CPT 49423 pays $549.44 in a non-facility setting and $60.79 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $476.82 in Arkansas to $641.02 in District of Columbia, a 34% spread.
National non-facility rate
$549.44
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 34% 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 | $641.02 | $65.38 | |
| California | $639.73 | $61.51 | |
| Washington | $619.35 | $62.28 | |
| Hawaii | $615.24 | $59.64 | |
| New Jersey | $614.91 | $64.68 | |
| Massachusetts | $611.30 | $62.30 | |
| New York | $611.03 | $65.89 | |
| Alaska | $603.04 | $82.63 | |
| Connecticut | $589.76 | $63.48 | |
| Colorado | $580.63 | $60.70 | |
| Oregon | $574.92 | $60.12 | |
| Maryland | $571.58 | $62.16 | |
| New Hampshire | $569.14 | $60.45 | |
| Rhode Island | $566.16 | $61.38 | |
| Minnesota | $560.09 | $57.26 | |
| Florida | $556.16 | $65.88 | |
| Puerto Rico | $554.83 | $60.80 | |
| Virgin Islands | $554.83 | $60.80 | |
| Montana | $549.43 | $60.78 | |
| Nevada | $549.05 | $59.91 | |
| Wyoming | $548.06 | $59.40 | |
| North Dakota | $546.27 | $57.62 | |
| South Dakota | $545.90 | $57.24 | |
| Delaware | $543.18 | $60.39 | |
| Vermont | $541.84 | $58.07 | |
| Texas | $541.63 | $60.55 | |
| Pennsylvania | $540.06 | $61.42 | |
| Virginia | $539.43 | $59.08 | |
| Illinois | $537.72 | $65.55 | |
| Arizona | $533.28 | $59.77 | |
| Georgia | $527.72 | $61.54 | |
| Maine | $525.35 | $58.44 | |
| Wisconsin | $524.89 | $56.75 | |
| Michigan | $521.33 | $62.48 | |
| Utah | $519.10 | $59.76 | |
| North Carolina | $514.24 | $58.32 | |
| South Carolina | $510.90 | $59.38 | |
| Indiana | $510.44 | $57.46 | |
| New Mexico | $509.30 | $61.20 | |
| Missouri | $508.47 | $60.05 | |
| Nebraska | $507.88 | $56.85 | |
| Idaho | $506.89 | $57.33 | |
| Louisiana | $506.49 | $60.34 | |
| Ohio | $506.28 | $60.13 | |
| Iowa | $504.01 | $56.89 | |
| Tennessee | $501.77 | $57.59 | |
| Kansas | $499.11 | $57.37 | |
| Oklahoma | $495.11 | $58.74 | |
| Kentucky | $493.86 | $59.45 | |
| West Virginia | $486.68 | $62.04 | |
| Alabama | $485.04 | $57.47 | |
| Mississippi | $479.01 | $58.28 | |
| Arkansas | $476.82 | $57.07 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates