CPT 64635 pays $464.94 in a non-facility setting and $173.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $411.31 in Arkansas to $537.26 in Alaska, a 31% spread.
National non-facility rate
$464.94
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $537.26 | $226.36 | |
| District of Columbia | $533.65 | $189.76 | |
| California | $527.99 | $182.56 | |
| New Jersey | $515.04 | $186.33 | |
| Washington | $514.89 | $182.10 | |
| New York | $513.67 | $188.00 | |
| Massachusetts | $509.37 | $181.39 | |
| Hawaii | $508.41 | $176.49 | |
| Connecticut | $495.86 | $181.46 | |
| Colorado | $486.33 | $175.72 | |
| Maryland | $481.85 | $177.52 | |
| Oregon | $481.69 | $174.15 | |
| New Hampshire | $477.96 | $174.07 | |
| Rhode Island | $477.40 | $175.85 | |
| Florida | $475.27 | $182.37 | |
| Puerto Rico | $468.61 | $173.48 | |
| Virgin Islands | $468.61 | $173.48 | |
| Minnesota | $468.19 | $167.80 | |
| Montana | $464.92 | $173.00 | |
| Nevada | $463.67 | $171.45 | |
| Illinois | $462.43 | $180.36 | |
| Wyoming | $462.42 | $170.50 | |
| Delaware | $460.34 | $171.92 | |
| Pennsylvania | $459.47 | $173.53 | |
| Texas | $459.47 | $172.07 | |
| North Dakota | $459.19 | $167.26 | |
| South Dakota | $458.51 | $166.58 | |
| Vermont | $456.69 | $167.68 | |
| Virginia | $456.19 | $169.23 | |
| Arizona | $452.79 | $169.91 | |
| Georgia | $451.04 | $172.55 | |
| Michigan | $447.72 | $173.60 | |
| Maine | $445.88 | $166.95 | |
| Wisconsin | $443.66 | $164.00 | |
| Utah | $443.13 | $168.72 | |
| North Carolina | $438.19 | $165.83 | |
| New Mexico | $438.08 | $170.39 | |
| South Carolina | $437.11 | $167.38 | |
| Missouri | $436.22 | $168.33 | |
| Louisiana | $435.20 | $168.68 | |
| Ohio | $434.83 | $168.30 | |
| Indiana | $434.63 | $164.01 | |
| Nebraska | $432.19 | $162.75 | |
| Idaho | $432.07 | $163.50 | |
| Iowa | $429.60 | $162.49 | |
| Tennessee | $428.88 | $163.52 | |
| Kansas | $426.82 | $162.92 | |
| Oklahoma | $425.65 | $164.96 | |
| Kentucky | $425.60 | $166.08 | |
| West Virginia | $423.65 | $169.97 | |
| Alabama | $417.36 | $161.92 | |
| Mississippi | $414.17 | $162.83 | |
| Arkansas | $411.31 | $160.55 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates