CPT 52351 pays $266.54 in a non-facility setting and $266.54 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $247.22 in Arkansas to $353.18 in Alaska, a 43% spread.
National non-facility rate
$266.54
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 | $353.18 | $353.18 | |
| New York | $290.36 | $290.36 | |
| District of Columbia | $289.21 | $289.21 | |
| Florida | $289.17 | $289.17 | |
| Illinois | $286.93 | $286.93 | |
| New Jersey | $285.13 | $285.13 | |
| Connecticut | $279.54 | $279.54 | |
| Washington | $275.20 | $275.20 | |
| Massachusetts | $275.02 | $275.02 | |
| Maryland | $273.17 | $273.17 | |
| Michigan | $272.82 | $272.82 | |
| California | $272.56 | $272.56 | |
| West Virginia | $269.50 | $269.50 | |
| Rhode Island | $269.37 | $269.37 | |
| Georgia | $268.93 | $268.93 | |
| Pennsylvania | $268.73 | $268.73 | |
| Colorado | $267.14 | $267.14 | |
| Puerto Rico | $266.79 | $266.79 | |
| Virgin Islands | $266.79 | $266.79 | |
| New Mexico | $266.70 | $266.70 | |
| Montana | $266.49 | $266.49 | |
| New Hampshire | $265.85 | $265.85 | |
| Texas | $265.02 | $265.02 | |
| Oregon | $264.45 | $264.45 | |
| Delaware | $264.42 | $264.42 | |
| Hawaii | $264.15 | $264.15 | |
| Louisiana | $262.83 | $262.83 | |
| Nevada | $262.63 | $262.63 | |
| Ohio | $261.91 | $261.91 | |
| Missouri | $261.60 | $261.60 | |
| Arizona | $261.41 | $261.41 | |
| Utah | $260.79 | $260.79 | |
| Wyoming | $260.37 | $260.37 | |
| South Carolina | $258.77 | $258.77 | |
| Virginia | $258.62 | $258.62 | |
| Kentucky | $258.37 | $258.37 | |
| Oklahoma | $255.32 | $255.32 | |
| Maine | $255.21 | $255.21 | |
| Vermont | $254.27 | $254.27 | |
| North Carolina | $254.26 | $254.26 | |
| Mississippi | $252.64 | $252.64 | |
| North Dakota | $252.45 | $252.45 | |
| Minnesota | $251.45 | $251.45 | |
| South Dakota | $250.79 | $250.79 | |
| Tennessee | $250.51 | $250.51 | |
| Indiana | $250.30 | $250.30 | |
| Idaho | $249.61 | $249.61 | |
| Kansas | $249.45 | $249.45 | |
| Alabama | $249.32 | $249.32 | |
| Wisconsin | $247.80 | $247.80 | |
| Iowa | $247.53 | $247.53 | |
| Nebraska | $247.52 | $247.52 | |
| Arkansas | $247.22 | $247.22 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates