CPT 61304 pays $1,608.92 in a non-facility setting and $1,608.92 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,366.46 in Wisconsin to $1,912.02 in Florida, a 40% spread.
National non-facility rate
$1,608.92
Office and other outpatient settings
Hospital and ASC settings
Florida
Wisconsin · 40% 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 |
|---|---|---|---|
| Florida | $1,912.02 | $1,912.02 | |
| Illinois | $1,883.74 | $1,883.74 | |
| Alaska | $1,881.45 | $1,881.45 | |
| New York | $1,820.60 | $1,820.60 | |
| District of Columbia | $1,780.11 | $1,780.11 | |
| New Jersey | $1,741.01 | $1,741.01 | |
| Connecticut | $1,731.70 | $1,731.70 | |
| Michigan | $1,706.40 | $1,706.40 | |
| West Virginia | $1,676.89 | $1,676.89 | |
| Maryland | $1,665.96 | $1,665.96 | |
| Georgia | $1,648.31 | $1,648.31 | |
| Massachusetts | $1,646.09 | $1,646.09 | |
| Washington | $1,639.74 | $1,639.74 | |
| New Mexico | $1,629.04 | $1,629.04 | |
| Pennsylvania | $1,626.91 | $1,626.91 | |
| Puerto Rico | $1,609.96 | $1,609.96 | |
| Virgin Islands | $1,609.96 | $1,609.96 | |
| Montana | $1,608.28 | $1,608.28 | |
| Rhode Island | $1,606.46 | $1,606.46 | |
| New Hampshire | $1,590.80 | $1,590.80 | |
| California | $1,587.40 | $1,587.40 | |
| Texas | $1,582.28 | $1,582.28 | |
| Colorado | $1,582.18 | $1,582.18 | |
| Louisiana | $1,577.91 | $1,577.91 | |
| Delaware | $1,574.24 | $1,574.24 | |
| Ohio | $1,565.50 | $1,565.50 | |
| Missouri | $1,560.43 | $1,560.43 | |
| Nevada | $1,556.29 | $1,556.29 | |
| Oregon | $1,555.28 | $1,555.28 | |
| Hawaii | $1,547.30 | $1,547.30 | |
| Arizona | $1,546.70 | $1,546.70 | |
| Utah | $1,544.75 | $1,544.75 | |
| Wyoming | $1,526.16 | $1,526.16 | |
| Kentucky | $1,523.21 | $1,523.21 | |
| South Carolina | $1,521.02 | $1,521.02 | |
| Virginia | $1,506.36 | $1,506.36 | |
| Oklahoma | $1,481.40 | $1,481.40 | |
| Maine | $1,466.52 | $1,466.52 | |
| North Carolina | $1,458.61 | $1,458.61 | |
| Mississippi | $1,452.39 | $1,452.39 | |
| Vermont | $1,446.39 | $1,446.39 | |
| North Dakota | $1,419.84 | $1,419.84 | |
| Tennessee | $1,413.46 | $1,413.46 | |
| Indiana | $1,406.74 | $1,406.74 | |
| Alabama | $1,404.72 | $1,404.72 | |
| Kansas | $1,400.31 | $1,400.31 | |
| Minnesota | $1,400.15 | $1,400.15 | |
| Idaho | $1,398.90 | $1,398.90 | |
| South Dakota | $1,397.56 | $1,397.56 | |
| Arkansas | $1,380.04 | $1,380.04 | |
| Iowa | $1,372.07 | $1,372.07 | |
| Nebraska | $1,370.25 | $1,370.25 | |
| Wisconsin | $1,366.46 | $1,366.46 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates