CPT 63005 pays $1,192.41 in a non-facility setting and $1,192.41 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,029.41 in Arkansas to $1,397.61 in Alaska, a 36% spread.
National non-facility rate
$1,192.41
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 | $1,397.61 | $1,397.61 | |
| Florida | $1,387.43 | $1,387.43 | |
| Illinois | $1,365.22 | $1,365.22 | |
| New York | $1,343.64 | $1,343.64 | |
| District of Columbia | $1,325.02 | $1,325.02 | |
| New Jersey | $1,293.90 | $1,293.90 | |
| Connecticut | $1,280.92 | $1,280.92 | |
| Michigan | $1,248.08 | $1,248.08 | |
| Maryland | $1,234.46 | $1,234.46 | |
| Massachusetts | $1,231.61 | $1,231.61 | |
| Washington | $1,229.54 | $1,229.54 | |
| West Virginia | $1,221.18 | $1,221.18 | |
| Georgia | $1,212.55 | $1,212.55 | |
| Pennsylvania | $1,202.05 | $1,202.05 | |
| California | $1,201.04 | $1,201.04 | |
| New Mexico | $1,195.91 | $1,195.91 | |
| Rhode Island | $1,195.45 | $1,195.45 | |
| Puerto Rico | $1,194.33 | $1,194.33 | |
| Virgin Islands | $1,194.33 | $1,194.33 | |
| Montana | $1,192.00 | $1,192.00 | |
| New Hampshire | $1,185.43 | $1,185.43 | |
| Colorado | $1,183.05 | $1,183.05 | |
| Texas | $1,173.80 | $1,173.80 | |
| Delaware | $1,169.01 | $1,169.01 | |
| Hawaii | $1,168.40 | $1,168.40 | |
| Oregon | $1,164.40 | $1,164.40 | |
| Louisiana | $1,162.62 | $1,162.62 | |
| Nevada | $1,158.73 | $1,158.73 | |
| Ohio | $1,154.64 | $1,154.64 | |
| Missouri | $1,151.92 | $1,151.92 | |
| Arizona | $1,148.94 | $1,148.94 | |
| Utah | $1,144.39 | $1,144.39 | |
| Wyoming | $1,139.26 | $1,139.26 | |
| South Carolina | $1,127.33 | $1,127.33 | |
| Kentucky | $1,124.76 | $1,124.76 | |
| Virginia | $1,124.61 | $1,124.61 | |
| Oklahoma | $1,098.37 | $1,098.37 | |
| Maine | $1,095.91 | $1,095.91 | |
| North Carolina | $1,088.27 | $1,088.27 | |
| Vermont | $1,086.90 | $1,086.90 | |
| Mississippi | $1,076.10 | $1,076.10 | |
| North Dakota | $1,070.99 | $1,070.99 | |
| Minnesota | $1,061.64 | $1,061.64 | |
| South Dakota | $1,056.68 | $1,056.68 | |
| Tennessee | $1,056.55 | $1,056.55 | |
| Indiana | $1,054.28 | $1,054.28 | |
| Idaho | $1,048.45 | $1,048.45 | |
| Kansas | $1,047.54 | $1,047.54 | |
| Alabama | $1,047.08 | $1,047.08 | |
| Wisconsin | $1,031.94 | $1,031.94 | |
| Iowa | $1,030.65 | $1,030.65 | |
| Nebraska | $1,030.39 | $1,030.39 | |
| Arkansas | $1,029.41 | $1,029.41 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates