CPT 63042 pays $1,219.80 in a non-facility setting and $1,219.80 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,070.75 in Arkansas to $1,470.41 in Alaska, a 37% spread.
National non-facility rate
$1,219.80
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 37% 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 | $1,470.41 | $1,470.41 | |
| Florida | $1,395.13 | $1,395.13 | |
| Illinois | $1,374.94 | $1,374.94 | |
| New York | $1,363.97 | $1,363.97 | |
| District of Columbia | $1,349.23 | $1,349.23 | |
| New Jersey | $1,319.99 | $1,319.99 | |
| Connecticut | $1,303.34 | $1,303.34 | |
| Michigan | $1,268.72 | $1,268.72 | |
| Massachusetts | $1,260.97 | $1,260.97 | |
| Maryland | $1,260.05 | $1,260.05 | |
| Washington | $1,259.81 | $1,259.81 | |
| West Virginia | $1,243.28 | $1,243.28 | |
| Georgia | $1,237.26 | $1,237.26 | |
| California | $1,235.54 | $1,235.54 | |
| Pennsylvania | $1,229.26 | $1,229.26 | |
| Rhode Island | $1,225.60 | $1,225.60 | |
| Puerto Rico | $1,221.72 | $1,221.72 | |
| Virgin Islands | $1,221.72 | $1,221.72 | |
| New Mexico | $1,221.43 | $1,221.43 | |
| Montana | $1,219.43 | $1,219.43 | |
| New Hampshire | $1,214.27 | $1,214.27 | |
| Colorado | $1,214.11 | $1,214.11 | |
| Texas | $1,203.50 | $1,203.50 | |
| Hawaii | $1,200.71 | $1,200.71 | |
| Delaware | $1,199.20 | $1,199.20 | |
| Oregon | $1,196.64 | $1,196.64 | |
| Louisiana | $1,191.44 | $1,191.44 | |
| Nevada | $1,189.55 | $1,189.55 | |
| Ohio | $1,184.28 | $1,184.28 | |
| Missouri | $1,181.92 | $1,181.92 | |
| Arizona | $1,180.17 | $1,180.17 | |
| Utah | $1,175.55 | $1,175.55 | |
| Wyoming | $1,172.04 | $1,172.04 | |
| South Carolina | $1,159.93 | $1,159.93 | |
| Virginia | $1,158.56 | $1,158.56 | |
| Kentucky | $1,156.99 | $1,156.99 | |
| Oklahoma | $1,133.34 | $1,133.34 | |
| Maine | $1,132.27 | $1,132.27 | |
| North Carolina | $1,125.00 | $1,125.00 | |
| Vermont | $1,124.80 | $1,124.80 | |
| Mississippi | $1,112.75 | $1,112.75 | |
| North Dakota | $1,110.68 | $1,110.68 | |
| Minnesota | $1,102.80 | $1,102.80 | |
| South Dakota | $1,097.82 | $1,097.82 | |
| Tennessee | $1,096.05 | $1,096.05 | |
| Indiana | $1,094.34 | $1,094.34 | |
| Idaho | $1,088.97 | $1,088.97 | |
| Kansas | $1,087.86 | $1,087.86 | |
| Alabama | $1,086.92 | $1,086.92 | |
| Wisconsin | $1,074.82 | $1,074.82 | |
| Iowa | $1,072.89 | $1,072.89 | |
| Nebraska | $1,072.80 | $1,072.80 | |
| Arkansas | $1,070.75 | $1,070.75 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates