CPT 59430 pays $261.20 in a non-facility setting and $161.66 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $228.96 in Arkansas to $309.16 in Alaska, a 35% spread.
National non-facility rate
$261.20
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 35% 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 | $309.16 | $203.16 | |
| District of Columbia | $292.35 | $175.10 | |
| New York | $291.55 | $180.51 | |
| Florida | $290.69 | $190.83 | |
| Illinois | $285.42 | $189.24 | |
| New Jersey | $284.76 | $172.68 | |
| Connecticut | $279.26 | $172.06 | |
| Washington | $275.31 | $161.84 | |
| Massachusetts | $274.63 | $162.80 | |
| California | $273.51 | $155.74 | |
| Maryland | $270.20 | $166.43 | |
| Michigan | $266.22 | $172.76 | |
| Hawaii | $265.10 | $151.93 | |
| Rhode Island | $263.98 | $161.16 | |
| Colorado | $263.62 | $157.72 | |
| New Hampshire | $262.39 | $158.78 | |
| Puerto Rico | $262.09 | $161.46 | |
| Virgin Islands | $262.09 | $161.46 | |
| Pennsylvania | $261.76 | $164.27 | |
| Georgia | $261.74 | $166.78 | |
| Montana | $261.13 | $161.60 | |
| Oregon | $260.13 | $155.28 | |
| West Virginia | $258.34 | $171.84 | |
| Texas | $257.70 | $159.70 | |
| New Mexico | $257.17 | $165.90 | |
| Delaware | $257.15 | $158.81 | |
| Nevada | $256.19 | $156.55 | |
| Wyoming | $253.21 | $153.67 | |
| Arizona | $252.96 | $156.51 | |
| Louisiana | $251.95 | $161.07 | |
| Ohio | $250.75 | $159.87 | |
| Utah | $250.69 | $157.12 | |
| Missouri | $250.59 | $159.25 | |
| Virginia | $250.07 | $152.23 | |
| South Carolina | $247.24 | $155.27 | |
| Kentucky | $244.94 | $156.45 | |
| Vermont | $244.79 | $146.25 | |
| Maine | $244.25 | $149.14 | |
| Minnesota | $243.13 | $140.71 | |
| North Dakota | $242.94 | $143.41 | |
| North Carolina | $241.87 | $149.00 | |
| Oklahoma | $241.19 | $152.31 | |
| South Dakota | $240.79 | $141.26 | |
| Indiana | $236.43 | $144.16 | |
| Mississippi | $236.09 | $150.39 | |
| Tennessee | $235.78 | $145.31 | |
| Idaho | $235.17 | $143.60 | |
| Wisconsin | $234.77 | $139.41 | |
| Kansas | $234.15 | $144.17 | |
| Nebraska | $232.62 | $140.75 | |
| Alabama | $232.49 | $145.40 | |
| Iowa | $232.22 | $141.14 | |
| Arkansas | $228.96 | $143.46 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates