CPT 51725 pays $198.40 in a non-facility setting and $198.40 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $175.05 in Arkansas to $229.22 in Alaska, a 31% spread.
National non-facility rate
$198.40
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 31% 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 | $229.22 | $229.22 | |
| District of Columbia | $227.19 | $227.19 | |
| California | $223.24 | $223.24 | |
| New York | $219.62 | $219.62 | |
| New Jersey | $219.45 | $219.45 | |
| Washington | $218.51 | $218.51 | |
| Massachusetts | $216.37 | $216.37 | |
| Hawaii | $215.13 | $215.13 | |
| Connecticut | $211.77 | $211.77 | |
| Colorado | $206.66 | $206.66 | |
| Maryland | $205.62 | $205.62 | |
| Florida | $205.20 | $205.20 | |
| Oregon | $204.58 | $204.58 | |
| New Hampshire | $203.41 | $203.41 | |
| Rhode Island | $203.32 | $203.32 | |
| Puerto Rico | $199.87 | $199.87 | |
| Virgin Islands | $199.87 | $199.87 | |
| Illinois | $199.85 | $199.85 | |
| Montana | $198.39 | $198.39 | |
| Minnesota | $197.83 | $197.83 | |
| Nevada | $197.43 | $197.43 | |
| Wyoming | $196.66 | $196.66 | |
| Pennsylvania | $196.38 | $196.38 | |
| Delaware | $196.26 | $196.26 | |
| Texas | $195.99 | $195.99 | |
| North Dakota | $194.43 | $194.43 | |
| Virginia | $194.01 | $194.01 | |
| South Dakota | $193.97 | $193.97 | |
| Vermont | $193.68 | $193.68 | |
| Georgia | $193.23 | $193.23 | |
| Arizona | $193.02 | $193.02 | |
| Michigan | $192.42 | $192.42 | |
| Maine | $189.56 | $189.56 | |
| Utah | $189.16 | $189.16 | |
| New Mexico | $187.91 | $187.91 | |
| Wisconsin | $187.79 | $187.79 | |
| South Carolina | $186.56 | $186.56 | |
| Missouri | $186.55 | $186.55 | |
| North Carolina | $186.43 | $186.43 | |
| Louisiana | $186.31 | $186.31 | |
| Ohio | $186.05 | $186.05 | |
| Indiana | $184.56 | $184.56 | |
| Idaho | $183.47 | $183.47 | |
| Nebraska | $183.26 | $183.26 | |
| West Virginia | $182.60 | $182.60 | |
| Tennessee | $182.33 | $182.33 | |
| Iowa | $182.25 | $182.25 | |
| Kentucky | $182.00 | $182.00 | |
| Oklahoma | $181.65 | $181.65 | |
| Kansas | $181.40 | $181.40 | |
| Alabama | $177.67 | $177.67 | |
| Mississippi | $176.83 | $176.83 | |
| Arkansas | $175.05 | $175.05 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates