CPT 64421 pays $35.07 in a non-facility setting and $21.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $31.86 in Arkansas to $43.61 in Alaska, a 37% spread.
National non-facility rate
$35.07
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 | $43.61 | $29.38 | |
| District of Columbia | $39.18 | $23.44 | |
| New York | $38.42 | $23.51 | |
| New Jersey | $38.20 | $23.15 | |
| California | $38.02 | $22.21 | |
| Washington | $37.62 | $22.39 | |
| Massachusetts | $37.38 | $22.37 | |
| Connecticut | $37.06 | $22.67 | |
| Florida | $36.71 | $23.30 | |
| Hawaii | $36.70 | $21.51 | |
| Maryland | $36.14 | $22.21 | |
| Illinois | $36.07 | $23.17 | |
| Colorado | $35.99 | $21.78 | |
| Rhode Island | $35.76 | $21.96 | |
| Oregon | $35.65 | $21.58 | |
| New Hampshire | $35.56 | $21.65 | |
| Puerto Rico | $35.23 | $21.73 | |
| Virgin Islands | $35.23 | $21.73 | |
| Montana | $35.07 | $21.71 | |
| Pennsylvania | $34.98 | $21.90 | |
| Nevada | $34.81 | $21.44 | |
| Delaware | $34.78 | $21.58 | |
| Texas | $34.78 | $21.62 | |
| Michigan | $34.71 | $22.17 | |
| Georgia | $34.64 | $21.89 | |
| Wyoming | $34.64 | $21.28 | |
| Minnesota | $34.39 | $20.64 | |
| Arizona | $34.30 | $21.36 | |
| Virginia | $34.29 | $21.16 | |
| North Dakota | $34.08 | $20.72 | |
| Vermont | $34.08 | $20.85 | |
| New Mexico | $33.99 | $21.74 | |
| South Dakota | $33.96 | $20.60 | |
| Utah | $33.88 | $21.32 | |
| Maine | $33.69 | $20.92 | |
| Louisiana | $33.67 | $21.47 | |
| Missouri | $33.64 | $21.38 | |
| Ohio | $33.60 | $21.40 | |
| West Virginia | $33.56 | $21.95 | |
| South Carolina | $33.53 | $21.18 | |
| North Carolina | $33.33 | $20.86 | |
| Wisconsin | $33.20 | $20.40 | |
| Kentucky | $33.04 | $21.16 | |
| Indiana | $32.97 | $20.58 | |
| Oklahoma | $32.88 | $20.95 | |
| Idaho | $32.83 | $20.54 | |
| Tennessee | $32.75 | $20.60 | |
| Nebraska | $32.72 | $20.39 | |
| Iowa | $32.62 | $20.39 | |
| Kansas | $32.61 | $20.53 | |
| Mississippi | $32.27 | $20.76 | |
| Alabama | $32.22 | $20.53 | |
| Arkansas | $31.86 | $20.38 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates