CPT 59612 pays $823.33 in a non-facility setting and $823.33 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $699.51 in Wisconsin to $1,022.21 in Alaska, a 46% spread.
National non-facility rate
$823.33
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 | $1,022.21 | $1,022.21 | |
| Florida | $986.55 | $986.55 | |
| Illinois | $978.07 | $978.07 | |
| New York | $923.83 | $923.83 | |
| District of Columbia | $892.06 | $892.06 | |
| Michigan | $886.48 | $886.48 | |
| West Virginia | $882.55 | $882.55 | |
| New Jersey | $879.55 | $879.55 | |
| Connecticut | $878.97 | $878.97 | |
| Georgia | $852.70 | $852.70 | |
| Maryland | $848.49 | $848.49 | |
| New Mexico | $848.45 | $848.45 | |
| Pennsylvania | $837.70 | $837.70 | |
| Massachusetts | $825.79 | $825.79 | |
| Montana | $822.99 | $822.99 | |
| Puerto Rico | $822.00 | $822.00 | |
| Virgin Islands | $822.00 | $822.00 | |
| Louisiana | $821.51 | $821.51 | |
| Washington | $819.91 | $819.91 | |
| Rhode Island | $818.72 | $818.72 | |
| Ohio | $814.80 | $814.80 | |
| Texas | $812.29 | $812.29 | |
| Missouri | $811.26 | $811.26 | |
| Delaware | $807.28 | $807.28 | |
| New Hampshire | $806.50 | $806.50 | |
| Colorado | $799.40 | $799.40 | |
| Utah | $798.95 | $798.95 | |
| Kentucky | $796.07 | $796.07 | |
| Arizona | $795.03 | $795.03 | |
| Nevada | $794.72 | $794.72 | |
| South Carolina | $788.87 | $788.87 | |
| Oregon | $786.16 | $786.16 | |
| California | $784.74 | $784.74 | |
| Wyoming | $778.61 | $778.61 | |
| Oklahoma | $772.79 | $772.79 | |
| Virginia | $770.82 | $770.82 | |
| Hawaii | $766.52 | $766.52 | |
| Mississippi | $762.60 | $762.60 | |
| Maine | $754.02 | $754.02 | |
| North Carolina | $753.60 | $753.60 | |
| Vermont | $737.22 | $737.22 | |
| Alabama | $734.44 | $734.44 | |
| Tennessee | $733.32 | $733.32 | |
| Kansas | $727.08 | $727.08 | |
| Indiana | $726.60 | $726.60 | |
| Arkansas | $723.85 | $723.85 | |
| Idaho | $723.57 | $723.57 | |
| North Dakota | $721.16 | $721.16 | |
| Iowa | $709.93 | $709.93 | |
| South Dakota | $709.11 | $709.11 | |
| Nebraska | $707.57 | $707.57 | |
| Minnesota | $705.54 | $705.54 | |
| Wisconsin | $699.51 | $699.51 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates