CPT 61321

Craniectomy/Craniotmy Drg Abscess Infratentorial

CPT 61321 pays $2,069.19 in a non-facility setting and $2,069.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,750.92 in Wisconsin to $2,469.14 in Florida, a 41% spread.

National non-facility rate

$2,069.19

Office and other outpatient settings

Facility rate
$2,069.19

Hospital and ASC settings

Highest state
$2,469.14

Florida

Lowest state
$1,750.92

Wisconsin · 41% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $2,069.19
CPT 61321 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $2,069.19, national facility $2,069.19.
StateRate compared visuallyNon-facilityFacility
Florida
$2,469.14$2,469.14
Illinois
$2,433.36$2,433.36
Alaska
$2,420.25$2,420.25
New York
$2,343.09$2,343.09
District of Columbia
$2,286.89$2,286.89
New Jersey
$2,237.55$2,237.55
Connecticut
$2,227.72$2,227.72
Michigan
$2,200.48$2,200.48
West Virginia
$2,164.52$2,164.52
Maryland
$2,142.50$2,142.50
Georgia
$2,123.13$2,123.13
Massachusetts
$2,112.62$2,112.62
Washington
$2,103.50$2,103.50
New Mexico
$2,099.31$2,099.31
Pennsylvania
$2,093.71$2,093.71
Puerto Rico
$2,070.08$2,070.08
Virgin Islands
$2,070.08$2,070.08
Montana
$2,068.35$2,068.35
Rhode Island
$2,064.30$2,064.30
New Hampshire
$2,043.50$2,043.50
Texas
$2,034.62$2,034.62
California
$2,032.49$2,032.49
Louisiana
$2,031.98$2,031.98
Colorado
$2,031.00$2,031.00
Delaware
$2,023.86$2,023.86
Ohio
$2,015.59$2,015.59
Missouri
$2,008.70$2,008.70
Nevada
$1,999.67$1,999.67
Oregon
$1,995.98$1,995.98
Arizona
$1,988.38$1,988.38
Utah
$1,987.05$1,987.05
Hawaii
$1,981.98$1,981.98
Kentucky
$1,960.80$1,960.80
Wyoming
$1,959.94$1,959.94
South Carolina
$1,956.40$1,956.40
Virginia
$1,934.52$1,934.52
Oklahoma
$1,905.44$1,905.44
Maine
$1,883.12$1,883.12
North Carolina
$1,873.64$1,873.64
Mississippi
$1,868.52$1,868.52
Vermont
$1,855.07$1,855.07
North Dakota
$1,819.60$1,819.60
Tennessee
$1,815.07$1,815.07
Indiana
$1,805.42$1,805.42
Alabama
$1,804.99$1,804.99
Kansas
$1,797.93$1,797.93
Idaho
$1,795.38$1,795.38
Minnesota
$1,792.36$1,792.36
South Dakota
$1,790.18$1,790.18
Arkansas
$1,773.09$1,773.09
Iowa
$1,760.17$1,760.17
Nebraska
$1,757.42$1,757.42
Wisconsin
$1,750.92$1,750.92

Billed by 1 specialties

Commercial rates for 61321

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates