CPT 59425 pays $574.83 in a non-facility setting and $391.79 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $504.89 in Arkansas to $687.24 in Alaska, a 36% spread.
National non-facility rate
$574.83
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 36% 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 | $687.24 | $492.30 | |
| Florida | $646.14 | $462.49 | |
| New York | $641.69 | $437.49 | |
| District of Columbia | $640.00 | $424.38 | |
| Illinois | $635.50 | $458.64 | |
| New Jersey | $624.61 | $418.51 | |
| Connecticut | $614.15 | $417.02 | |
| Washington | $600.89 | $392.23 | |
| Massachusetts | $600.22 | $394.57 | |
| Maryland | $594.18 | $403.37 | |
| California | $594.03 | $377.45 | |
| Michigan | $590.55 | $418.68 | |
| Rhode Island | $579.65 | $390.57 | |
| Georgia | $578.82 | $404.21 | |
| Pennsylvania | $577.40 | $398.11 | |
| Colorado | $576.99 | $382.24 | |
| Puerto Rico | $576.35 | $391.30 | |
| Virgin Islands | $576.35 | $391.30 | |
| Hawaii | $576.33 | $368.21 | |
| West Virginia | $575.52 | $416.46 | |
| New Hampshire | $575.35 | $384.81 | |
| Montana | $574.68 | $391.64 | |
| New Mexico | $569.90 | $402.05 | |
| Oregon | $569.15 | $376.32 | |
| Texas | $567.25 | $387.05 | |
| Delaware | $565.73 | $384.89 | |
| Nevada | $562.63 | $379.41 | |
| Louisiana | $557.47 | $390.35 | |
| Arizona | $556.67 | $379.31 | |
| Wyoming | $555.46 | $372.43 | |
| Ohio | $554.56 | $387.45 | |
| Missouri | $553.92 | $385.95 | |
| Utah | $552.84 | $380.79 | |
| Virginia | $548.85 | $368.93 | |
| South Carolina | $545.43 | $376.30 | |
| Kentucky | $541.88 | $379.16 | |
| Maine | $536.34 | $361.45 | |
| Vermont | $535.64 | $354.43 | |
| Oklahoma | $532.56 | $369.11 | |
| North Carolina | $531.87 | $361.10 | |
| North Dakota | $530.59 | $347.55 | |
| Minnesota | $529.35 | $341.00 | |
| South Dakota | $525.37 | $342.34 | |
| Mississippi | $522.05 | $364.46 | |
| Indiana | $519.04 | $349.36 | |
| Tennessee | $518.52 | $352.14 | |
| Idaho | $516.39 | $348.00 | |
| Kansas | $514.86 | $349.40 | |
| Wisconsin | $513.21 | $337.86 | |
| Alabama | $512.53 | $352.37 | |
| Nebraska | $510.03 | $341.09 | |
| Iowa | $509.53 | $342.05 | |
| Arkansas | $504.89 | $347.66 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates