CPT 56420 pays $182.03 in a non-facility setting and $100.20 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $160.20 in Arkansas to $210.09 in Alaska, a 31% spread.
National non-facility rate
$182.03
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 31% 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 | $210.09 | $122.94 | |
| District of Columbia | $208.12 | $111.72 | |
| California | $203.36 | $106.53 | |
| New York | $201.84 | $110.55 | |
| New Jersey | $201.14 | $109.00 | |
| Washington | $199.63 | $106.34 | |
| Massachusetts | $197.83 | $105.89 | |
| Hawaii | $196.09 | $103.05 | |
| Connecticut | $194.45 | $106.32 | |
| Florida | $190.05 | $107.94 | |
| Colorado | $188.98 | $101.92 | |
| Maryland | $188.67 | $103.36 | |
| Oregon | $187.00 | $100.79 | |
| Rhode Island | $186.26 | $101.72 | |
| New Hampshire | $186.25 | $101.06 | |
| Illinois | $185.21 | $106.14 | |
| Puerto Rico | $183.31 | $100.58 | |
| Virgin Islands | $183.31 | $100.58 | |
| Montana | $182.02 | $100.19 | |
| Nevada | $180.82 | $98.91 | |
| Pennsylvania | $180.40 | $100.25 | |
| Minnesota | $180.08 | $95.88 | |
| Wyoming | $179.95 | $98.12 | |
| Delaware | $179.93 | $99.08 | |
| Texas | $179.75 | $99.19 | |
| Georgia | $177.83 | $99.76 | |
| Michigan | $177.54 | $100.70 | |
| Virginia | $177.51 | $97.07 | |
| North Dakota | $177.27 | $95.44 | |
| Arizona | $176.94 | $97.64 | |
| Vermont | $176.80 | $95.79 | |
| South Dakota | $176.71 | $94.88 | |
| Utah | $173.58 | $96.66 | |
| Maine | $173.38 | $95.19 | |
| New Mexico | $173.08 | $98.04 | |
| Missouri | $171.43 | $96.34 | |
| Louisiana | $171.34 | $96.63 | |
| South Carolina | $171.16 | $95.55 | |
| Wisconsin | $171.14 | $92.75 | |
| Ohio | $171.03 | $96.31 | |
| North Carolina | $170.61 | $94.27 | |
| West Virginia | $168.82 | $97.71 | |
| Indiana | $168.62 | $92.77 | |
| Idaho | $167.63 | $92.34 | |
| Nebraska | $167.25 | $91.72 | |
| Kentucky | $167.23 | $94.48 | |
| Tennessee | $166.74 | $92.36 | |
| Oklahoma | $166.63 | $93.55 | |
| Iowa | $166.38 | $91.51 | |
| Kansas | $165.84 | $91.87 | |
| Alabama | $162.65 | $91.05 | |
| Mississippi | $162.25 | $91.80 | |
| Arkansas | $160.20 | $89.91 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates