CPT 59409 pays $721.79 in a non-facility setting and $721.79 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $624.36 in Wisconsin to $908.48 in Alaska, a 46% spread.
National non-facility rate
$721.79
Office and other outpatient settings
Hospital and ASC settings
Alaska
Wisconsin · 46% 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 | $908.48 | $908.48 | |
| Florida | $849.26 | $849.26 | |
| Illinois | $842.16 | $842.16 | |
| New York | $805.26 | $805.26 | |
| District of Columbia | $782.03 | $782.03 | |
| New Jersey | $771.14 | $771.14 | |
| Michigan | $769.95 | $769.95 | |
| Connecticut | $767.87 | $767.87 | |
| West Virginia | $765.58 | $765.58 | |
| Georgia | $743.95 | $743.95 | |
| Maryland | $743.01 | $743.01 | |
| New Mexico | $739.86 | $739.86 | |
| Pennsylvania | $733.17 | $733.17 | |
| Massachusetts | $727.74 | $727.74 | |
| Washington | $723.64 | $723.64 | |
| Montana | $721.52 | $721.52 | |
| Puerto Rico | $720.96 | $720.96 | |
| Virgin Islands | $720.96 | $720.96 | |
| Rhode Island | $719.96 | $719.96 | |
| Louisiana | $718.75 | $718.75 | |
| Ohio | $713.51 | $713.51 | |
| Texas | $713.22 | $713.22 | |
| Missouri | $710.83 | $710.83 | |
| New Hampshire | $709.42 | $709.42 | |
| Delaware | $709.34 | $709.34 | |
| Colorado | $705.03 | $705.03 | |
| Utah | $701.64 | $701.64 | |
| Nevada | $699.48 | $699.48 | |
| Arizona | $699.12 | $699.12 | |
| Kentucky | $698.44 | $698.44 | |
| California | $697.25 | $697.25 | |
| Oregon | $694.26 | $694.26 | |
| South Carolina | $693.48 | $693.48 | |
| Wyoming | $686.88 | $686.88 | |
| Virginia | $680.49 | $680.49 | |
| Oklahoma | $680.34 | $680.34 | |
| Hawaii | $680.00 | $680.00 | |
| Mississippi | $671.80 | $671.80 | |
| Maine | $666.86 | $666.86 | |
| North Carolina | $666.12 | $666.12 | |
| Vermont | $654.39 | $654.39 | |
| Alabama | $650.08 | $650.08 | |
| Tennessee | $649.84 | $649.84 | |
| Indiana | $644.93 | $644.93 | |
| Kansas | $644.87 | $644.87 | |
| Idaho | $642.43 | $642.43 | |
| North Dakota | $642.04 | $642.04 | |
| Arkansas | $641.51 | $641.51 | |
| South Dakota | $632.64 | $632.64 | |
| Iowa | $631.69 | $631.69 | |
| Minnesota | $630.39 | $630.39 | |
| Nebraska | $630.00 | $630.00 | |
| Wisconsin | $624.36 | $624.36 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates