CPT 52001 pays $419.52 in a non-facility setting and $252.84 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $377.51 in Arkansas to $512.12 in Alaska, a 36% spread.
National non-facility rate
$419.52
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 | $512.12 | $334.61 | |
| District of Columbia | $470.76 | $274.42 | |
| New York | $461.48 | $275.54 | |
| New Jersey | $458.20 | $270.53 | |
| California | $455.74 | $258.53 | |
| Washington | $451.07 | $261.06 | |
| Massachusetts | $448.15 | $260.89 | |
| Connecticut | $444.75 | $265.24 | |
| Florida | $441.75 | $274.52 | |
| Hawaii | $440.06 | $250.56 | |
| Illinois | $433.41 | $272.36 | |
| Maryland | $432.92 | $259.16 | |
| Colorado | $430.73 | $253.39 | |
| Rhode Island | $427.68 | $255.51 | |
| Oregon | $426.41 | $250.82 | |
| New Hampshire | $425.69 | $252.18 | |
| Puerto Rico | $421.59 | $253.09 | |
| Virgin Islands | $421.59 | $253.09 | |
| Montana | $419.47 | $252.80 | |
| Pennsylvania | $418.17 | $254.92 | |
| Nevada | $415.94 | $249.10 | |
| Delaware | $415.47 | $250.80 | |
| Texas | $415.47 | $251.38 | |
| Michigan | $415.36 | $258.86 | |
| Georgia | $414.13 | $255.13 | |
| Wyoming | $413.61 | $246.94 | |
| Minnesota | $409.90 | $238.40 | |
| Arizona | $409.43 | $247.93 | |
| Virginia | $409.10 | $245.26 | |
| Vermont | $406.10 | $241.09 | |
| North Dakota | $406.02 | $239.35 | |
| New Mexico | $405.84 | $253.00 | |
| South Dakota | $404.43 | $237.76 | |
| Utah | $404.01 | $247.34 | |
| Louisiana | $401.46 | $249.29 | |
| Maine | $401.25 | $242.00 | |
| Missouri | $401.06 | $248.12 | |
| Ohio | $400.58 | $248.41 | |
| West Virginia | $400.51 | $255.68 | |
| South Carolina | $399.41 | $245.40 | |
| North Carolina | $396.59 | $241.09 | |
| Wisconsin | $394.57 | $234.90 | |
| Kentucky | $393.19 | $245.02 | |
| Indiana | $391.80 | $237.29 | |
| Oklahoma | $390.93 | $242.10 | |
| Idaho | $389.96 | $236.63 | |
| Tennessee | $389.00 | $237.50 | |
| Nebraska | $388.47 | $234.63 | |
| Kansas | $387.15 | $236.48 | |
| Iowa | $387.14 | $234.63 | |
| Mississippi | $383.04 | $239.53 | |
| Alabama | $382.19 | $236.35 | |
| Arkansas | $377.51 | $234.34 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates