CPT 65220 pays $64.13 in a non-facility setting and $37.74 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $57.30 in Arkansas to $76.78 in Alaska, a 34% spread.
National non-facility rate
$64.13
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 34% 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 | $76.78 | $48.68 | |
| District of Columbia | $72.49 | $41.41 | |
| New York | $70.70 | $41.27 | |
| California | $70.56 | $39.34 | |
| New Jersey | $70.36 | $40.65 | |
| Washington | $69.55 | $39.47 | |
| Massachusetts | $69.02 | $39.37 | |
| Connecticut | $68.15 | $39.74 | |
| Hawaii | $68.08 | $38.08 | |
| Florida | $67.10 | $40.63 | |
| Maryland | $66.28 | $38.77 | |
| Colorado | $66.18 | $38.11 | |
| Illinois | $65.66 | $40.17 | |
| Oregon | $65.52 | $37.72 | |
| Rhode Island | $65.50 | $38.24 | |
| New Hampshire | $65.32 | $37.85 | |
| Puerto Rico | $64.50 | $37.83 | |
| Virgin Islands | $64.50 | $37.83 | |
| Montana | $64.12 | $37.74 | |
| Pennsylvania | $63.76 | $37.92 | |
| Nevada | $63.67 | $37.25 | |
| Delaware | $63.48 | $37.41 | |
| Texas | $63.45 | $37.47 | |
| Wyoming | $63.35 | $36.96 | |
| Minnesota | $63.12 | $35.97 | |
| Michigan | $63.03 | $38.25 | |
| Georgia | $63.00 | $37.83 | |
| Virginia | $62.60 | $36.66 | |
| Arizona | $62.52 | $36.95 | |
| North Dakota | $62.34 | $35.96 | |
| Vermont | $62.26 | $36.14 | |
| South Dakota | $62.13 | $35.75 | |
| New Mexico | $61.57 | $37.38 | |
| Utah | $61.54 | $36.73 | |
| Maine | $61.31 | $36.10 | |
| Louisiana | $60.96 | $36.87 | |
| Missouri | $60.95 | $36.73 | |
| Ohio | $60.84 | $36.75 | |
| South Carolina | $60.78 | $36.40 | |
| North Carolina | $60.49 | $35.87 | |
| Wisconsin | $60.45 | $35.17 | |
| West Virginia | $60.44 | $37.51 | |
| Indiana | $59.80 | $35.34 | |
| Kentucky | $59.65 | $36.19 | |
| Idaho | $59.50 | $35.22 | |
| Oklahoma | $59.39 | $35.82 | |
| Nebraska | $59.33 | $34.97 | |
| Tennessee | $59.27 | $35.29 | |
| Iowa | $59.08 | $34.94 | |
| Kansas | $58.98 | $35.13 | |
| Alabama | $58.07 | $34.98 | |
| Mississippi | $58.05 | $35.33 | |
| Arkansas | $57.30 | $34.64 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates