CPT 64520 pays $242.16 in a non-facility setting and $76.82 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $212.85 in Arkansas to $279.53 in District of Columbia, a 31% spread.
National non-facility rate
$242.16
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
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 |
|---|---|---|---|
| District of Columbia | $279.53 | $84.77 | |
| California | $277.47 | $81.83 | |
| Alaska | $275.02 | $98.93 | |
| Washington | $269.87 | $81.39 | |
| New Jersey | $269.21 | $83.04 | |
| New York | $268.12 | $83.67 | |
| Hawaii | $267.06 | $79.07 | |
| Massachusetts | $266.75 | $81.00 | |
| Connecticut | $258.82 | $80.76 | |
| Colorado | $254.23 | $78.31 | |
| Oregon | $251.78 | $77.60 | |
| Maryland | $251.29 | $78.93 | |
| New Hampshire | $249.61 | $77.50 | |
| Rhode Island | $248.97 | $78.17 | |
| Florida | $246.60 | $80.71 | |
| Minnesota | $244.96 | $74.83 | |
| Puerto Rico | $244.23 | $77.08 | |
| Virgin Islands | $244.23 | $77.08 | |
| Montana | $242.15 | $76.81 | |
| Nevada | $241.68 | $76.18 | |
| Wyoming | $241.11 | $75.78 | |
| North Dakota | $239.78 | $74.44 | |
| Delaware | $239.64 | $76.29 | |
| South Dakota | $239.50 | $74.16 | |
| Illinois | $239.41 | $79.66 | |
| Texas | $239.11 | $76.33 | |
| Pennsylvania | $238.85 | $76.91 | |
| Vermont | $238.24 | $74.55 | |
| Virginia | $237.68 | $75.16 | |
| Arizona | $235.56 | $75.35 | |
| Georgia | $234.08 | $76.35 | |
| Maine | $232.02 | $74.05 | |
| Michigan | $231.95 | $76.70 | |
| Wisconsin | $231.23 | $72.84 | |
| Utah | $230.10 | $74.69 | |
| North Carolina | $227.71 | $73.45 | |
| New Mexico | $226.86 | $75.24 | |
| South Carolina | $226.81 | $74.04 | |
| Missouri | $226.12 | $74.39 | |
| Indiana | $225.93 | $72.66 | |
| Louisiana | $225.46 | $74.51 | |
| Ohio | $225.31 | $74.36 | |
| Nebraska | $224.72 | $72.12 | |
| Idaho | $224.52 | $72.41 | |
| Iowa | $223.24 | $71.96 | |
| Tennessee | $222.64 | $72.35 | |
| Kansas | $221.54 | $72.08 | |
| Oklahoma | $220.50 | $72.85 | |
| Kentucky | $220.28 | $73.29 | |
| West Virginia | $218.46 | $74.79 | |
| Alabama | $216.16 | $71.49 | |
| Mississippi | $214.14 | $71.78 | |
| Arkansas | $212.85 | $70.83 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates