CPT 64636 pays $251.51 in a non-facility setting and $50.77 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $220.10 in Arkansas to $291.36 in District of Columbia, a 32% spread.
National non-facility rate
$251.51
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 32% 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 | $291.36 | $54.89 | |
| California | $289.68 | $52.15 | |
| Alaska | $282.39 | $68.60 | |
| Washington | $281.34 | $52.49 | |
| New Jersey | $280.23 | $54.19 | |
| New York | $278.91 | $54.96 | |
| Hawaii | $278.74 | $50.50 | |
| Massachusetts | $277.96 | $52.43 | |
| Connecticut | $269.21 | $53.02 | |
| Colorado | $264.60 | $51.02 | |
| Oregon | $262.03 | $50.56 | |
| Maryland | $261.21 | $51.94 | |
| New Hampshire | $259.66 | $50.69 | |
| Rhode Island | $258.76 | $51.40 | |
| Florida | $255.69 | $54.28 | |
| Minnesota | $255.01 | $48.45 | |
| Puerto Rico | $253.76 | $50.82 | |
| Virgin Islands | $253.76 | $50.82 | |
| Montana | $251.50 | $50.76 | |
| Nevada | $251.11 | $50.17 | |
| Wyoming | $250.55 | $49.81 | |
| North Dakota | $249.33 | $48.59 | |
| South Dakota | $249.07 | $48.33 | |
| Delaware | $248.81 | $50.47 | |
| Texas | $248.20 | $50.57 | |
| Illinois | $247.90 | $53.93 | |
| Pennsylvania | $247.80 | $51.17 | |
| Vermont | $247.59 | $48.86 | |
| Virginia | $246.86 | $49.53 | |
| Arizona | $244.47 | $49.95 | |
| Georgia | $242.62 | $51.12 | |
| Maine | $240.79 | $48.98 | |
| Michigan | $240.19 | $51.70 | |
| Wisconsin | $240.14 | $47.83 | |
| Utah | $238.53 | $49.83 | |
| North Carolina | $236.11 | $48.82 | |
| South Carolina | $234.99 | $49.51 | |
| New Mexico | $234.81 | $50.73 | |
| Indiana | $234.28 | $48.20 | |
| Missouri | $234.15 | $49.94 | |
| Louisiana | $233.40 | $50.13 | |
| Ohio | $233.26 | $49.99 | |
| Nebraska | $233.05 | $47.76 | |
| Idaho | $232.77 | $48.08 | |
| Iowa | $231.44 | $47.76 | |
| Tennessee | $230.69 | $48.22 | |
| Kansas | $229.52 | $48.05 | |
| Oklahoma | $228.21 | $48.95 | |
| Kentucky | $227.88 | $49.42 | |
| West Virginia | $225.57 | $51.13 | |
| Alabama | $223.65 | $48.01 | |
| Mississippi | $221.35 | $48.51 | |
| Arkansas | $220.10 | $47.67 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates