CPT 64642 pays $163.33 in a non-facility setting and $96.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $143.40 in Arkansas to $190.64 in Alaska, a 33% spread.
National non-facility rate
$163.33
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 | $190.64 | $119.14 | |
| District of Columbia | $184.89 | $105.80 | |
| New York | $181.72 | $106.83 | |
| New Jersey | $179.34 | $103.74 | |
| California | $176.99 | $97.55 | |
| Florida | $175.98 | $108.62 | |
| Washington | $175.79 | $99.25 | |
| Massachusetts | $174.75 | $99.32 | |
| Connecticut | $174.57 | $102.27 | |
| Illinois | $172.13 | $107.26 | |
| Hawaii | $171.07 | $94.74 | |
| Maryland | $169.14 | $99.15 | |
| Colorado | $167.30 | $95.87 | |
| Rhode Island | $166.13 | $96.78 | |
| New Hampshire | $165.66 | $95.77 | |
| Oregon | $165.32 | $94.60 | |
| Puerto Rico | $164.20 | $96.32 | |
| Virgin Islands | $164.20 | $96.32 | |
| Montana | $163.30 | $96.17 | |
| Michigan | $162.75 | $99.71 | |
| Pennsylvania | $162.73 | $96.97 | |
| Georgia | $161.53 | $97.48 | |
| Nevada | $161.25 | $94.05 | |
| Texas | $161.20 | $95.11 | |
| Delaware | $161.13 | $94.80 | |
| Wyoming | $159.94 | $92.81 | |
| Arizona | $158.46 | $93.41 | |
| New Mexico | $157.94 | $96.37 | |
| Virginia | $157.86 | $91.87 | |
| Minnesota | $156.96 | $87.88 | |
| West Virginia | $156.30 | $97.96 | |
| Utah | $156.21 | $93.10 | |
| Vermont | $155.93 | $89.47 | |
| North Dakota | $155.59 | $88.46 | |
| Louisiana | $155.54 | $94.25 | |
| Missouri | $155.18 | $93.57 | |
| Ohio | $155.04 | $93.74 | |
| South Dakota | $154.68 | $87.55 | |
| Maine | $154.17 | $90.02 | |
| South Carolina | $154.04 | $92.01 | |
| North Carolina | $152.16 | $89.52 | |
| Kentucky | $151.51 | $91.82 | |
| Wisconsin | $150.26 | $85.95 | |
| Oklahoma | $150.10 | $90.14 | |
| Indiana | $149.59 | $87.35 | |
| Idaho | $148.74 | $86.98 | |
| Tennessee | $148.52 | $87.49 | |
| Nebraska | $147.80 | $85.83 | |
| Kansas | $147.60 | $86.91 | |
| Iowa | $147.27 | $85.84 | |
| Mississippi | $146.51 | $88.71 | |
| Alabama | $145.61 | $86.87 | |
| Arkansas | $143.40 | $85.73 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates