.29 | $205.29 | |
| Texas | $204.51 | $204.51 | |
| Ohio | $203.95 | $203.95 | |
| New Hampshire | $203.90 | $203.90 | |
| Delaware | $203.54 | $203.54 | |
| Missouri | $203.30 | $203.30 | |
| Colorado | $203.13 | $203.13 | |
| California | $202.40 | $202.40 | |
| Utah | $201.12 | $201.12 | |
| Nevada | $201.04 | $201.04 | |
| Arizona | $200.70 | $200.70 | |
| Oregon | $200.23 | $200.23 | |
| Kentucky | $199.90 | $199.90 | |
| South Carolina | $198.90 | $198.90 | |
| Wyoming | $197.81 | $197.81 | |
| Hawaii | $197.12 | $197.12 | |
| Virginia | $196.04 | $196.04 | |
| Oklahoma | $195.29 | $195.29 | |
| Mississippi | $192.85 | $192.85 | |
| Maine | $192.33 | $192.33 | |
| North Carolina | $191.96 | $191.96 | |
| Vermont | $189.40 | $189.40 | |
| Tennessee | $187.60 | $187.60 | |
| Alabama | $187.40 | $187.40 | |
| Indiana | $186.48 | $186.48 | |
| North Dakota | $186.32 | $186.32 | |
| Kansas | $186.29 | $186.29 | |
| Idaho | $185.79 | $185.79 | |
| Arkansas | $185.07 | $185.07 | |
| South Dakota | $183.91 | $183.91 | |
| Minnesota | $183.56 | $183.56 | |
| Iowa | $183.00 | $183.00 | |
| Nebraska | $182.63 | $182.63 | |
| Wisconsin | $181.46 | $181.46 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates