CPT 50590 pays $760.20 in a non-facility setting and $521.05 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $683.76 in Arkansas to $926.97 in Alaska, a 36% spread.
National non-facility rate
$760.20
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 36% 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 | $926.97 | $672.27 | |
| District of Columbia | $853.38 | $571.66 | |
| New York | $836.40 | $569.60 | |
| New Jersey | $830.49 | $561.21 | |
| California | $826.27 | $543.28 | |
| Washington | $817.68 | $545.04 | |
| Massachusetts | $812.35 | $543.66 | |
| Connecticut | $806.06 | $548.50 | |
| Florida | $800.43 | $560.48 | |
| Hawaii | $797.82 | $525.91 | |
| Illinois | $785.22 | $554.14 | |
| Maryland | $784.56 | $535.25 | |
| Colorado | $780.68 | $526.22 | |
| Rhode Island | $775.04 | $528.00 | |
| Oregon | $772.83 | $520.89 | |
| New Hampshire | $771.50 | $522.55 | |
| Puerto Rico | $764.00 | $522.22 | |
| Virgin Islands | $764.00 | $522.22 | |
| Montana | $760.12 | $520.97 | |
| Pennsylvania | $757.69 | $523.44 | |
| Nevada | $753.74 | $514.35 | |
| Delaware | $752.84 | $516.56 | |
| Texas | $752.82 | $517.38 | |
| Michigan | $752.50 | $527.93 | |
| Georgia | $750.32 | $522.17 | |
| Wyoming | $749.52 | $510.37 | |
| Minnesota | $742.91 | $496.82 | |
| Arizona | $741.86 | $510.13 | |
| Virginia | $741.31 | $506.23 | |
| Vermont | $735.90 | $499.14 | |
| North Dakota | $735.80 | $496.65 | |
| New Mexico | $735.19 | $515.89 | |
| South Dakota | $732.93 | $493.77 | |
| Utah | $731.97 | $507.16 | |
| Louisiana | $727.26 | $508.92 | |
| Maine | $727.02 | $498.52 | |
| Missouri | $726.56 | $507.10 | |
| Ohio | $725.66 | $507.32 | |
| West Virginia | $725.41 | $517.58 | |
| South Carolina | $723.58 | $502.61 | |
| North Carolina | $718.52 | $495.39 | |
| Wisconsin | $714.94 | $485.83 | |
| Kentucky | $712.22 | $499.62 | |
| Indiana | $709.83 | $488.14 | |
| Oklahoma | $708.16 | $494.59 | |
| Idaho | $706.49 | $486.47 | |
| Tennessee | $704.71 | $487.32 | |
| Nebraska | $703.79 | $483.05 | |
| Iowa | $701.36 | $482.54 | |
| Kansas | $701.35 | $485.16 | |
| Mississippi | $693.77 | $487.86 | |
| Alabama | $692.27 | $483.02 | |
| Arkansas | $683.76 | $478.33 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates