CPT 65210

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CPT 65210 pays $38.08 in a non-facility setting and $30.06 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $35.14 in Arkansas to $48.61 in Alaska, a 38% spread.

National non-facility rate

$38.08

Office and other outpatient settings

Facility rate
$30.06

Hospital and ASC settings

Highest state
$48.61

Alaska

Lowest state
$35.14

Arkansas · 38% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $38.08
CPT 65210 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $38.08, national facility $30.06.
StateRate compared visuallyNon-facilityFacility
Alaska
$48.61$40.07
District of Columbia
$42.35$32.90
California
$41.51$32.02
New York
$41.38$32.44
New Jersey
$41.36$32.34
Washington
$40.92$31.78
Massachusetts
$40.63$31.62
Hawaii
$40.03$30.92
Connecticut
$40.02$31.39
Colorado
$39.21$30.68
Maryland
$39.15$30.79
Florida
$39.08$31.04
Rhode Island
$38.92$30.64
Oregon
$38.89$30.44
New Hampshire
$38.66$30.32
Illinois
$38.47$30.73
Puerto Rico
$38.25$30.15
Virgin Islands
$38.25$30.15
Montana
$38.08$30.06
Pennsylvania
$37.97$30.12
Nevada
$37.93$29.90
Minnesota
$37.88$29.63
Delaware
$37.87$29.95
Texas
$37.84$29.95
Wyoming
$37.82$29.80
Georgia
$37.50$29.86
Virginia
$37.49$29.61
North Dakota
$37.48$29.47
Michigan
$37.43$29.90
South Dakota
$37.41$29.40
Vermont
$37.41$29.47
Arizona
$37.39$29.63
Maine
$36.93$29.27
Utah
$36.93$29.40
New Mexico
$36.84$29.49
Wisconsin
$36.65$28.97
Missouri
$36.63$29.28
Louisiana
$36.61$29.29
South Carolina
$36.61$29.20
Ohio
$36.57$29.26
North Carolina
$36.55$29.07
Indiana
$36.29$28.86
West Virginia
$36.23$29.27
Idaho
$36.16$28.78
Nebraska
$36.12$28.72
Kentucky
$36.06$28.94
Tennessee
$36.03$28.75
Iowa
$36.00$28.66
Oklahoma
$36.00$28.84
Kansas
$35.91$28.67
Alabama
$35.47$28.46
Mississippi
$35.40$28.50
Arkansas
$35.14$28.26

Billed by 2 specialties

Commercial rates for 65210

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates