CPT 64616 pays $143.62 in a non-facility setting and $99.53 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $124.65 in Arkansas to $166.02 in Alaska, a 33% spread.
National non-facility rate
$143.62
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 | $166.02 | $119.07 | |
| District of Columbia | $161.93 | $110.00 | |
| New York | $160.91 | $111.72 | |
| Florida | $159.69 | $115.45 | |
| New Jersey | $157.29 | $107.64 | |
| Illinois | $156.41 | $113.81 | |
| Connecticut | $154.07 | $106.58 | |
| Washington | $152.47 | $102.21 | |
| Massachusetts | $151.96 | $102.42 | |
| California | $151.90 | $99.74 | |
| Maryland | $148.84 | $102.88 | |
| Hawaii | $147.16 | $97.03 | |
| Michigan | $145.72 | $104.32 | |
| Colorado | $145.50 | $98.59 | |
| Rhode Island | $145.31 | $99.77 | |
| New Hampshire | $144.70 | $98.80 | |
| Puerto Rico | $144.22 | $99.65 | |
| Virgin Islands | $144.22 | $99.65 | |
| Pennsylvania | $143.64 | $100.46 | |
| Montana | $143.59 | $99.50 | |
| Oregon | $143.53 | $97.08 | |
| Georgia | $143.43 | $101.37 | |
| Texas | $141.51 | $98.11 | |
| Delaware | $141.26 | $97.70 | |
| Nevada | $140.91 | $96.78 | |
| West Virginia | $140.71 | $102.40 | |
| New Mexico | $140.58 | $100.15 | |
| Wyoming | $139.28 | $95.19 | |
| Arizona | $138.83 | $96.10 | |
| Louisiana | $137.70 | $97.44 | |
| Virginia | $137.40 | $94.06 | |
| Utah | $137.29 | $95.85 | |
| Ohio | $137.04 | $96.79 | |
| Missouri | $137.01 | $96.55 | |
| South Carolina | $135.25 | $94.52 | |
| Vermont | $134.60 | $90.95 | |
| Minnesota | $134.10 | $88.74 | |
| Maine | $133.95 | $91.83 | |
| North Dakota | $133.70 | $89.61 | |
| Kentucky | $133.64 | $94.44 | |
| South Dakota | $132.53 | $88.45 | |
| North Carolina | $132.43 | $91.29 | |
| Oklahoma | $131.64 | $92.27 | |
| Indiana | $129.41 | $88.54 | |
| Tennessee | $128.87 | $88.79 | |
| Wisconsin | $128.83 | $86.59 | |
| Idaho | $128.65 | $88.09 | |
| Mississippi | $128.54 | $90.58 | |
| Kansas | $127.93 | $88.08 | |
| Nebraska | $127.30 | $86.60 | |
| Iowa | $127.00 | $86.65 | |
| Alabama | $126.73 | $88.15 | |
| Arkansas | $124.65 | $86.77 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates