CPT 64405 pays $78.83 in a non-facility setting and $46.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $69.63 in Arkansas to $93.71 in Alaska, a 35% spread.
National non-facility rate
$78.83
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 35% 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 | $93.71 | $58.85 | |
| District of Columbia | $88.59 | $50.03 | |
| New York | $87.55 | $51.04 | |
| New Jersey | $86.16 | $49.31 | |
| Florida | $85.60 | $52.76 | |
| California | $84.25 | $45.51 | |
| Connecticut | $84.08 | $48.82 | |
| Washington | $84.07 | $46.75 | |
| Illinois | $83.94 | $52.31 | |
| Massachusetts | $83.68 | $46.90 | |
| Maryland | $81.52 | $47.39 | |
| Hawaii | $81.50 | $44.28 | |
| Colorado | $80.29 | $45.46 | |
| Rhode Island | $80.01 | $46.20 | |
| New Hampshire | $79.63 | $45.56 | |
| Oregon | $79.33 | $44.85 | |
| Michigan | $79.18 | $48.44 | |
| Puerto Rico | $79.17 | $46.08 | |
| Virgin Islands | $79.17 | $46.08 | |
| Montana | $78.81 | $46.08 | |
| Pennsylvania | $78.74 | $46.68 | |
| Georgia | $78.36 | $47.13 | |
| Texas | $77.86 | $45.63 | |
| Delaware | $77.78 | $45.44 | |
| Nevada | $77.70 | $44.93 | |
| Wyoming | $77.00 | $44.27 | |
| New Mexico | $76.83 | $46.81 | |
| Arizona | $76.54 | $44.82 | |
| West Virginia | $76.47 | $48.02 | |
| Virginia | $76.07 | $43.89 | |
| Utah | $75.65 | $44.88 | |
| Louisiana | $75.58 | $45.70 | |
| Missouri | $75.33 | $45.30 | |
| Ohio | $75.31 | $45.42 | |
| Minnesota | $75.08 | $41.40 | |
| Vermont | $74.95 | $42.54 | |
| North Dakota | $74.66 | $41.93 | |
| South Carolina | $74.65 | $44.41 | |
| Maine | $74.38 | $43.10 | |
| South Dakota | $74.17 | $41.44 | |
| Kentucky | $73.67 | $44.57 | |
| North Carolina | $73.54 | $43.00 | |
| Oklahoma | $72.87 | $43.64 | |
| Wisconsin | $72.25 | $40.89 | |
| Indiana | $72.22 | $41.88 | |
| Idaho | $71.84 | $41.73 | |
| Tennessee | $71.84 | $42.09 | |
| Kansas | $71.40 | $41.81 | |
| Nebraska | $71.30 | $41.09 | |
| Mississippi | $71.28 | $43.10 | |
| Iowa | $71.10 | $41.15 | |
| Alabama | $70.65 | $42.01 | |
| Arkansas | $69.63 | $41.51 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates