CPT 54650 pays $647.98 in a non-facility setting and $647.98 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $595.81 in Arkansas to $839.17 in Alaska, a 41% spread.
National non-facility rate
$647.98
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 41% 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 | $839.17 | $839.17 | |
| District of Columbia | $709.94 | $709.94 | |
| New York | $707.92 | $707.92 | |
| New Jersey | $697.33 | $697.33 | |
| Florida | $697.32 | $697.32 | |
| Illinois | $689.73 | $689.73 | |
| Connecticut | $681.71 | $681.71 | |
| Washington | $676.86 | $676.86 | |
| Massachusetts | $675.27 | $675.27 | |
| California | $674.28 | $674.28 | |
| Maryland | $665.41 | $665.41 | |
| Michigan | $657.16 | $657.16 | |
| Rhode Island | $656.46 | $656.46 | |
| Colorado | $653.91 | $653.91 | |
| Hawaii | $652.77 | $652.77 | |
| Pennsylvania | $651.20 | $651.20 | |
| Georgia | $649.81 | $649.81 | |
| New Hampshire | $649.46 | $649.46 | |
| Puerto Rico | $649.33 | $649.33 | |
| Virgin Islands | $649.33 | $649.33 | |
| Montana | $647.87 | $647.87 | |
| Oregon | $647.31 | $647.31 | |
| West Virginia | $644.86 | $644.86 | |
| Texas | $643.55 | $643.55 | |
| Delaware | $642.48 | $642.48 | |
| New Mexico | $642.29 | $642.29 | |
| Nevada | $639.58 | $639.58 | |
| Wyoming | $634.60 | $634.60 | |
| Arizona | $634.59 | $634.59 | |
| Louisiana | $633.60 | $633.60 | |
| Ohio | $631.59 | $631.59 | |
| Missouri | $631.28 | $631.28 | |
| Utah | $631.15 | $631.15 | |
| Virginia | $629.57 | $629.57 | |
| South Carolina | $625.59 | $625.59 | |
| Kentucky | $622.18 | $622.18 | |
| Vermont | $620.64 | $620.64 | |
| Maine | $620.17 | $620.17 | |
| North Dakota | $617.42 | $617.42 | |
| Minnesota | $617.36 | $617.36 | |
| North Carolina | $616.47 | $616.47 | |
| Oklahoma | $615.85 | $615.85 | |
| South Dakota | $613.82 | $613.82 | |
| Mississippi | $607.72 | $607.72 | |
| Indiana | $607.45 | $607.45 | |
| Tennessee | $606.59 | $606.59 | |
| Idaho | $605.43 | $605.43 | |
| Wisconsin | $604.27 | $604.27 | |
| Kansas | $603.93 | $603.93 | |
| Alabama | $601.52 | $601.52 | |
| Nebraska | $601.12 | $601.12 | |
| Iowa | $600.55 | $600.55 | |
| Arkansas | $595.81 | $595.81 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates