CPT 63020

Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Cervc

CPT 63020 pays $1,064.15 in a non-facility setting and $1,064.15 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $927.89 in Arkansas to $1,262.86 in Alaska, a 36% spread.

National non-facility rate

$1,064.15

Office and other outpatient settings

Facility rate
$1,064.15

Hospital and ASC settings

Highest state
$1,262.86

Alaska

Lowest state
$927.89

Arkansas · 36% 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 $1,064.15
CPT 63020 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $1,064.15, national facility $1,064.15.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,262.86$1,262.86
Florida
$1,216.06$1,216.06
Illinois
$1,196.53$1,196.53
New York
$1,192.84$1,192.84
District of Columbia
$1,183.02$1,183.02
New Jersey
$1,155.14$1,155.14
Connecticut
$1,139.56$1,139.56
Massachusetts
$1,104.92$1,104.92
Washington
$1,104.64$1,104.64
Michigan
$1,103.35$1,103.35
Maryland
$1,100.62$1,100.62
California
$1,085.68$1,085.68
West Virginia
$1,077.72$1,077.72
Georgia
$1,076.82$1,076.82
Pennsylvania
$1,070.89$1,070.89
Rhode Island
$1,070.05$1,070.05
Puerto Rico
$1,066.38$1,066.38
Virgin Islands
$1,066.38$1,066.38
Montana
$1,063.83$1,063.83
Colorado
$1,062.01$1,062.01
New Hampshire
$1,061.48$1,061.48
New Mexico
$1,061.29$1,061.29
Hawaii
$1,054.69$1,054.69
Texas
$1,049.01$1,049.01
Oregon
$1,046.52$1,046.52
Delaware
$1,045.49$1,045.49
Nevada
$1,038.02$1,038.02
Louisiana
$1,035.13$1,035.13
Ohio
$1,028.93$1,028.93
Arizona
$1,028.25$1,028.25
Missouri
$1,027.12$1,027.12
Wyoming
$1,022.82$1,022.82
Utah
$1,022.76$1,022.76
Virginia
$1,010.28$1,010.28
South Carolina
$1,008.42$1,008.42
Kentucky
$1,004.07$1,004.07
Maine
$986.10$986.10
Oklahoma
$983.81$983.81
Vermont
$981.42$981.42
North Carolina
$978.65$978.65
North Dakota
$969.71$969.71
Minnesota
$964.39$964.39
Mississippi
$964.34$964.34
South Dakota
$958.58$958.58
Tennessee
$952.37$952.37
Indiana
$951.81$951.81
Idaho
$946.80$946.80
Kansas
$945.02$945.02
Alabama
$942.71$942.71
Wisconsin
$936.51$936.51
Nebraska
$932.96$932.96
Iowa
$932.62$932.62
Arkansas
$927.89$927.89

Billed by 1 specialties

Commercial rates for 63020

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

See negotiated rates