CPT 64640 pays $267.54 in a non-facility setting and $111.56 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $236.38 in Arkansas to $309.20 in Alaska, a 31% spread.
National non-facility rate
$267.54
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 | $309.20 | $143.08 | |
| District of Columbia | $306.69 | $122.95 | |
| California | $302.36 | $117.79 | |
| New Jersey | $296.13 | $120.49 | |
| New York | $295.87 | $121.85 | |
| Washington | $295.42 | $117.60 | |
| Massachusetts | $292.40 | $117.15 | |
| Hawaii | $291.26 | $113.91 | |
| Connecticut | $285.44 | $117.45 | |
| Colorado | $279.23 | $113.27 | |
| Maryland | $277.27 | $114.66 | |
| Oregon | $276.50 | $112.17 | |
| Florida | $275.15 | $118.65 | |
| New Hampshire | $274.65 | $112.27 | |
| Rhode Island | $274.43 | $113.30 | |
| Puerto Rico | $269.58 | $111.89 | |
| Virgin Islands | $269.58 | $111.89 | |
| Minnesota | $268.04 | $107.54 | |
| Illinois | $267.86 | $117.14 | |
| Montana | $267.53 | $111.54 | |
| Nevada | $266.51 | $110.37 | |
| Wyoming | $265.63 | $109.65 | |
| Delaware | $264.77 | $110.66 | |
| Pennsylvania | $264.62 | $111.83 | |
| Texas | $264.34 | $110.77 | |
| North Dakota | $263.18 | $107.19 | |
| South Dakota | $262.66 | $106.68 | |
| Virginia | $262.05 | $108.72 | |
| Vermont | $261.95 | $107.53 | |
| Arizona | $260.42 | $109.27 | |
| Georgia | $260.08 | $111.27 | |
| Michigan | $258.60 | $112.13 | |
| Maine | $256.09 | $107.05 | |
| Utah | $255.05 | $108.42 | |
| Wisconsin | $254.24 | $104.80 | |
| New Mexico | $252.77 | $109.74 | |
| North Carolina | $251.77 | $106.24 | |
| South Carolina | $251.56 | $107.44 | |
| Missouri | $251.31 | $108.17 | |
| Louisiana | $250.86 | $108.45 | |
| Ohio | $250.57 | $108.16 | |
| Indiana | $249.48 | $104.88 | |
| Idaho | $248.01 | $104.51 | |
| Nebraska | $247.90 | $103.93 | |
| Iowa | $246.47 | $103.75 | |
| Tennessee | $246.33 | $104.54 | |
| Kentucky | $245.19 | $106.52 | |
| Kansas | $245.11 | $104.10 | |
| West Virginia | $245.07 | $109.52 | |
| Oklahoma | $244.96 | $105.67 | |
| Alabama | $239.89 | $103.40 | |
| Mississippi | $238.42 | $104.12 | |
| Arkansas | $236.38 | $102.39 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates