CPT 65420 pays $540.43 in a non-facility setting and $334.68 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $480.22 in Arkansas to $631.30 in Alaska, a 31% spread.
National non-facility rate
$540.43
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 | $631.30 | $412.17 | |
| District of Columbia | $618.26 | $375.89 | |
| California | $611.05 | $367.59 | |
| New Jersey | $597.44 | $365.76 | |
| Washington | $596.58 | $362.03 | |
| New York | $596.07 | $366.54 | |
| Massachusetts | $590.41 | $359.25 | |
| Hawaii | $588.49 | $354.56 | |
| Connecticut | $575.50 | $353.91 | |
| Colorado | $564.32 | $345.41 | |
| Maryland | $559.62 | $345.12 | |
| Oregon | $559.02 | $342.27 | |
| New Hampshire | $554.82 | $340.64 | |
| Rhode Island | $554.62 | $342.09 | |
| Florida | $552.78 | $346.35 | |
| Puerto Rico | $544.51 | $336.49 | |
| Virgin Islands | $544.51 | $336.49 | |
| Minnesota | $543.41 | $331.70 | |
| Montana | $540.40 | $334.65 | |
| Nevada | $538.86 | $332.91 | |
| Illinois | $538.52 | $339.71 | |
| Wyoming | $537.39 | $331.64 | |
| Delaware | $535.31 | $332.03 | |
| Pennsylvania | $534.58 | $333.05 | |
| Texas | $534.38 | $331.82 | |
| North Dakota | $533.48 | $327.73 | |
| South Dakota | $532.66 | $326.91 | |
| Vermont | $530.78 | $327.09 | |
| Virginia | $530.41 | $328.16 | |
| Arizona | $526.75 | $327.38 | |
| Georgia | $525.14 | $328.86 | |
| Michigan | $521.60 | $328.40 | |
| Maine | $518.85 | $322.25 | |
| Wisconsin | $516.09 | $318.98 | |
| Utah | $516.03 | $322.62 | |
| New Mexico | $510.67 | $322.00 | |
| North Carolina | $510.29 | $318.33 | |
| South Carolina | $509.28 | $319.16 | |
| Missouri | $508.40 | $319.59 | |
| Louisiana | $507.33 | $319.48 | |
| Ohio | $506.87 | $319.02 | |
| Indiana | $506.18 | $315.45 | |
| Nebraska | $503.37 | $313.47 | |
| Idaho | $503.32 | $314.03 | |
| Iowa | $500.50 | $312.24 | |
| Tennessee | $499.82 | $312.79 | |
| Kansas | $497.50 | $311.50 | |
| Kentucky | $496.50 | $313.59 | |
| Oklahoma | $496.43 | $312.70 | |
| West Virginia | $494.80 | $316.00 | |
| Alabama | $487.01 | $306.97 | |
| Mississippi | $483.61 | $306.46 | |
| Arkansas | $480.22 | $303.48 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates