CPT 64415 pays $154.98 in a non-facility setting and $66.47 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $138.63 in Arkansas to $184.21 in Alaska, a 33% spread.
National non-facility rate
$154.98
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 33% 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 | $184.21 | $89.94 | |
| District of Columbia | $176.26 | $71.99 | |
| California | $173.63 | $68.89 | |
| New Jersey | $170.70 | $71.04 | |
| New York | $170.55 | $71.80 | |
| Washington | $169.98 | $69.08 | |
| Massachusetts | $168.37 | $68.92 | |
| Hawaii | $167.30 | $66.66 | |
| Connecticut | $164.67 | $69.34 | |
| Colorado | $161.23 | $67.05 | |
| Maryland | $160.27 | $67.99 | |
| Oregon | $159.73 | $66.48 | |
| Florida | $159.12 | $70.31 | |
| Rhode Island | $158.85 | $67.41 | |
| New Hampshire | $158.67 | $66.53 | |
| Puerto Rico | $156.04 | $66.56 | |
| Virgin Islands | $156.04 | $66.56 | |
| Illinois | $155.35 | $69.83 | |
| Minnesota | $155.12 | $64.04 | |
| Montana | $154.97 | $66.46 | |
| Nevada | $154.41 | $65.81 | |
| Wyoming | $153.94 | $65.43 | |
| Pennsylvania | $153.60 | $66.90 | |
| Delaware | $153.59 | $66.14 | |
| Texas | $153.38 | $66.24 | |
| North Dakota | $152.60 | $64.09 | |
| South Dakota | $152.32 | $63.81 | |
| Virginia | $152.06 | $65.06 | |
| Vermont | $151.98 | $64.35 | |
| Arizona | $151.23 | $65.47 | |
| Georgia | $151.14 | $66.70 | |
| Michigan | $150.38 | $67.27 | |
| Maine | $148.93 | $64.36 | |
| Utah | $148.44 | $65.24 | |
| Wisconsin | $147.91 | $63.12 | |
| New Mexico | $147.30 | $66.14 | |
| North Carolina | $146.69 | $64.10 | |
| South Carolina | $146.61 | $64.83 | |
| Missouri | $146.50 | $65.28 | |
| Louisiana | $146.28 | $65.46 | |
| Ohio | $146.12 | $65.31 | |
| Indiana | $145.46 | $63.41 | |
| Idaho | $144.69 | $63.26 | |
| Nebraska | $144.62 | $62.92 | |
| Iowa | $143.88 | $62.89 | |
| Tennessee | $143.82 | $63.37 | |
| West Virginia | $143.32 | $66.40 | |
| Kentucky | $143.29 | $64.61 | |
| Kansas | $143.18 | $63.17 | |
| Oklahoma | $143.15 | $64.11 | |
| Alabama | $140.46 | $63.02 | |
| Mississippi | $139.73 | $63.52 | |
| Arkansas | $138.63 | $62.59 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates