CPT 49650 pays $424.19 in a non-facility setting and $424.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $374.85 in Arkansas to $513.86 in Alaska, a 37% spread.
National non-facility rate
$424.19
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 37% 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 | $513.86 | $513.86 | |
| Florida | $476.27 | $476.27 | |
| New York | $472.39 | $472.39 | |
| District of Columbia | $470.48 | $470.48 | |
| Illinois | $469.02 | $469.02 | |
| New Jersey | $459.84 | $459.84 | |
| Connecticut | $452.29 | $452.29 | |
| Washington | $442.00 | $442.00 | |
| Massachusetts | $441.66 | $441.66 | |
| Maryland | $438.02 | $438.02 | |
| California | $436.51 | $436.51 | |
| Michigan | $436.45 | $436.45 | |
| Georgia | $427.72 | $427.72 | |
| Rhode Island | $427.61 | $427.61 | |
| Pennsylvania | $426.48 | $426.48 | |
| West Virginia | $426.35 | $426.35 | |
| Colorado | $425.16 | $425.16 | |
| Puerto Rico | $425.16 | $425.16 | |
| Virgin Islands | $425.16 | $425.16 | |
| Montana | $424.08 | $424.08 | |
| New Hampshire | $424.06 | $424.06 | |
| Hawaii | $423.56 | $423.56 | |
| New Mexico | $421.63 | $421.63 | |
| Oregon | $419.50 | $419.50 | |
| Texas | $418.94 | $418.94 | |
| Delaware | $417.78 | $417.78 | |
| Nevada | $415.26 | $415.26 | |
| Louisiana | $412.60 | $412.60 | |
| Arizona | $411.31 | $411.31 | |
| Ohio | $410.48 | $410.48 | |
| Wyoming | $410.04 | $410.04 | |
| Missouri | $409.95 | $409.95 | |
| Utah | $408.88 | $408.88 | |
| Virginia | $405.42 | $405.42 | |
| South Carolina | $403.66 | $403.66 | |
| Kentucky | $401.51 | $401.51 | |
| Maine | $396.62 | $396.62 | |
| Vermont | $395.67 | $395.67 | |
| Oklahoma | $394.65 | $394.65 | |
| North Carolina | $393.64 | $393.64 | |
| North Dakota | $391.85 | $391.85 | |
| Minnesota | $390.58 | $390.58 | |
| South Dakota | $388.04 | $388.04 | |
| Mississippi | $387.37 | $387.37 | |
| Indiana | $384.33 | $384.33 | |
| Tennessee | $384.18 | $384.18 | |
| Idaho | $382.49 | $382.49 | |
| Kansas | $381.57 | $381.57 | |
| Alabama | $380.23 | $380.23 | |
| Wisconsin | $379.68 | $379.68 | |
| Nebraska | $377.80 | $377.80 | |
| Iowa | $377.54 | $377.54 | |
| Arkansas | $374.85 | $374.85 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates