CPT 64491 pays $101.87 in a non-facility setting and $50.77 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $91.57 in Arkansas to $123.02 in Alaska, a 34% spread.
National non-facility rate
$101.87
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 34% 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 | $123.02 | $68.60 | |
| District of Columbia | $115.09 | $54.89 | |
| California | $112.62 | $52.15 | |
| New York | $111.97 | $54.96 | |
| New Jersey | $111.74 | $54.19 | |
| Washington | $110.75 | $52.49 | |
| Massachusetts | $109.84 | $52.43 | |
| Hawaii | $108.61 | $50.50 | |
| Connecticut | $108.05 | $53.02 | |
| Florida | $105.55 | $54.28 | |
| Colorado | $105.39 | $51.02 | |
| Maryland | $105.22 | $51.94 | |
| Oregon | $104.39 | $50.56 | |
| Rhode Island | $104.19 | $51.40 | |
| New Hampshire | $103.89 | $50.69 | |
| Illinois | $103.31 | $53.93 | |
| Puerto Rico | $102.48 | $50.82 | |
| Virgin Islands | $102.48 | $50.82 | |
| Montana | $101.87 | $50.76 | |
| Nevada | $101.32 | $50.17 | |
| Pennsylvania | $101.23 | $51.17 | |
| Minnesota | $101.04 | $48.45 | |
| Delaware | $100.96 | $50.47 | |
| Wyoming | $100.92 | $49.81 | |
| Texas | $100.88 | $50.57 | |
| Georgia | $99.87 | $51.12 | |
| Virginia | $99.76 | $49.53 | |
| North Dakota | $99.69 | $48.59 | |
| Michigan | $99.68 | $51.70 | |
| Arizona | $99.47 | $49.95 | |
| Vermont | $99.45 | $48.86 | |
| South Dakota | $99.43 | $48.33 | |
| Utah | $97.87 | $49.83 | |
| Maine | $97.81 | $48.98 | |
| New Mexico | $97.59 | $50.73 | |
| Missouri | $96.84 | $49.94 | |
| Louisiana | $96.79 | $50.13 | |
| Wisconsin | $96.79 | $47.83 | |
| South Carolina | $96.73 | $49.51 | |
| Ohio | $96.64 | $49.99 | |
| North Carolina | $96.50 | $48.82 | |
| Indiana | $95.57 | $48.20 | |
| West Virginia | $95.54 | $51.13 | |
| Idaho | $95.10 | $48.08 | |
| Nebraska | $94.93 | $47.76 | |
| Kentucky | $94.85 | $49.42 | |
| Tennessee | $94.67 | $48.22 | |
| Oklahoma | $94.58 | $48.95 | |
| Iowa | $94.52 | $47.76 | |
| Kansas | $94.25 | $48.05 | |
| Alabama | $92.72 | $48.01 | |
| Mississippi | $92.51 | $48.51 | |
| Arkansas | $91.57 | $47.67 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates