CPT 54520 pays $305.62 in a non-facility setting and $305.62 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $278.49 in Arkansas to $388.07 in Alaska, a 39% spread.
National non-facility rate
$305.62
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 | $388.07 | $388.07 | |
| District of Columbia | $337.02 | $337.02 | |
| New York | $335.12 | $335.12 | |
| New Jersey | $330.20 | $330.20 | |
| Florida | $329.06 | $329.06 | |
| Illinois | $324.77 | $324.77 | |
| Connecticut | $322.55 | $322.55 | |
| Washington | $321.11 | $321.11 | |
| California | $320.54 | $320.54 | |
| Massachusetts | $320.13 | $320.13 | |
| Maryland | $314.37 | $314.37 | |
| Hawaii | $310.22 | $310.22 | |
| Rhode Island | $309.85 | $309.85 | |
| Colorado | $309.30 | $309.30 | |
| Michigan | $308.93 | $308.93 | |
| New Hampshire | $307.02 | $307.02 | |
| Pennsylvania | $306.63 | $306.63 | |
| Puerto Rico | $306.45 | $306.45 | |
| Virgin Islands | $306.45 | $306.45 | |
| Oregon | $306.07 | $306.07 | |
| Georgia | $305.68 | $305.68 | |
| Montana | $305.57 | $305.57 | |
| Texas | $303.15 | $303.15 | |
| Delaware | $302.72 | $302.72 | |
| West Virginia | $301.91 | $301.91 | |
| Nevada | $301.65 | $301.65 | |
| New Mexico | $301.51 | $301.51 | |
| Wyoming | $299.28 | $299.28 | |
| Arizona | $298.74 | $298.74 | |
| Louisiana | $297.32 | $297.32 | |
| Utah | $296.62 | $296.62 | |
| Virginia | $296.60 | $296.60 | |
| Ohio | $296.37 | $296.37 | |
| Missouri | $296.30 | $296.30 | |
| South Carolina | $293.71 | $293.71 | |
| Vermont | $292.49 | $292.49 | |
| Maine | $291.68 | $291.68 | |
| Minnesota | $291.60 | $291.60 | |
| Kentucky | $291.50 | $291.50 | |
| North Dakota | $291.13 | $291.13 | |
| North Carolina | $289.54 | $289.54 | |
| South Dakota | $289.43 | $289.43 | |
| Oklahoma | $288.57 | $288.57 | |
| Indiana | $285.16 | $285.16 | |
| Tennessee | $284.45 | $284.45 | |
| Wisconsin | $284.19 | $284.19 | |
| Mississippi | $284.17 | $284.17 | |
| Idaho | $284.08 | $284.08 | |
| Kansas | $283.10 | $283.10 | |
| Nebraska | $282.09 | $282.09 | |
| Iowa | $281.69 | $281.69 | |
| Alabama | $281.47 | $281.47 | |
| Arkansas | $278.49 | $278.49 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates