CPT 52290 pays $215.44 in a non-facility setting and $215.44 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $199.56 in Arkansas to $284.60 in Alaska, a 43% spread.
National non-facility rate
$215.44
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 | $284.60 | $284.60 | |
| New York | $234.80 | $234.80 | |
| District of Columbia | $234.03 | $234.03 | |
| Florida | $233.62 | $233.62 | |
| Illinois | $231.71 | $231.71 | |
| New Jersey | $230.63 | $230.63 | |
| Connecticut | $226.05 | $226.05 | |
| Washington | $222.72 | $222.72 | |
| Massachusetts | $222.53 | $222.53 | |
| Maryland | $220.85 | $220.85 | |
| California | $220.70 | $220.70 | |
| Michigan | $220.32 | $220.32 | |
| Rhode Island | $217.77 | $217.77 | |
| West Virginia | $217.47 | $217.47 | |
| Georgia | $217.23 | $217.23 | |
| Pennsylvania | $217.13 | $217.13 | |
| Colorado | $216.07 | $216.07 | |
| Puerto Rico | $215.67 | $215.67 | |
| Virgin Islands | $215.67 | $215.67 | |
| Montana | $215.40 | $215.40 | |
| New Mexico | $215.35 | $215.35 | |
| New Hampshire | $214.99 | $214.99 | |
| Texas | $214.17 | $214.17 | |
| Oregon | $213.89 | $213.89 | |
| Hawaii | $213.87 | $213.87 | |
| Delaware | $213.69 | $213.69 | |
| Nevada | $212.30 | $212.30 | |
| Louisiana | $212.23 | $212.23 | |
| Ohio | $211.49 | $211.49 | |
| Missouri | $211.26 | $211.26 | |
| Arizona | $211.23 | $211.23 | |
| Utah | $210.67 | $210.67 | |
| Wyoming | $210.49 | $210.49 | |
| Virginia | $209.04 | $209.04 | |
| South Carolina | $209.00 | $209.00 | |
| Kentucky | $208.59 | $208.59 | |
| Maine | $206.23 | $206.23 | |
| Oklahoma | $206.15 | $206.15 | |
| Vermont | $205.56 | $205.56 | |
| North Carolina | $205.41 | $205.41 | |
| North Dakota | $204.13 | $204.13 | |
| Mississippi | $203.92 | $203.92 | |
| Minnesota | $203.40 | $203.40 | |
| South Dakota | $202.79 | $202.79 | |
| Tennessee | $202.34 | $202.34 | |
| Indiana | $202.21 | $202.21 | |
| Idaho | $201.63 | $201.63 | |
| Kansas | $201.47 | $201.47 | |
| Alabama | $201.29 | $201.29 | |
| Wisconsin | $200.28 | $200.28 | |
| Nebraska | $199.97 | $199.97 | |
| Iowa | $199.95 | $199.95 | |
| Arkansas | $199.56 | $199.56 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates