CPT 65435 pays $83.50 in a non-facility setting and $60.46 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $75.16 in Arkansas to $100.80 in Alaska, a 34% spread.
National non-facility rate
$83.50
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 | $100.80 | $76.26 | |
| District of Columbia | $94.49 | $67.34 | |
| California | $92.88 | $65.60 | |
| New Jersey | $91.68 | $65.73 | |
| New York | $91.68 | $65.96 | |
| Washington | $91.11 | $64.84 | |
| Massachusetts | $90.30 | $64.41 | |
| Hawaii | $89.52 | $63.32 | |
| Connecticut | $88.53 | $63.71 | |
| Colorado | $86.62 | $62.10 | |
| Maryland | $86.25 | $62.22 | |
| Florida | $85.89 | $62.76 | |
| Oregon | $85.83 | $61.55 | |
| Rhode Island | $85.51 | $61.70 | |
| New Hampshire | $85.31 | $61.31 | |
| Puerto Rico | $84.03 | $60.73 | |
| Virgin Islands | $84.03 | $60.73 | |
| Illinois | $84.01 | $61.74 | |
| Montana | $83.50 | $60.45 | |
| Minnesota | $83.34 | $59.62 | |
| Nevada | $83.16 | $60.09 | |
| Pennsylvania | $82.89 | $60.31 | |
| Wyoming | $82.89 | $59.85 | |
| Delaware | $82.80 | $60.03 | |
| Texas | $82.71 | $60.02 | |
| North Dakota | $82.11 | $59.07 | |
| South Dakota | $81.95 | $58.90 | |
| Virginia | $81.95 | $59.29 | |
| Vermont | $81.84 | $59.02 | |
| Georgia | $81.66 | $59.67 | |
| Arizona | $81.58 | $59.25 | |
| Michigan | $81.34 | $59.70 | |
| Maine | $80.35 | $58.33 | |
| Utah | $80.20 | $58.53 | |
| Wisconsin | $79.74 | $57.66 | |
| New Mexico | $79.73 | $58.60 | |
| South Carolina | $79.27 | $57.97 | |
| Missouri | $79.26 | $58.11 | |
| North Carolina | $79.23 | $57.73 | |
| Louisiana | $79.17 | $58.12 | |
| Ohio | $79.07 | $58.03 | |
| Indiana | $78.57 | $57.21 | |
| Idaho | $78.18 | $56.98 | |
| Nebraska | $78.11 | $56.84 | |
| West Virginia | $77.82 | $57.79 | |
| Tennessee | $77.77 | $56.82 | |
| Iowa | $77.75 | $56.66 | |
| Kentucky | $77.63 | $57.14 | |
| Oklahoma | $77.51 | $56.93 | |
| Kansas | $77.44 | $56.60 | |
| Alabama | $76.10 | $55.93 | |
| Mississippi | $75.79 | $55.95 | |
| Arkansas | $75.16 | $55.37 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates