CPT 58561 pays $313.97 in a non-facility setting and $313.97 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $284.85 in Wisconsin to $408.20 in Alaska, a 43% spread.
National non-facility rate
$313.97
Office and other outpatient settings
Hospital and ASC settings
Alaska
Wisconsin · 43% 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 | $408.20 | $408.20 | |
| Florida | $350.53 | $350.53 | |
| Illinois | $347.67 | $347.67 | |
| New York | $344.97 | $344.97 | |
| District of Columbia | $340.69 | $340.69 | |
| New Jersey | $335.83 | $335.83 | |
| Connecticut | $330.99 | $330.99 | |
| Michigan | $325.93 | $325.93 | |
| West Virginia | $322.60 | $322.60 | |
| Maryland | $322.31 | $322.31 | |
| Massachusetts | $321.55 | $321.55 | |
| Washington | $321.10 | $321.10 | |
| Georgia | $319.06 | $319.06 | |
| Pennsylvania | $317.32 | $317.32 | |
| New Mexico | $316.67 | $316.67 | |
| Rhode Island | $315.90 | $315.90 | |
| California | $315.18 | $315.18 | |
| Puerto Rico | $314.06 | $314.06 | |
| Virgin Islands | $314.06 | $314.06 | |
| Montana | $313.89 | $313.89 | |
| Colorado | $312.01 | $312.01 | |
| New Hampshire | $311.65 | $311.65 | |
| Texas | $311.48 | $311.48 | |
| Louisiana | $310.51 | $310.51 | |
| Delaware | $310.44 | $310.44 | |
| Ohio | $309.02 | $309.02 | |
| Missouri | $308.39 | $308.39 | |
| Oregon | $308.30 | $308.30 | |
| Nevada | $307.61 | $307.61 | |
| Arizona | $306.56 | $306.56 | |
| Utah | $306.42 | $306.42 | |
| Hawaii | $306.08 | $306.08 | |
| Kentucky | $303.99 | $303.99 | |
| Wyoming | $303.98 | $303.98 | |
| South Carolina | $303.61 | $303.61 | |
| Virginia | $301.65 | $301.65 | |
| Oklahoma | $298.93 | $298.93 | |
| Maine | $296.93 | $296.93 | |
| North Carolina | $296.05 | $296.05 | |
| Mississippi | $295.54 | $295.54 | |
| Vermont | $294.39 | $294.39 | |
| North Dakota | $291.15 | $291.15 | |
| Tennessee | $290.68 | $290.68 | |
| Indiana | $289.81 | $289.81 | |
| Alabama | $289.74 | $289.74 | |
| Kansas | $289.11 | $289.11 | |
| Idaho | $288.89 | $288.89 | |
| Minnesota | $288.68 | $288.68 | |
| South Dakota | $288.46 | $288.46 | |
| Arkansas | $286.81 | $286.81 | |
| Iowa | $285.67 | $285.67 | |
| Nebraska | $285.42 | $285.42 | |
| Wisconsin | $284.85 | $284.85 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates