CPT 55840 pays $1,045.11 in a non-facility setting and $1,045.11 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $964.60 in Arkansas to $1,369.00 in Alaska, a 42% spread.
National non-facility rate
$1,045.11
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 | $1,369.00 | $1,369.00 | |
| New York | $1,140.65 | $1,140.65 | |
| District of Columbia | $1,138.97 | $1,138.97 | |
| Florida | $1,131.98 | $1,131.98 | |
| Illinois | $1,121.59 | $1,121.59 | |
| New Jersey | $1,121.01 | $1,121.01 | |
| Connecticut | $1,098.01 | $1,098.01 | |
| Washington | $1,084.05 | $1,084.05 | |
| Massachusetts | $1,082.65 | $1,082.65 | |
| California | $1,075.84 | $1,075.84 | |
| Maryland | $1,072.19 | $1,072.19 | |
| Michigan | $1,066.37 | $1,066.37 | |
| Rhode Island | $1,057.05 | $1,057.05 | |
| Pennsylvania | $1,052.34 | $1,052.34 | |
| Georgia | $1,052.12 | $1,052.12 | |
| West Virginia | $1,050.40 | $1,050.40 | |
| Colorado | $1,050.11 | $1,050.11 | |
| Puerto Rico | $1,046.60 | $1,046.60 | |
| Virgin Islands | $1,046.60 | $1,046.60 | |
| Montana | $1,044.93 | $1,044.93 | |
| New Hampshire | $1,044.36 | $1,044.36 | |
| Hawaii | $1,042.28 | $1,042.28 | |
| New Mexico | $1,041.92 | $1,041.92 | |
| Oregon | $1,039.39 | $1,039.39 | |
| Texas | $1,038.47 | $1,038.47 | |
| Delaware | $1,036.31 | $1,036.31 | |
| Nevada | $1,030.20 | $1,030.20 | |
| Louisiana | $1,026.89 | $1,026.89 | |
| Arizona | $1,024.02 | $1,024.02 | |
| Ohio | $1,023.35 | $1,023.35 | |
| Missouri | $1,022.41 | $1,022.41 | |
| Wyoming | $1,021.49 | $1,021.49 | |
| Utah | $1,020.34 | $1,020.34 | |
| Virginia | $1,014.01 | $1,014.01 | |
| South Carolina | $1,011.84 | $1,011.84 | |
| Kentucky | $1,008.70 | $1,008.70 | |
| Maine | $999.68 | $999.68 | |
| Vermont | $997.65 | $997.65 | |
| Oklahoma | $997.19 | $997.19 | |
| North Carolina | $995.00 | $995.00 | |
| North Dakota | $991.15 | $991.15 | |
| Minnesota | $988.65 | $988.65 | |
| Mississippi | $985.47 | $985.47 | |
| South Dakota | $984.79 | $984.79 | |
| Indiana | $979.54 | $979.54 | |
| Tennessee | $979.52 | $979.52 | |
| Idaho | $976.55 | $976.55 | |
| Kansas | $975.23 | $975.23 | |
| Alabama | $973.37 | $973.37 | |
| Wisconsin | $971.39 | $971.39 | |
| Nebraska | $968.70 | $968.70 | |
| Iowa | $968.36 | $968.36 | |
| Arkansas | $964.60 | $964.60 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates