CPT 52000 pays $215.77 in a non-facility setting and $71.14 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $190.07 in Arkansas to $248.01 in Alaska, a 30% spread.
National non-facility rate
$215.77
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 30% 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 | $248.01 | $93.98 | |
| District of Columbia | $247.57 | $77.20 | |
| California | $243.70 | $72.56 | |
| New Jersey | $238.96 | $76.11 | |
| New York | $238.95 | $77.60 | |
| Washington | $238.23 | $73.36 | |
| Massachusetts | $235.82 | $73.33 | |
| Hawaii | $234.78 | $70.34 | |
| Connecticut | $230.44 | $74.67 | |
| Colorado | $225.10 | $71.22 | |
| Maryland | $223.71 | $72.93 | |
| Oregon | $222.84 | $70.48 | |
| Florida | $222.62 | $77.52 | |
| New Hampshire | $221.47 | $70.91 | |
| Rhode Island | $221.25 | $71.85 | |
| Puerto Rico | $217.42 | $71.21 | |
| Virgin Islands | $217.42 | $71.21 | |
| Illinois | $216.65 | $76.91 | |
| Montana | $215.76 | $71.13 | |
| Minnesota | $215.69 | $66.87 | |
| Nevada | $214.81 | $70.04 | |
| Wyoming | $214.03 | $69.41 | |
| Delaware | $213.43 | $70.54 | |
| Pennsylvania | $213.41 | $71.75 | |
| Texas | $213.10 | $70.71 | |
| North Dakota | $211.80 | $67.18 | |
| South Dakota | $211.33 | $66.71 | |
| Virginia | $211.10 | $68.93 | |
| Vermont | $210.88 | $67.70 | |
| Arizona | $209.87 | $69.73 | |
| Georgia | $209.83 | $71.86 | |
| Michigan | $208.77 | $72.97 | |
| Maine | $206.18 | $67.99 | |
| Utah | $205.53 | $69.58 | |
| Wisconsin | $204.46 | $65.90 | |
| New Mexico | $203.89 | $71.27 | |
| North Carolina | $202.68 | $67.75 | |
| South Carolina | $202.66 | $69.02 | |
| Missouri | $202.55 | $69.83 | |
| Louisiana | $202.22 | $70.18 | |
| Ohio | $201.96 | $69.92 | |
| Indiana | $200.71 | $66.64 | |
| Idaho | $199.50 | $66.45 | |
| Nebraska | $199.35 | $65.86 | |
| Iowa | $198.20 | $65.87 | |
| Tennessee | $198.18 | $66.71 | |
| West Virginia | $197.78 | $72.10 | |
| Kentucky | $197.52 | $68.94 | |
| Oklahoma | $197.23 | $68.08 | |
| Kansas | $197.16 | $66.42 | |
| Alabama | $192.96 | $66.41 | |
| Mississippi | $191.88 | $67.36 | |
| Arkansas | $190.07 | $65.83 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates