CPT 52007 pays $431.54 in a non-facility setting and $147.97 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $379.94 in Arkansas to $495.44 in Alaska, a 30% spread.
National non-facility rate
$431.54
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 | $495.44 | $193.43 | |
| District of Columbia | $495.31 | $161.26 | |
| California | $487.59 | $152.04 | |
| New Jersey | $478.02 | $158.71 | |
| New York | $477.99 | $161.63 | |
| Washington | $476.61 | $153.34 | |
| Massachusetts | $471.76 | $153.17 | |
| Hawaii | $469.75 | $147.33 | |
| Connecticut | $460.95 | $155.54 | |
| Colorado | $450.27 | $148.55 | |
| Maryland | $447.45 | $151.83 | |
| Oregon | $445.75 | $147.01 | |
| Florida | $445.25 | $160.74 | |
| New Hampshire | $442.99 | $147.79 | |
| Rhode Island | $442.52 | $149.59 | |
| Puerto Rico | $434.86 | $148.17 | |
| Virgin Islands | $434.86 | $148.17 | |
| Illinois | $433.26 | $159.25 | |
| Montana | $431.51 | $147.94 | |
| Minnesota | $431.41 | $139.62 | |
| Nevada | $429.63 | $145.77 | |
| Wyoming | $428.07 | $144.49 | |
| Delaware | $426.84 | $146.67 | |
| Pennsylvania | $426.79 | $149.03 | |
| Texas | $426.17 | $146.99 | |
| North Dakota | $423.60 | $140.03 | |
| South Dakota | $422.67 | $139.09 | |
| Virginia | $422.17 | $143.42 | |
| Vermont | $421.74 | $141.00 | |
| Arizona | $419.70 | $144.91 | |
| Georgia | $419.59 | $149.06 | |
| Michigan | $417.47 | $151.19 | |
| Maine | $412.31 | $141.36 | |
| Utah | $410.98 | $144.42 | |
| Wisconsin | $408.86 | $137.19 | |
| New Mexico | $407.67 | $147.63 | |
| North Carolina | $405.28 | $140.70 | |
| South Carolina | $405.22 | $143.20 | |
| Missouri | $404.99 | $144.76 | |
| Louisiana | $404.33 | $145.43 | |
| Ohio | $403.81 | $144.91 | |
| Indiana | $401.31 | $138.44 | |
| Idaho | $398.90 | $138.01 | |
| Nebraska | $398.59 | $136.85 | |
| Iowa | $396.28 | $136.82 | |
| Tennessee | $396.24 | $138.47 | |
| West Virginia | $395.38 | $148.95 | |
| Kentucky | $394.89 | $142.79 | |
| Oklahoma | $394.32 | $141.09 | |
| Kansas | $394.19 | $137.84 | |
| Alabama | $385.74 | $137.62 | |
| Mississippi | $383.58 | $139.42 | |
| Arkansas | $379.94 | $136.35 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates