CPT 64490 pays $205.08 in a non-facility setting and $94.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $182.55 in Arkansas to $241.21 in Alaska, a 32% spread.
National non-facility rate
$205.08
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 | $241.21 | $123.11 | |
| District of Columbia | $233.89 | $103.26 | |
| California | $230.31 | $99.10 | |
| New Jersey | $226.27 | $101.41 | |
| New York | $226.14 | $102.43 | |
| Washington | $225.39 | $98.97 | |
| Massachusetts | $223.20 | $98.62 | |
| Hawaii | $221.91 | $95.83 | |
| Connecticut | $218.26 | $98.83 | |
| Colorado | $213.53 | $95.54 | |
| Maryland | $212.25 | $96.65 | |
| Oregon | $211.49 | $94.67 | |
| Florida | $210.92 | $99.66 | |
| Rhode Island | $210.22 | $95.67 | |
| New Hampshire | $210.12 | $94.69 | |
| Puerto Rico | $206.54 | $94.43 | |
| Virgin Islands | $206.54 | $94.43 | |
| Illinois | $205.73 | $98.58 | |
| Minnesota | $205.15 | $91.05 | |
| Montana | $205.07 | $94.18 | |
| Nevada | $204.27 | $93.27 | |
| Wyoming | $203.61 | $92.71 | |
| Pennsylvania | $203.13 | $94.51 | |
| Delaware | $203.12 | $93.56 | |
| Texas | $202.83 | $93.66 | |
| North Dakota | $201.71 | $90.82 | |
| South Dakota | $201.31 | $90.42 | |
| Virginia | $201.03 | $92.02 | |
| Vermont | $200.87 | $91.09 | |
| Arizona | $199.92 | $92.46 | |
| Georgia | $199.83 | $94.04 | |
| Michigan | $198.84 | $94.71 | |
| Maine | $196.72 | $90.76 | |
| Utah | $196.09 | $91.85 | |
| Wisconsin | $195.26 | $89.03 | |
| New Mexico | $194.58 | $92.89 | |
| North Carolina | $193.63 | $90.17 | |
| South Carolina | $193.57 | $91.10 | |
| Missouri | $193.44 | $91.68 | |
| Louisiana | $193.14 | $91.90 | |
| Ohio | $192.92 | $91.68 | |
| Indiana | $191.92 | $89.13 | |
| Idaho | $190.87 | $88.85 | |
| Nebraska | $190.75 | $88.40 | |
| Iowa | $189.73 | $88.27 | |
| Tennessee | $189.69 | $88.89 | |
| West Virginia | $189.15 | $92.79 | |
| Kentucky | $189.03 | $90.45 | |
| Kansas | $188.80 | $88.55 | |
| Oklahoma | $188.80 | $89.78 | |
| Alabama | $185.08 | $88.05 | |
| Mississippi | $184.10 | $88.62 | |
| Arkansas | $182.55 | $87.29 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates