CPT 65205 pays $28.06 in a non-facility setting and $24.38 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $26.13 in Arkansas to $36.51 in Alaska, a 40% spread.
National non-facility rate
$28.06
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 40% 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 | $36.51 | $32.60 | |
| District of Columbia | $31.02 | $26.69 | |
| California | $30.41 | $26.06 | |
| New Jersey | $30.37 | $26.23 | |
| New York | $30.37 | $26.27 | |
| Washington | $30.01 | $25.82 | |
| Massachusetts | $29.81 | $25.68 | |
| Connecticut | $29.39 | $25.44 | |
| Hawaii | $29.33 | $25.15 | |
| Colorado | $28.83 | $24.92 | |
| Maryland | $28.80 | $24.97 | |
| Florida | $28.73 | $25.04 | |
| Rhode Island | $28.66 | $24.87 | |
| Oregon | $28.61 | $24.74 | |
| New Hampshire | $28.44 | $24.61 | |
| Illinois | $28.34 | $24.79 | |
| Puerto Rico | $28.17 | $24.46 | |
| Virgin Islands | $28.17 | $24.46 | |
| Montana | $28.06 | $24.38 | |
| Pennsylvania | $28.01 | $24.42 | |
| Nevada | $27.96 | $24.28 | |
| Delaware | $27.93 | $24.30 | |
| Minnesota | $27.92 | $24.14 | |
| Texas | $27.92 | $24.30 | |
| Wyoming | $27.88 | $24.21 | |
| Georgia | $27.69 | $24.18 | |
| Virginia | $27.67 | $24.06 | |
| North Dakota | $27.66 | $23.99 | |
| Michigan | $27.64 | $24.19 | |
| Arizona | $27.61 | $24.05 | |
| South Dakota | $27.61 | $23.94 | |
| Vermont | $27.61 | $23.98 | |
| Utah | $27.31 | $23.85 | |
| Maine | $27.30 | $23.79 | |
| New Mexico | $27.25 | $23.88 | |
| Wisconsin | $27.12 | $23.60 | |
| Missouri | $27.11 | $23.74 | |
| Louisiana | $27.10 | $23.75 | |
| South Carolina | $27.09 | $23.70 | |
| Ohio | $27.07 | $23.72 | |
| North Carolina | $27.05 | $23.63 | |
| Indiana | $26.88 | $23.48 | |
| West Virginia | $26.86 | $23.66 | |
| Idaho | $26.80 | $23.42 | |
| Nebraska | $26.77 | $23.38 | |
| Kentucky | $26.74 | $23.47 | |
| Tennessee | $26.71 | $23.37 | |
| Iowa | $26.69 | $23.33 | |
| Oklahoma | $26.69 | $23.41 | |
| Kansas | $26.64 | $23.31 | |
| Alabama | $26.35 | $23.13 | |
| Mississippi | $26.30 | $23.14 | |
| Arkansas | $26.13 | $22.98 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates