CPT 59426 pays $1,055.47 in a non-facility setting and $718.45 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $926.88 in Arkansas to $1,261.46 in Alaska, a 36% spread.
National non-facility rate
$1,055.47
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 | $1,261.46 | $902.53 | |
| Florida | $1,186.58 | $848.44 | |
| New York | $1,178.32 | $802.35 | |
| District of Columbia | $1,175.21 | $778.21 | |
| Illinois | $1,167.02 | $841.37 | |
| New Jersey | $1,146.92 | $767.44 | |
| Connecticut | $1,127.73 | $764.76 | |
| Washington | $1,103.34 | $719.15 | |
| Massachusetts | $1,102.10 | $723.46 | |
| Maryland | $1,091.03 | $739.69 | |
| California | $1,090.71 | $691.93 | |
| Michigan | $1,084.38 | $767.92 | |
| Rhode Island | $1,064.30 | $716.17 | |
| Georgia | $1,062.81 | $741.30 | |
| Pennsylvania | $1,060.18 | $730.07 | |
| Colorado | $1,059.43 | $700.84 | |
| Puerto Rico | $1,058.26 | $717.54 | |
| Virgin Islands | $1,058.26 | $717.54 | |
| Hawaii | $1,058.22 | $675.03 | |
| West Virginia | $1,056.73 | $763.87 | |
| New Hampshire | $1,056.43 | $705.59 | |
| Montana | $1,055.19 | $718.18 | |
| New Mexico | $1,046.40 | $737.36 | |
| Oregon | $1,045.01 | $689.97 | |
| Texas | $1,041.52 | $709.73 | |
| Delaware | $1,038.73 | $705.76 | |
| Nevada | $1,033.04 | $695.69 | |
| Louisiana | $1,023.55 | $715.85 | |
| Arizona | $1,022.08 | $695.51 | |
| Wyoming | $1,019.86 | $682.85 | |
| Ohio | $1,018.21 | $710.51 | |
| Missouri | $1,017.02 | $707.76 | |
| Utah | $1,015.05 | $698.25 | |
| Virginia | $1,007.71 | $676.43 | |
| South Carolina | $1,001.42 | $690.02 | |
| Kentucky | $994.89 | $695.28 | |
| Maine | $984.70 | $662.68 | |
| Vermont | $983.41 | $649.76 | |
| Oklahoma | $977.75 | $676.80 | |
| North Carolina | $976.49 | $662.06 | |
| North Dakota | $974.12 | $637.11 | |
| Minnesota | $971.85 | $625.06 | |
| South Dakota | $964.54 | $627.52 | |
| Mississippi | $958.44 | $668.27 | |
| Indiana | $952.89 | $640.48 | |
| Tennessee | $951.94 | $645.60 | |
| Idaho | $948.03 | $637.97 | |
| Kansas | $945.22 | $640.56 | |
| Wisconsin | $942.19 | $619.33 | |
| Alabama | $940.92 | $646.04 | |
| Nebraska | $936.34 | $625.28 | |
| Iowa | $935.42 | $627.05 | |
| Arkansas | $926.88 | $637.39 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates