CPT 51728 pays $336.68 in a non-facility setting and $336.68 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $296.38 in Arkansas to $387.60 in District of Columbia, a 31% spread.
National non-facility rate
$336.68
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
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 |
|---|---|---|---|
| District of Columbia | $387.60 | $387.60 | |
| Alaska | $384.72 | $384.72 | |
| California | $383.53 | $383.53 | |
| Washington | $373.77 | $373.77 | |
| New Jersey | $373.66 | $373.66 | |
| New York | $372.70 | $372.70 | |
| Massachusetts | $369.67 | $369.67 | |
| Hawaii | $369.28 | $369.28 | |
| Connecticut | $359.66 | $359.66 | |
| Colorado | $352.57 | $352.57 | |
| Maryland | $349.22 | $349.22 | |
| Oregon | $349.14 | $349.14 | |
| New Hampshire | $346.44 | $346.44 | |
| Rhode Island | $345.79 | $345.79 | |
| Florida | $344.51 | $344.51 | |
| Puerto Rico | $339.44 | $339.44 | |
| Virgin Islands | $339.44 | $339.44 | |
| Minnesota | $339.06 | $339.06 | |
| Montana | $336.67 | $336.67 | |
| Nevada | $335.71 | $335.71 | |
| Illinois | $334.82 | $334.82 | |
| Wyoming | $334.77 | $334.77 | |
| Delaware | $333.16 | $333.16 | |
| Texas | $332.50 | $332.50 | |
| Pennsylvania | $332.47 | $332.47 | |
| North Dakota | $332.32 | $332.32 | |
| South Dakota | $331.80 | $331.80 | |
| Vermont | $330.45 | $330.45 | |
| Virginia | $330.09 | $330.09 | |
| Arizona | $327.55 | $327.55 | |
| Georgia | $326.24 | $326.24 | |
| Michigan | $323.78 | $323.78 | |
| Maine | $322.34 | $322.34 | |
| Wisconsin | $320.65 | $320.65 | |
| Utah | $320.30 | $320.30 | |
| North Carolina | $316.57 | $316.57 | |
| New Mexico | $316.53 | $316.53 | |
| South Carolina | $315.78 | $315.78 | |
| Missouri | $315.12 | $315.12 | |
| Louisiana | $314.36 | $314.36 | |
| Ohio | $314.07 | $314.07 | |
| Indiana | $313.89 | $313.89 | |
| Nebraska | $312.05 | $312.05 | |
| Idaho | $311.97 | $311.97 | |
| Iowa | $310.11 | $310.11 | |
| Tennessee | $309.57 | $309.57 | |
| Kansas | $308.03 | $308.03 | |
| Oklahoma | $307.17 | $307.17 | |
| Kentucky | $307.14 | $307.14 | |
| West Virginia | $305.72 | $305.72 | |
| Alabama | $300.93 | $300.93 | |
| Mississippi | $298.55 | $298.55 | |
| Arkansas | $296.38 | $296.38 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates