CPT 64493 pays $190.39 in a non-facility setting and $81.50 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $168.90 in Arkansas to $221.86 in Alaska, a 31% spread.
National non-facility rate
$190.39
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 31% 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 | $221.86 | $105.90 | |
| District of Columbia | $217.84 | $89.57 | |
| California | $214.99 | $86.15 | |
| New Jersey | $210.49 | $87.88 | |
| New York | $210.16 | $88.69 | |
| Washington | $210.03 | $85.90 | |
| Massachusetts | $207.89 | $85.56 | |
| Hawaii | $207.09 | $83.28 | |
| Connecticut | $202.85 | $85.58 | |
| Colorado | $198.68 | $82.82 | |
| Maryland | $197.18 | $83.67 | |
| Oregon | $196.78 | $82.07 | |
| New Hampshire | $195.39 | $82.04 | |
| Rhode Island | $195.32 | $82.84 | |
| Florida | $195.27 | $86.02 | |
| Puerto Rico | $191.81 | $81.73 | |
| Virgin Islands | $191.81 | $81.73 | |
| Minnesota | $191.05 | $79.00 | |
| Montana | $190.38 | $81.49 | |
| Illinois | $190.22 | $85.01 | |
| Nevada | $189.74 | $80.74 | |
| Wyoming | $189.17 | $80.28 | |
| Delaware | $188.52 | $80.94 | |
| Pennsylvania | $188.36 | $81.70 | |
| Texas | $188.21 | $81.01 | |
| North Dakota | $187.61 | $78.72 | |
| South Dakota | $187.28 | $78.39 | |
| Vermont | $186.71 | $78.91 | |
| Virginia | $186.69 | $79.66 | |
| Arizona | $185.49 | $79.98 | |
| Georgia | $185.11 | $81.23 | |
| Michigan | $183.98 | $81.73 | |
| Maine | $182.57 | $78.53 | |
| Utah | $181.73 | $79.38 | |
| Wisconsin | $181.43 | $77.11 | |
| New Mexico | $180.01 | $80.16 | |
| North Carolina | $179.57 | $77.98 | |
| South Carolina | $179.33 | $78.72 | |
| Missouri | $179.09 | $79.17 | |
| Louisiana | $178.75 | $79.34 | |
| Ohio | $178.57 | $79.15 | |
| Indiana | $178.03 | $77.10 | |
| Idaho | $177.02 | $76.84 | |
| Nebraska | $176.98 | $76.48 | |
| Iowa | $175.98 | $76.35 | |
| Tennessee | $175.82 | $76.84 | |
| Kansas | $174.98 | $76.55 | |
| Kentucky | $174.86 | $78.06 | |
| Oklahoma | $174.76 | $77.52 | |
| West Virginia | $174.55 | $79.93 | |
| Alabama | $171.32 | $76.05 | |
| Mississippi | $170.22 | $76.47 | |
| Arkansas | $168.90 | $75.37 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates