CPT 52005 pays $280.57 in a non-facility setting and $119.58 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $248.55 in Arkansas to $327.39 in Alaska, a 32% spread.
National non-facility rate
$280.57
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 32% 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 | $327.39 | $155.93 | |
| District of Columbia | $320.31 | $130.66 | |
| California | $314.40 | $123.91 | |
| New York | $310.10 | $130.50 | |
| New Jersey | $309.75 | $128.47 | |
| Washington | $308.08 | $124.54 | |
| Massachusetts | $305.18 | $124.30 | |
| Hawaii | $303.03 | $119.98 | |
| Connecticut | $299.06 | $125.67 | |
| Colorado | $291.77 | $120.47 | |
| Maryland | $290.55 | $122.72 | |
| Florida | $290.38 | $128.85 | |
| Oregon | $288.87 | $119.27 | |
| Rhode Island | $287.38 | $121.08 | |
| New Hampshire | $287.30 | $119.71 | |
| Illinois | $283.12 | $127.56 | |
| Puerto Rico | $282.55 | $119.79 | |
| Virgin Islands | $282.55 | $119.79 | |
| Montana | $280.55 | $119.56 | |
| Minnesota | $279.37 | $113.71 | |
| Nevada | $279.14 | $117.99 | |
| Wyoming | $278.05 | $117.06 | |
| Pennsylvania | $277.96 | $120.27 | |
| Delaware | $277.65 | $118.59 | |
| Texas | $277.30 | $118.80 | |
| North Dakota | $274.81 | $113.82 | |
| Virginia | $274.43 | $116.17 | |
| South Dakota | $274.14 | $113.14 | |
| Vermont | $273.85 | $114.46 | |
| Georgia | $273.68 | $120.09 | |
| Arizona | $273.17 | $117.17 | |
| Michigan | $272.70 | $121.53 | |
| Maine | $268.33 | $114.50 | |
| Utah | $267.96 | $116.62 | |
| New Mexico | $266.44 | $118.81 | |
| Wisconsin | $265.73 | $111.50 | |
| Missouri | $264.47 | $116.73 | |
| South Carolina | $264.39 | $115.63 | |
| Louisiana | $264.17 | $117.18 | |
| North Carolina | $264.09 | $113.89 | |
| Ohio | $263.79 | $116.80 | |
| Indiana | $261.45 | $112.21 | |
| Idaho | $259.96 | $111.85 | |
| Nebraska | $259.63 | $111.03 | |
| West Virginia | $259.36 | $119.46 | |
| Tennessee | $258.45 | $112.11 | |
| Iowa | $258.26 | $110.95 | |
| Kentucky | $258.24 | $115.12 | |
| Oklahoma | $257.68 | $113.91 | |
| Kansas | $257.17 | $111.63 | |
| Alabama | $252.15 | $111.28 | |
| Mississippi | $251.11 | $112.50 | |
| Arkansas | $248.55 | $110.26 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates