CPT 52204 pays $355.39 in a non-facility setting and $126.92 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $313.28 in Arkansas to $409.41 in Alaska, a 31% spread.
National non-facility rate
$355.39
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $409.41 | $166.10 | |
| District of Columbia | $407.43 | $138.30 | |
| California | $400.78 | $130.45 | |
| New York | $393.48 | $138.60 | |
| New Jersey | $393.37 | $136.13 | |
| Washington | $391.98 | $131.54 | |
| Massachusetts | $388.07 | $131.39 | |
| Hawaii | $386.16 | $126.40 | |
| Connecticut | $379.44 | $133.39 | |
| Colorado | $370.52 | $127.44 | |
| Maryland | $368.39 | $130.22 | |
| Florida | $367.00 | $137.78 | |
| Oregon | $366.81 | $126.12 | |
| New Hampshire | $364.61 | $126.78 | |
| Rhode Island | $364.33 | $128.33 | |
| Puerto Rico | $358.07 | $127.09 | |
| Virgin Islands | $358.07 | $127.09 | |
| Illinois | $357.27 | $136.52 | |
| Montana | $355.36 | $126.90 | |
| Minnesota | $354.92 | $119.83 | |
| Nevada | $353.75 | $125.06 | |
| Wyoming | $352.43 | $123.97 | |
| Pennsylvania | $351.61 | $127.83 | |
| Delaware | $351.55 | $125.83 | |
| Texas | $351.02 | $126.10 | |
| North Dakota | $348.64 | $120.18 | |
| South Dakota | $347.84 | $119.38 | |
| Virginia | $347.63 | $123.06 | |
| Vermont | $347.18 | $121.00 | |
| Georgia | $345.81 | $127.85 | |
| Arizona | $345.70 | $124.33 | |
| Michigan | $344.18 | $129.66 | |
| Maine | $339.60 | $121.30 | |
| Utah | $338.66 | $123.90 | |
| Wisconsin | $336.63 | $117.76 | |
| New Mexico | $336.13 | $126.63 | |
| South Carolina | $333.96 | $122.86 | |
| North Carolina | $333.90 | $120.74 | |
| Missouri | $333.84 | $124.19 | |
| Louisiana | $333.34 | $124.75 | |
| Ohio | $332.90 | $124.31 | |
| Indiana | $330.60 | $118.82 | |
| Idaho | $328.64 | $118.45 | |
| Nebraska | $328.34 | $117.47 | |
| Tennessee | $326.51 | $118.84 | |
| Iowa | $326.48 | $117.44 | |
| West Virginia | $326.28 | $127.75 | |
| Kentucky | $325.61 | $122.51 | |
| Oklahoma | $325.08 | $121.07 | |
| Kansas | $324.84 | $118.31 | |
| Alabama | $318.02 | $118.11 | |
| Mississippi | $316.35 | $119.64 | |
| Arkansas | $313.28 | $117.04 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates