CPT 55801 pays $983.32 in a non-facility setting and $983.32 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $907.12 in Arkansas to $1,285.22 in Alaska, a 42% spread.
National non-facility rate
$983.32
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 42% 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 | $1,285.22 | $1,285.22 | |
| New York | $1,073.22 | $1,073.22 | |
| District of Columbia | $1,072.99 | $1,072.99 | |
| Florida | $1,062.59 | $1,062.59 | |
| New Jersey | $1,055.57 | $1,055.57 | |
| Illinois | $1,052.42 | $1,052.42 | |
| Connecticut | $1,033.29 | $1,033.29 | |
| Washington | $1,021.93 | $1,021.93 | |
| Massachusetts | $1,020.30 | $1,020.30 | |
| California | $1,015.35 | $1,015.35 | |
| Maryland | $1,008.99 | $1,008.99 | |
| Michigan | $1,001.49 | $1,001.49 | |
| Rhode Island | $995.06 | $995.06 | |
| Pennsylvania | $989.60 | $989.60 | |
| Colorado | $989.27 | $989.27 | |
| Georgia | $988.81 | $988.81 | |
| West Virginia | $985.55 | $985.55 | |
| Puerto Rico | $984.89 | $984.89 | |
| Virgin Islands | $984.89 | $984.89 | |
| Hawaii | $983.46 | $983.46 | |
| New Hampshire | $983.44 | $983.44 | |
| Montana | $983.16 | $983.16 | |
| Oregon | $979.25 | $979.25 | |
| New Mexico | $978.76 | $978.76 | |
| Texas | $977.02 | $977.02 | |
| Delaware | $975.11 | $975.11 | |
| Nevada | $969.74 | $969.74 | |
| Louisiana | $964.99 | $964.99 | |
| Arizona | $963.47 | $963.47 | |
| Wyoming | $961.79 | $961.79 | |
| Ohio | $961.76 | $961.76 | |
| Missouri | $960.99 | $960.99 | |
| Utah | $959.54 | $959.54 | |
| Virginia | $954.63 | $954.63 | |
| South Carolina | $951.48 | $951.48 | |
| Kentucky | $947.92 | $947.92 | |
| Maine | $941.01 | $941.01 | |
| Vermont | $939.85 | $939.85 | |
| Oklahoma | $937.51 | $937.51 | |
| North Carolina | $936.30 | $936.30 | |
| North Dakota | $934.12 | $934.12 | |
| Minnesota | $932.42 | $932.42 | |
| South Dakota | $928.32 | $928.32 | |
| Mississippi | $926.19 | $926.19 | |
| Indiana | $922.09 | $922.09 | |
| Tennessee | $921.72 | $921.72 | |
| Idaho | $919.23 | $919.23 | |
| Kansas | $917.71 | $917.71 | |
| Alabama | $915.43 | $915.43 | |
| Wisconsin | $915.27 | $915.27 | |
| Nebraska | $912.12 | $912.12 | |
| Iowa | $911.65 | $911.65 | |
| Arkansas | $907.12 | $907.12 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates