CPT 52281 pays $310.29 in a non-facility setting and $136.61 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $275.03 in Arkansas to $363.22 in Alaska, a 32% spread.
National non-facility rate
$310.29
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 | $363.22 | $178.25 | |
| District of Columbia | $353.65 | $149.04 | |
| California | $346.26 | $140.74 | |
| New York | $342.99 | $149.23 | |
| New Jersey | $342.20 | $146.63 | |
| Washington | $339.80 | $141.80 | |
| Massachusetts | $336.75 | $141.61 | |
| Hawaii | $333.83 | $136.35 | |
| Connecticut | $330.68 | $143.63 | |
| Florida | $322.37 | $148.11 | |
| Colorado | $322.10 | $137.30 | |
| Maryland | $321.26 | $140.20 | |
| Oregon | $318.85 | $135.88 | |
| Rhode Island | $317.59 | $138.17 | |
| New Hampshire | $317.35 | $136.54 | |
| Illinois | $314.52 | $146.69 | |
| Puerto Rico | $312.41 | $136.82 | |
| Virgin Islands | $312.41 | $136.82 | |
| Montana | $310.27 | $136.59 | |
| Nevada | $308.50 | $134.64 | |
| Minnesota | $307.88 | $129.16 | |
| Pennsylvania | $307.65 | $137.53 | |
| Wyoming | $307.17 | $133.48 | |
| Delaware | $307.02 | $135.42 | |
| Texas | $306.70 | $135.70 | |
| Virginia | $303.21 | $132.48 | |
| Georgia | $303.19 | $137.49 | |
| North Dakota | $303.15 | $129.47 | |
| Michigan | $302.46 | $139.37 | |
| South Dakota | $302.31 | $128.63 | |
| Vermont | $302.27 | $130.32 | |
| Arizona | $302.09 | $133.79 | |
| Utah | $296.54 | $133.28 | |
| Maine | $296.51 | $130.56 | |
| New Mexico | $295.38 | $136.12 | |
| Wisconsin | $293.21 | $126.82 | |
| Missouri | $292.92 | $133.53 | |
| Louisiana | $292.70 | $134.12 | |
| South Carolina | $292.63 | $132.14 | |
| Ohio | $292.23 | $133.65 | |
| North Carolina | $291.97 | $129.92 | |
| Indiana | $288.87 | $127.87 | |
| West Virginia | $288.13 | $137.20 | |
| Idaho | $287.26 | $127.47 | |
| Nebraska | $286.74 | $126.43 | |
| Kentucky | $286.10 | $131.69 | |
| Tennessee | $285.73 | $127.85 | |
| Iowa | $285.30 | $126.38 | |
| Oklahoma | $285.28 | $130.18 | |
| Kansas | $284.29 | $127.28 | |
| Alabama | $278.98 | $127.01 | |
| Mississippi | $278.14 | $128.60 | |
| Arkansas | $275.03 | $125.83 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates