CPT 50200 pays $492.00 in a non-facility setting and $110.22 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $430.79 in Arkansas to $569.44 in District of Columbia, a 32% spread.
National non-facility rate
$492.00
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 | $569.44 | $119.71 | |
| California | $565.60 | $113.86 | |
| Alaska | $553.56 | $146.98 | |
| Washington | $549.65 | $114.43 | |
| New Jersey | $547.86 | $117.99 | |
| New York | $545.54 | $119.64 | |
| Hawaii | $544.31 | $110.23 | |
| Massachusetts | $543.15 | $114.23 | |
| Connecticut | $526.53 | $115.36 | |
| Colorado | $517.18 | $110.98 | |
| Oregon | $512.15 | $109.95 | |
| Maryland | $510.90 | $112.90 | |
| New Hampshire | $507.66 | $110.23 | |
| Rhode Island | $506.02 | $111.65 | |
| Florida | $500.94 | $117.89 | |
| Minnesota | $498.14 | $105.30 | |
| Puerto Rico | $496.35 | $110.37 | |
| Virgin Islands | $496.35 | $110.37 | |
| Montana | $491.98 | $110.21 | |
| Nevada | $491.06 | $108.91 | |
| Wyoming | $489.91 | $108.14 | |
| North Dakota | $487.23 | $105.46 | |
| Delaware | $486.70 | $109.50 | |
| South Dakota | $486.67 | $104.90 | |
| Illinois | $485.85 | $116.96 | |
| Texas | $485.55 | $109.70 | |
| Pennsylvania | $484.91 | $110.97 | |
| Vermont | $483.97 | $106.02 | |
| Virginia | $482.73 | $107.45 | |
| Arizona | $478.24 | $108.30 | |
| Georgia | $474.99 | $110.78 | |
| Maine | $470.91 | $106.13 | |
| Michigan | $470.47 | $111.98 | |
| Wisconsin | $469.38 | $103.64 | |
| Utah | $466.79 | $107.92 | |
| North Carolina | $461.87 | $105.67 | |
| South Carolina | $459.90 | $107.14 | |
| New Mexico | $459.87 | $109.78 | |
| Missouri | $458.40 | $108.06 | |
| Indiana | $458.20 | $104.30 | |
| Louisiana | $457.01 | $108.45 | |
| Ohio | $456.69 | $108.14 | |
| Nebraska | $455.71 | $103.33 | |
| Idaho | $455.25 | $104.02 | |
| Iowa | $452.61 | $103.29 | |
| Tennessee | $451.29 | $104.26 | |
| Kansas | $449.00 | $103.87 | |
| Oklahoma | $446.71 | $105.79 | |
| Kentucky | $446.19 | $106.80 | |
| West Virginia | $442.20 | $110.44 | |
| Alabama | $437.71 | $103.65 | |
| Mississippi | $433.40 | $104.70 | |
| Arkansas | $430.79 | $102.85 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates