CPT 64425 pays $120.91 in a non-facility setting and $49.77 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $107.44 in Arkansas to $141.46 in Alaska, a 32% spread.
National non-facility rate
$120.91
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 32% 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 | $141.46 | $65.70 | |
| District of Columbia | $138.18 | $54.37 | |
| California | $136.32 | $52.14 | |
| New Jersey | $133.58 | $53.47 | |
| New York | $133.39 | $54.02 | |
| Washington | $133.23 | $52.13 | |
| Massachusetts | $131.89 | $51.96 | |
| Hawaii | $131.31 | $50.42 | |
| Connecticut | $128.76 | $52.13 | |
| Colorado | $126.10 | $50.40 | |
| Maryland | $125.19 | $51.02 | |
| Oregon | $124.90 | $49.95 | |
| Florida | $124.04 | $52.66 | |
| New Hampshire | $124.03 | $49.97 | |
| Rhode Island | $124.02 | $50.53 | |
| Puerto Rico | $121.80 | $49.88 | |
| Virgin Islands | $121.80 | $49.88 | |
| Minnesota | $121.26 | $48.06 | |
| Montana | $120.91 | $49.76 | |
| Illinois | $120.89 | $52.15 | |
| Nevada | $120.49 | $49.28 | |
| Wyoming | $120.13 | $48.99 | |
| Delaware | $119.75 | $49.46 | |
| Pennsylvania | $119.67 | $49.98 | |
| Texas | $119.56 | $49.52 | |
| North Dakota | $119.13 | $47.98 | |
| South Dakota | $118.92 | $47.77 | |
| Virginia | $118.58 | $48.65 | |
| Vermont | $118.57 | $48.14 | |
| Arizona | $117.84 | $48.90 | |
| Georgia | $117.63 | $49.76 | |
| Michigan | $116.94 | $50.14 | |
| Maine | $116.00 | $48.02 | |
| Utah | $115.49 | $48.62 | |
| Wisconsin | $115.25 | $47.10 | |
| New Mexico | $114.45 | $49.21 | |
| North Carolina | $114.12 | $47.74 | |
| South Carolina | $113.99 | $48.25 | |
| Missouri | $113.85 | $48.57 | |
| Louisiana | $113.64 | $48.69 | |
| Ohio | $113.53 | $48.57 | |
| Indiana | $113.15 | $47.20 | |
| Idaho | $112.51 | $47.06 | |
| Nebraska | $112.48 | $46.82 | |
| Iowa | $111.86 | $46.76 | |
| Tennessee | $111.77 | $47.10 | |
| Kansas | $111.24 | $46.93 | |
| Kentucky | $111.20 | $47.95 | |
| Oklahoma | $111.13 | $47.60 | |
| West Virginia | $111.05 | $49.23 | |
| Alabama | $108.96 | $46.71 | |
| Mississippi | $108.29 | $47.03 | |
| Arkansas | $107.44 | $46.33 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates