CPT 64530 pays $235.81 in a non-facility setting and $85.51 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $208.09 in Arkansas to $271.08 in District of Columbia, a 30% spread.
National non-facility rate
$235.81
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 30% 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 | $271.08 | $94.02 | |
| Alaska | $270.94 | $110.86 | |
| California | $268.23 | $90.38 | |
| Washington | $261.48 | $90.14 | |
| New Jersey | $261.47 | $92.23 | |
| New York | $260.78 | $93.11 | |
| Massachusetts | $258.64 | $89.78 | |
| Hawaii | $258.27 | $87.38 | |
| Connecticut | $251.70 | $89.82 | |
| Colorado | $246.81 | $86.89 | |
| Maryland | $244.49 | $87.80 | |
| Oregon | $244.43 | $86.09 | |
| New Hampshire | $242.54 | $86.07 | |
| Rhode Island | $242.17 | $86.90 | |
| Florida | $241.15 | $90.35 | |
| Puerto Rico | $237.71 | $85.75 | |
| Virgin Islands | $237.71 | $85.75 | |
| Minnesota | $237.48 | $82.82 | |
| Montana | $235.80 | $85.50 | |
| Nevada | $235.15 | $84.70 | |
| Wyoming | $234.51 | $84.20 | |
| Illinois | $234.50 | $89.27 | |
| Delaware | $233.41 | $84.91 | |
| Texas | $232.96 | $84.98 | |
| Pennsylvania | $232.94 | $85.72 | |
| North Dakota | $232.83 | $82.53 | |
| South Dakota | $232.48 | $82.18 | |
| Vermont | $231.54 | $82.74 | |
| Virginia | $231.29 | $83.54 | |
| Arizona | $229.53 | $83.88 | |
| Georgia | $228.62 | $85.23 | |
| Michigan | $226.91 | $85.78 | |
| Maine | $225.96 | $82.34 | |
| Wisconsin | $224.81 | $80.82 | |
| Utah | $224.54 | $83.25 | |
| North Carolina | $221.98 | $81.75 | |
| New Mexico | $221.93 | $84.10 | |
| South Carolina | $221.43 | $82.55 | |
| Missouri | $220.96 | $83.04 | |
| Louisiana | $220.44 | $83.21 | |
| Ohio | $220.25 | $83.02 | |
| Indiana | $220.14 | $80.81 | |
| Nebraska | $218.88 | $80.15 | |
| Idaho | $218.82 | $80.54 | |
| Iowa | $217.54 | $80.02 | |
| Tennessee | $217.17 | $80.54 | |
| Kansas | $216.11 | $80.23 | |
| Oklahoma | $215.50 | $81.28 | |
| Kentucky | $215.48 | $81.85 | |
| West Virginia | $214.47 | $83.86 | |
| Alabama | $211.22 | $79.70 | |
| Mississippi | $209.57 | $80.16 | |
| Arkansas | $208.09 | $78.98 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates