CPT 52630 pays $376.09 in a non-facility setting and $376.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $343.62 in Arkansas to $479.13 in Alaska, a 39% spread.
National non-facility rate
$376.09
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 39% 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 | $479.13 | $479.13 | |
| District of Columbia | $414.77 | $414.77 | |
| New York | $411.78 | $411.78 | |
| New Jersey | $406.38 | $406.38 | |
| Florida | $402.79 | $402.79 | |
| Illinois | $397.54 | $397.54 | |
| Connecticut | $396.57 | $396.57 | |
| Washington | $395.86 | $395.86 | |
| California | $395.78 | $395.78 | |
| Massachusetts | $394.50 | $394.50 | |
| Maryland | $386.75 | $386.75 | |
| Hawaii | $382.91 | $382.91 | |
| Rhode Island | $381.61 | $381.61 | |
| Colorado | $381.22 | $381.22 | |
| Michigan | $379.16 | $379.16 | |
| New Hampshire | $378.16 | $378.16 | |
| Oregon | $377.36 | $377.36 | |
| Pennsylvania | $377.16 | $377.16 | |
| Puerto Rico | $377.16 | $377.16 | |
| Virgin Islands | $377.16 | $377.16 | |
| Montana | $376.04 | $376.04 | |
| Georgia | $375.65 | $375.65 | |
| Texas | $373.20 | $373.20 | |
| Delaware | $372.74 | $372.74 | |
| Nevada | $371.60 | $371.60 | |
| New Mexico | $370.47 | $370.47 | |
| West Virginia | $370.37 | $370.37 | |
| Wyoming | $368.89 | $368.89 | |
| Arizona | $367.92 | $367.92 | |
| Louisiana | $365.66 | $365.66 | |
| Virginia | $365.65 | $365.65 | |
| Utah | $365.17 | $365.17 | |
| Ohio | $364.58 | $364.58 | |
| Missouri | $364.55 | $364.55 | |
| South Carolina | $361.68 | $361.68 | |
| Vermont | $361.05 | $361.05 | |
| Minnesota | $360.49 | $360.49 | |
| Maine | $359.73 | $359.73 | |
| North Dakota | $359.63 | $359.63 | |
| Kentucky | $358.76 | $358.76 | |
| South Dakota | $357.69 | $357.69 | |
| North Carolina | $357.05 | $357.05 | |
| Oklahoma | $355.47 | $355.47 | |
| Indiana | $351.99 | $351.99 | |
| Wisconsin | $351.24 | $351.24 | |
| Tennessee | $350.98 | $350.98 | |
| Idaho | $350.69 | $350.69 | |
| Mississippi | $350.10 | $350.10 | |
| Kansas | $349.39 | $349.39 | |
| Nebraska | $348.46 | $348.46 | |
| Iowa | $347.91 | $347.91 | |
| Alabama | $347.20 | $347.20 | |
| Arkansas | $343.62 | $343.62 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates