CPT 49440 pays $788.26 in a non-facility setting and $178.36 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $690.21 in Arkansas to $911.78 in District of Columbia, a 32% spread.
National non-facility rate
$788.26
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 32% 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 | $911.78 | $193.31 | |
| California | $904.66 | $182.98 | |
| Alaska | $887.76 | $238.22 | |
| Washington | $879.70 | $184.41 | |
| New Jersey | $877.43 | $190.68 | |
| New York | $874.16 | $193.76 | |
| Hawaii | $870.71 | $177.26 | |
| Massachusetts | $869.44 | $184.21 | |
| Connecticut | $843.58 | $186.71 | |
| Colorado | $827.99 | $179.06 | |
| Oregon | $819.87 | $177.34 | |
| Maryland | $818.49 | $182.67 | |
| New Hampshire | $812.95 | $178.04 | |
| Rhode Island | $810.46 | $180.43 | |
| Florida | $804.01 | $192.08 | |
| Minnesota | $796.88 | $169.30 | |
| Puerto Rico | $795.15 | $178.54 | |
| Virgin Islands | $795.15 | $178.54 | |
| Montana | $788.23 | $178.33 | |
| Nevada | $786.51 | $176.00 | |
| Wyoming | $784.53 | $174.63 | |
| Illinois | $779.99 | $190.68 | |
| North Dakota | $779.73 | $169.83 | |
| Delaware | $779.70 | $177.12 | |
| South Dakota | $778.72 | $168.82 | |
| Texas | $777.93 | $177.48 | |
| Pennsylvania | $777.16 | $179.76 | |
| Vermont | $774.71 | $170.91 | |
| Virginia | $773.06 | $173.53 | |
| Arizona | $766.17 | $175.17 | |
| Georgia | $761.56 | $179.72 | |
| Michigan | $754.71 | $182.01 | |
| Maine | $754.15 | $171.39 | |
| Wisconsin | $751.19 | $166.91 | |
| Utah | $748.04 | $174.73 | |
| North Carolina | $739.80 | $170.76 | |
| New Mexico | $737.53 | $178.25 | |
| South Carolina | $737.01 | $173.46 | |
| Missouri | $734.85 | $175.17 | |
| Indiana | $733.72 | $168.35 | |
| Louisiana | $732.74 | $175.90 | |
| Ohio | $732.18 | $175.34 | |
| Nebraska | $729.59 | $166.65 | |
| Idaho | $729.01 | $167.91 | |
| Iowa | $724.69 | $166.63 | |
| Tennessee | $722.83 | $168.43 | |
| Kansas | $719.12 | $167.77 | |
| Oklahoma | $715.94 | $171.30 | |
| Kentucky | $715.34 | $173.14 | |
| West Virginia | $709.83 | $179.83 | |
| Alabama | $701.28 | $167.62 | |
| Mississippi | $694.72 | $169.60 | |
| Arkansas | $690.21 | $166.31 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates