CPT 65855 pays $245.50 in a non-facility setting and $171.35 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $222.15 in Arkansas to $300.25 in Alaska, a 35% spread.
National non-facility rate
$245.50
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 | $300.25 | $221.28 | |
| District of Columbia | $276.58 | $189.23 | |
| California | $271.35 | $183.61 | |
| New York | $268.99 | $186.27 | |
| New Jersey | $268.82 | $185.33 | |
| Washington | $266.67 | $182.14 | |
| Massachusetts | $264.46 | $181.15 | |
| Hawaii | $261.62 | $177.31 | |
| Connecticut | $259.80 | $179.94 | |
| Colorado | $254.04 | $175.14 | |
| Maryland | $253.30 | $176.00 | |
| Florida | $252.92 | $178.52 | |
| Oregon | $251.75 | $173.64 | |
| Rhode Island | $251.19 | $174.59 | |
| New Hampshire | $250.33 | $173.14 | |
| Illinois | $247.80 | $176.15 | |
| Puerto Rico | $246.93 | $171.96 | |
| Virgin Islands | $246.93 | $171.96 | |
| Montana | $245.48 | $171.33 | |
| Nevada | $244.41 | $170.19 | |
| Minnesota | $244.39 | $168.09 | |
| Pennsylvania | $244.01 | $171.38 | |
| Wyoming | $243.59 | $169.44 | |
| Delaware | $243.56 | $170.30 | |
| Texas | $243.34 | $170.34 | |
| North Dakota | $241.13 | $166.98 | |
| Virginia | $240.95 | $168.06 | |
| Georgia | $240.63 | $169.90 | |
| South Dakota | $240.62 | $166.47 | |
| Vermont | $240.46 | $167.06 | |
| Arizona | $240.09 | $168.24 | |
| Michigan | $239.93 | $170.31 | |
| Maine | $236.51 | $165.66 | |
| Utah | $236.33 | $166.63 | |
| New Mexico | $235.33 | $167.33 | |
| Wisconsin | $234.52 | $163.48 | |
| Missouri | $233.83 | $165.79 | |
| South Carolina | $233.73 | $165.22 | |
| Louisiana | $233.64 | $165.94 | |
| North Carolina | $233.44 | $164.26 | |
| Ohio | $233.35 | $165.65 | |
| Indiana | $231.48 | $162.74 | |
| Idaho | $230.40 | $162.18 | |
| West Virginia | $230.29 | $165.85 | |
| Nebraska | $230.12 | $161.68 | |
| Tennessee | $229.33 | $161.93 | |
| Kentucky | $229.30 | $163.38 | |
| Iowa | $229.14 | $161.29 | |
| Oklahoma | $228.85 | $162.63 | |
| Kansas | $228.38 | $161.35 | |
| Alabama | $224.77 | $159.89 | |
| Mississippi | $224.08 | $160.24 | |
| Arkansas | $222.15 | $158.46 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates