CPT 52285 pays $325.99 in a non-facility setting and $173.35 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $290.93 in Arkansas to $389.77 in Alaska, a 34% spread.
National non-facility rate
$325.99
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 34% 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 | $389.77 | $227.20 | |
| District of Columbia | $368.42 | $188.61 | |
| New York | $359.68 | $189.39 | |
| California | $357.96 | $177.35 | |
| New Jersey | $357.62 | $185.75 | |
| Washington | $353.17 | $179.15 | |
| Massachusetts | $350.53 | $179.04 | |
| Connecticut | $346.59 | $182.19 | |
| Hawaii | $345.46 | $171.91 | |
| Florida | $342.13 | $188.98 | |
| Maryland | $336.96 | $177.83 | |
| Colorado | $336.13 | $173.72 | |
| Illinois | $334.82 | $187.33 | |
| Rhode Island | $332.80 | $175.12 | |
| Oregon | $332.70 | $171.89 | |
| New Hampshire | $331.83 | $172.93 | |
| Puerto Rico | $327.86 | $173.54 | |
| Virgin Islands | $327.86 | $173.54 | |
| Montana | $325.96 | $173.32 | |
| Pennsylvania | $324.23 | $174.72 | |
| Nevada | $323.45 | $170.66 | |
| Delaware | $322.62 | $171.81 | |
| Texas | $322.49 | $172.22 | |
| Wyoming | $321.74 | $169.10 | |
| Michigan | $320.93 | $177.60 | |
| Georgia | $320.53 | $174.91 | |
| Minnesota | $320.05 | $162.98 | |
| Virginia | $317.91 | $167.86 | |
| Arizona | $317.67 | $169.76 | |
| North Dakota | $316.27 | $163.63 | |
| Vermont | $315.98 | $164.87 | |
| South Dakota | $315.13 | $162.48 | |
| New Mexico | $313.31 | $173.34 | |
| Utah | $312.78 | $169.30 | |
| Maine | $311.32 | $165.47 | |
| Louisiana | $310.02 | $170.66 | |
| Missouri | $309.90 | $169.82 | |
| Ohio | $309.39 | $170.02 | |
| South Carolina | $308.92 | $167.87 | |
| West Virginia | $307.84 | $175.20 | |
| North Carolina | $307.19 | $164.78 | |
| Wisconsin | $306.59 | $160.36 | |
| Indiana | $303.54 | $162.04 | |
| Kentucky | $303.25 | $167.55 | |
| Idaho | $301.98 | $161.55 | |
| Oklahoma | $301.76 | $165.45 | |
| Nebraska | $301.00 | $160.11 | |
| Tennessee | $300.91 | $162.16 | |
| Iowa | $299.77 | $160.10 | |
| Kansas | $299.41 | $161.42 | |
| Mississippi | $294.98 | $163.55 | |
| Alabama | $294.84 | $161.28 | |
| Arkansas | $290.93 | $159.81 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates