CPT 52235 pays $254.51 in a non-facility setting and $254.51 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $235.78 in Arkansas to $336.39 in Alaska, a 43% spread.
National non-facility rate
$254.51
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 43% 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 | $336.39 | $336.39 | |
| New York | $277.41 | $277.41 | |
| District of Columbia | $276.39 | $276.39 | |
| Florida | $276.20 | $276.20 | |
| Illinois | $273.98 | $273.98 | |
| New Jersey | $272.41 | $272.41 | |
| Connecticut | $267.04 | $267.04 | |
| Washington | $262.97 | $262.97 | |
| Massachusetts | $262.77 | $262.77 | |
| Maryland | $260.90 | $260.90 | |
| California | $260.50 | $260.50 | |
| Michigan | $260.43 | $260.43 | |
| Rhode Island | $257.23 | $257.23 | |
| West Virginia | $257.13 | $257.13 | |
| Georgia | $256.72 | $256.72 | |
| Pennsylvania | $256.55 | $256.55 | |
| Colorado | $255.17 | $255.17 | |
| Puerto Rico | $254.78 | $254.78 | |
| Virgin Islands | $254.78 | $254.78 | |
| New Mexico | $254.53 | $254.53 | |
| Montana | $254.47 | $254.47 | |
| New Hampshire | $253.92 | $253.92 | |
| Texas | $253.02 | $253.02 | |
| Oregon | $252.58 | $252.58 | |
| Hawaii | $252.46 | $252.46 | |
| Delaware | $252.45 | $252.45 | |
| Louisiana | $250.82 | $250.82 | |
| Nevada | $250.78 | $250.78 | |
| Ohio | $249.93 | $249.93 | |
| Missouri | $249.65 | $249.65 | |
| Arizona | $249.55 | $249.55 | |
| Utah | $248.91 | $248.91 | |
| Wyoming | $248.61 | $248.61 | |
| South Carolina | $246.94 | $246.94 | |
| Virginia | $246.91 | $246.91 | |
| Kentucky | $246.50 | $246.50 | |
| Maine | $243.59 | $243.59 | |
| Oklahoma | $243.59 | $243.59 | |
| Vermont | $242.75 | $242.75 | |
| North Carolina | $242.65 | $242.65 | |
| North Dakota | $241.02 | $241.02 | |
| Mississippi | $240.97 | $240.97 | |
| Minnesota | $240.11 | $240.11 | |
| South Dakota | $239.43 | $239.43 | |
| Tennessee | $239.01 | $239.01 | |
| Indiana | $238.84 | $238.84 | |
| Idaho | $238.16 | $238.16 | |
| Kansas | $237.99 | $237.99 | |
| Alabama | $237.81 | $237.81 | |
| Wisconsin | $236.50 | $236.50 | |
| Nebraska | $236.17 | $236.17 | |
| Iowa | $236.16 | $236.16 | |
| Arkansas | $235.78 | $235.78 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates