CPT 66821 pays $335.35 in a non-facility setting and $275.22 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $300.87 in Arkansas to $401.23 in Alaska, a 33% spread.
National non-facility rate
$335.35
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 33% 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 | $401.23 | $337.20 | |
| District of Columbia | $380.70 | $309.88 | |
| California | $375.05 | $303.91 | |
| New Jersey | $368.95 | $301.25 | |
| New York | $368.56 | $301.49 | |
| Washington | $367.29 | $298.76 | |
| Massachusetts | $363.86 | $296.31 | |
| Hawaii | $361.39 | $293.03 | |
| Connecticut | $355.94 | $291.19 | |
| Colorado | $348.66 | $284.69 | |
| Maryland | $346.61 | $283.93 | |
| Oregon | $345.47 | $282.13 | |
| Florida | $343.97 | $283.65 | |
| Rhode Island | $343.68 | $281.57 | |
| New Hampshire | $343.15 | $280.56 | |
| Puerto Rico | $337.59 | $276.81 | |
| Virgin Islands | $337.59 | $276.81 | |
| Illinois | $336.06 | $277.97 | |
| Minnesota | $335.72 | $273.86 | |
| Montana | $335.33 | $275.21 | |
| Nevada | $334.17 | $273.98 | |
| Wyoming | $333.17 | $273.05 | |
| Pennsylvania | $332.50 | $273.61 | |
| Delaware | $332.47 | $273.07 | |
| Texas | $332.02 | $272.83 | |
| North Dakota | $330.39 | $270.26 | |
| South Dakota | $329.80 | $269.68 | |
| Virginia | $329.22 | $270.12 | |
| Vermont | $329.06 | $269.54 | |
| Arizona | $327.45 | $269.20 | |
| Georgia | $327.23 | $269.87 | |
| Michigan | $325.59 | $269.13 | |
| Maine | $322.62 | $265.18 | |
| Utah | $321.55 | $265.03 | |
| Wisconsin | $320.50 | $262.91 | |
| New Mexico | $319.11 | $263.98 | |
| North Carolina | $317.87 | $261.78 | |
| South Carolina | $317.69 | $262.14 | |
| Missouri | $317.45 | $262.28 | |
| Louisiana | $316.97 | $262.07 | |
| Ohio | $316.64 | $261.75 | |
| Indiana | $315.30 | $259.57 | |
| Idaho | $313.68 | $258.37 | |
| Nebraska | $313.54 | $258.04 | |
| Iowa | $311.97 | $256.96 | |
| Tennessee | $311.84 | $257.19 | |
| Kentucky | $310.68 | $257.24 | |
| West Virginia | $310.68 | $258.43 | |
| Kansas | $310.49 | $256.14 | |
| Oklahoma | $310.40 | $256.71 | |
| Alabama | $304.75 | $252.14 | |
| Mississippi | $303.17 | $251.41 | |
| Arkansas | $300.87 | $249.23 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates