CPT 64495 pays $98.87 in a non-facility setting and $45.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $88.62 in Arkansas to $118.16 in Alaska, a 33% spread.
National non-facility rate
$98.87
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 33% 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 | $118.16 | $60.89 | |
| District of Columbia | $112.23 | $48.88 | |
| California | $110.45 | $46.82 | |
| New Jersey | $108.77 | $48.22 | |
| New York | $108.72 | $48.72 | |
| Washington | $108.22 | $46.91 | |
| Massachusetts | $107.22 | $46.80 | |
| Hawaii | $106.44 | $45.29 | |
| Connecticut | $104.97 | $47.05 | |
| Colorado | $102.74 | $45.52 | |
| Maryland | $102.20 | $46.14 | |
| Oregon | $101.78 | $45.13 | |
| Florida | $101.61 | $47.65 | |
| Rhode Island | $101.29 | $45.74 | |
| New Hampshire | $101.13 | $45.15 | |
| Puerto Rico | $99.52 | $45.16 | |
| Virgin Islands | $99.52 | $45.16 | |
| Illinois | $99.27 | $47.31 | |
| Montana | $98.86 | $45.09 | |
| Minnesota | $98.83 | $43.49 | |
| Nevada | $98.48 | $44.65 | |
| Wyoming | $98.17 | $44.40 | |
| Pennsylvania | $98.04 | $45.37 | |
| Delaware | $98.00 | $44.87 | |
| Texas | $97.87 | $44.93 | |
| North Dakota | $97.28 | $43.50 | |
| South Dakota | $97.09 | $43.32 | |
| Virginia | $97.00 | $44.14 | |
| Vermont | $96.91 | $43.67 | |
| Georgia | $96.52 | $45.22 | |
| Arizona | $96.51 | $44.41 | |
| Michigan | $96.08 | $45.59 | |
| Maine | $95.04 | $43.66 | |
| Utah | $94.79 | $44.24 | |
| Wisconsin | $94.35 | $42.84 | |
| New Mexico | $94.14 | $44.82 | |
| North Carolina | $93.65 | $43.48 | |
| South Carolina | $93.64 | $43.95 | |
| Missouri | $93.60 | $44.25 | |
| Louisiana | $93.47 | $44.37 | |
| Ohio | $93.37 | $44.27 | |
| Indiana | $92.86 | $43.01 | |
| Idaho | $92.38 | $42.91 | |
| Nebraska | $92.32 | $42.68 | |
| Iowa | $91.86 | $42.66 | |
| Tennessee | $91.85 | $42.97 | |
| West Virginia | $91.70 | $44.97 | |
| Kentucky | $91.60 | $43.79 | |
| Oklahoma | $91.48 | $43.46 | |
| Kansas | $91.45 | $42.84 | |
| Alabama | $89.77 | $42.72 | |
| Mississippi | $89.35 | $43.05 | |
| Arkansas | $88.62 | $42.43 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates