CPT 64612 pays $141.62 in a non-facility setting and $108.22 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $124.77 in Arkansas to $165.75 in Alaska, a 33% spread.
National non-facility rate
$141.62
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 | $165.75 | $130.18 | |
| District of Columbia | $160.52 | $121.18 | |
| New York | $157.23 | $119.97 | |
| New Jersey | $155.63 | $118.02 | |
| California | $154.62 | $115.10 | |
| Washington | $153.08 | $115.00 | |
| Massachusetts | $152.05 | $114.52 | |
| Connecticut | $151.20 | $115.23 | |
| Florida | $151.08 | $117.56 | |
| Hawaii | $149.35 | $111.37 | |
| Illinois | $147.70 | $115.42 | |
| Maryland | $146.63 | $111.81 | |
| Colorado | $145.56 | $110.02 | |
| Rhode Island | $144.29 | $109.78 | |
| New Hampshire | $143.94 | $109.17 | |
| Oregon | $143.92 | $108.73 | |
| Puerto Rico | $142.42 | $108.65 | |
| Virgin Islands | $142.42 | $108.65 | |
| Montana | $141.60 | $108.20 | |
| Pennsylvania | $140.93 | $108.22 | |
| Michigan | $140.31 | $108.95 | |
| Nevada | $140.09 | $106.65 | |
| Texas | $139.85 | $106.96 | |
| Delaware | $139.84 | $106.84 | |
| Georgia | $139.63 | $107.76 | |
| Wyoming | $139.10 | $105.70 | |
| Arizona | $137.55 | $105.19 | |
| Virginia | $137.31 | $104.47 | |
| Minnesota | $137.30 | $102.93 | |
| New Mexico | $136.41 | $105.79 | |
| Vermont | $135.97 | $102.91 | |
| North Dakota | $135.87 | $102.47 | |
| Utah | $135.46 | $104.06 | |
| South Dakota | $135.19 | $101.79 | |
| Louisiana | $134.58 | $104.08 | |
| West Virginia | $134.51 | $105.48 | |
| Missouri | $134.37 | $103.72 | |
| Ohio | $134.20 | $103.71 | |
| Maine | $134.17 | $102.25 | |
| South Carolina | $133.62 | $102.76 | |
| North Carolina | $132.35 | $101.19 | |
| Wisconsin | $131.30 | $99.30 | |
| Kentucky | $131.23 | $101.54 | |
| Indiana | $130.35 | $99.39 | |
| Oklahoma | $130.24 | $100.41 | |
| Idaho | $129.62 | $98.89 | |
| Tennessee | $129.29 | $98.93 | |
| Nebraska | $128.96 | $98.13 | |
| Kansas | $128.54 | $98.35 | |
| Iowa | $128.45 | $97.89 | |
| Mississippi | $127.11 | $98.36 | |
| Alabama | $126.64 | $97.42 | |
| Arkansas | $124.77 | $96.08 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates