CPT 65436 pays $392.13 in a non-facility setting and $317.98 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $354.61 in Arkansas to $479.38 in Alaska, a 35% spread.
National non-facility rate
$392.13
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 35% 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 | $479.38 | $400.41 | |
| District of Columbia | $441.63 | $354.29 | |
| California | $432.71 | $344.97 | |
| New York | $429.85 | $347.13 | |
| New Jersey | $429.29 | $345.79 | |
| Washington | $425.54 | $341.01 | |
| Massachusetts | $422.09 | $338.78 | |
| Hawaii | $417.26 | $332.95 | |
| Connecticut | $415.06 | $335.20 | |
| Colorado | $405.47 | $326.57 | |
| Florida | $404.88 | $330.49 | |
| Maryland | $404.61 | $327.30 | |
| Oregon | $401.77 | $323.66 | |
| Rhode Island | $401.08 | $324.48 | |
| New Hampshire | $399.66 | $322.47 | |
| Illinois | $396.73 | $325.08 | |
| Puerto Rico | $394.38 | $319.42 | |
| Virgin Islands | $394.38 | $319.42 | |
| Montana | $392.10 | $317.95 | |
| Nevada | $390.23 | $316.01 | |
| Pennsylvania | $389.85 | $317.23 | |
| Minnesota | $389.64 | $313.34 | |
| Delaware | $388.96 | $315.70 | |
| Wyoming | $388.83 | $314.68 | |
| Texas | $388.64 | $315.64 | |
| Georgia | $384.62 | $313.88 | |
| Virginia | $384.61 | $311.72 | |
| North Dakota | $384.59 | $310.44 | |
| Michigan | $383.73 | $314.10 | |
| South Dakota | $383.70 | $309.55 | |
| Vermont | $383.63 | $310.22 | |
| Arizona | $383.40 | $311.55 | |
| Maine | $377.49 | $306.64 | |
| Utah | $377.48 | $307.78 | |
| New Mexico | $376.21 | $308.22 | |
| Wisconsin | $374.00 | $302.96 | |
| Missouri | $373.61 | $305.57 | |
| Louisiana | $373.37 | $305.67 | |
| South Carolina | $373.32 | $304.80 | |
| Ohio | $372.87 | $305.18 | |
| North Carolina | $372.64 | $303.46 | |
| Indiana | $369.36 | $300.63 | |
| West Virginia | $368.46 | $304.02 | |
| Idaho | $367.64 | $299.42 | |
| Nebraska | $367.10 | $298.66 | |
| Kentucky | $366.36 | $300.44 | |
| Tennessee | $366.01 | $298.60 | |
| Iowa | $365.56 | $297.72 | |
| Oklahoma | $365.49 | $299.28 | |
| Kansas | $364.48 | $297.44 | |
| Alabama | $358.81 | $293.93 | |
| Mississippi | $357.89 | $294.05 | |
| Arkansas | $354.61 | $290.91 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates