CPT 65860 pays $309.96 in a non-facility setting and $209.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $279.64 in Arkansas to $376.33 in Alaska, a 35% spread.
National non-facility rate
$309.96
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 | $376.33 | $268.90 | |
| District of Columbia | $350.05 | $231.23 | |
| California | $343.75 | $224.39 | |
| New York | $340.02 | $227.49 | |
| New Jersey | $339.91 | $226.33 | |
| Washington | $337.51 | $222.51 | |
| Massachusetts | $334.61 | $221.28 | |
| Hawaii | $331.38 | $216.69 | |
| Connecticut | $328.36 | $219.73 | |
| Colorado | $321.17 | $213.84 | |
| Maryland | $320.00 | $214.84 | |
| Florida | $319.11 | $217.90 | |
| Oregon | $318.25 | $211.98 | |
| Rhode Island | $317.28 | $213.08 | |
| New Hampshire | $316.38 | $211.37 | |
| Illinois | $312.37 | $214.91 | |
| Puerto Rico | $311.85 | $209.87 | |
| Virgin Islands | $311.85 | $209.87 | |
| Montana | $309.94 | $209.07 | |
| Minnesota | $308.95 | $205.15 | |
| Nevada | $308.64 | $207.67 | |
| Pennsylvania | $307.86 | $209.06 | |
| Wyoming | $307.62 | $206.74 | |
| Delaware | $307.43 | $207.77 | |
| Texas | $307.11 | $207.80 | |
| North Dakota | $304.60 | $203.73 | |
| Virginia | $304.18 | $205.02 | |
| South Dakota | $303.97 | $203.10 | |
| Vermont | $303.66 | $203.80 | |
| Georgia | $303.44 | $207.21 | |
| Arizona | $302.96 | $205.21 | |
| Michigan | $302.41 | $207.69 | |
| Maine | $298.40 | $202.02 | |
| Utah | $298.00 | $203.18 | |
| New Mexico | $296.50 | $204.00 | |
| Wisconsin | $295.99 | $199.36 | |
| Missouri | $294.67 | $202.10 | |
| South Carolina | $294.62 | $201.42 | |
| Louisiana | $294.37 | $202.28 | |
| North Carolina | $294.37 | $200.26 | |
| Ohio | $294.02 | $201.93 | |
| Indiana | $291.89 | $198.38 | |
| Idaho | $290.48 | $197.68 | |
| Nebraska | $290.18 | $197.08 | |
| West Virginia | $289.74 | $202.08 | |
| Tennessee | $289.04 | $197.35 | |
| Iowa | $288.88 | $196.58 | |
| Kentucky | $288.77 | $199.09 | |
| Oklahoma | $288.26 | $198.18 | |
| Kansas | $287.82 | $196.63 | |
| Alabama | $283.04 | $194.78 | |
| Mississippi | $282.03 | $195.18 | |
| Arkansas | $279.64 | $192.99 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates