CPT 55821 pays $755.19 in a non-facility setting and $755.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $696.47 in Arkansas to $986.53 in Alaska, a 42% spread.
National non-facility rate
$755.19
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 | $986.53 | $986.53 | |
| New York | $824.35 | $824.35 | |
| District of Columbia | $824.17 | $824.17 | |
| Florida | $816.24 | $816.24 | |
| New Jersey | $810.75 | $810.75 | |
| Illinois | $808.39 | $808.39 | |
| Connecticut | $793.65 | $793.65 | |
| Washington | $784.89 | $784.89 | |
| Massachusetts | $783.64 | $783.64 | |
| California | $779.83 | $779.83 | |
| Maryland | $774.94 | $774.94 | |
| Michigan | $769.17 | $769.17 | |
| Rhode Island | $764.20 | $764.20 | |
| Pennsylvania | $760.01 | $760.01 | |
| Colorado | $759.77 | $759.77 | |
| Georgia | $759.41 | $759.41 | |
| West Virginia | $756.87 | $756.87 | |
| Puerto Rico | $756.41 | $756.41 | |
| Virgin Islands | $756.41 | $756.41 | |
| Hawaii | $755.33 | $755.33 | |
| New Hampshire | $755.30 | $755.30 | |
| Montana | $755.07 | $755.07 | |
| Oregon | $752.05 | $752.05 | |
| New Mexico | $751.66 | $751.66 | |
| Texas | $750.32 | $750.32 | |
| Delaware | $748.86 | $748.86 | |
| Nevada | $744.74 | $744.74 | |
| Louisiana | $741.05 | $741.05 | |
| Arizona | $739.90 | $739.90 | |
| Wyoming | $738.61 | $738.61 | |
| Ohio | $738.56 | $738.56 | |
| Missouri | $737.97 | $737.97 | |
| Utah | $736.86 | $736.86 | |
| Virginia | $733.09 | $733.09 | |
| South Carolina | $730.65 | $730.65 | |
| Kentucky | $727.90 | $727.90 | |
| Maine | $722.60 | $722.60 | |
| Vermont | $721.71 | $721.71 | |
| Oklahoma | $719.88 | $719.88 | |
| North Carolina | $718.96 | $718.96 | |
| North Dakota | $717.30 | $717.30 | |
| Minnesota | $716.00 | $716.00 | |
| South Dakota | $712.83 | $712.83 | |
| Mississippi | $711.15 | $711.15 | |
| Indiana | $708.02 | $708.02 | |
| Tennessee | $707.72 | $707.72 | |
| Idaho | $705.81 | $705.81 | |
| Kansas | $704.63 | $704.63 | |
| Alabama | $702.87 | $702.87 | |
| Wisconsin | $702.77 | $702.77 | |
| Nebraska | $700.34 | $700.34 | |
| Iowa | $699.97 | $699.97 | |
| Arkansas | $696.47 | $696.47 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates