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 |
A Medicare rate is not one number — it is several, combined. Here is what each part of the CPT 64495 rate above actually means.
The $98.87 headline figure is the unadjusted national rate — every locality's geographic index set to 1.0. The table above applies each jurisdiction's real GPCI, which is why Alaska and Arkansas pay different amounts for the identical code.
Non-facility is paid when the service happens in an office, where the practice covers its own overhead and equipment. Facility is paid when the same code is billed from a hospital or surgical center, which bills its own separate facility fee — so the professional payment alone is lower.
Every Medicare rate is work, practice-expense and malpractice RVUs added together, then multiplied by one national dollar amount — the conversion factor, set at 33.4009 for 2026. CMS updates this number annually; it is the single biggest lever behind a year-over-year change in what a code pays.
Commercial payers set their own negotiated rates, and routinely pay above or below the Medicare amount for the same code. See how UHC, Aetna, Cigna and BCBS actually price 64495.
This page reflects the 2026-01-01 CMS Physician Fee Schedule. Want the full story behind why this data is public at all — the rules, the deadlines, the penalties? Read the price transparency law guide.
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.