CPT 66840 pays $590.53 in a non-facility setting and $590.53 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $541.26 in Arkansas to $746.76 in Alaska, a 38% spread.
National non-facility rate
$590.53
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 38% 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 | $746.76 | $746.76 | |
| District of Columbia | $657.03 | $657.03 | |
| New York | $644.19 | $644.19 | |
| New Jersey | $641.63 | $641.63 | |
| California | $639.48 | $639.48 | |
| Washington | $632.44 | $632.44 | |
| Massachusetts | $628.42 | $628.42 | |
| Connecticut | $622.11 | $622.11 | |
| Hawaii | $617.24 | $617.24 | |
| Florida | $613.87 | $613.87 | |
| Maryland | $607.64 | $607.64 | |
| Colorado | $606.07 | $606.07 | |
| Illinois | $604.14 | $604.14 | |
| Rhode Island | $602.49 | $602.49 | |
| Oregon | $600.69 | $600.69 | |
| New Hampshire | $598.55 | $598.55 | |
| Puerto Rico | $593.12 | $593.12 | |
| Virgin Islands | $593.12 | $593.12 | |
| Montana | $590.48 | $590.48 | |
| Pennsylvania | $589.36 | $589.36 | |
| Nevada | $586.84 | $586.84 | |
| Delaware | $586.41 | $586.41 | |
| Texas | $586.33 | $586.33 | |
| Wyoming | $584.36 | $584.36 | |
| Michigan | $583.85 | $583.85 | |
| Georgia | $583.31 | $583.31 | |
| Minnesota | $581.60 | $581.60 | |
| Virginia | $579.00 | $579.00 | |
| Arizona | $578.81 | $578.81 | |
| North Dakota | $576.44 | $576.44 | |
| Vermont | $576.13 | $576.13 | |
| South Dakota | $574.78 | $574.78 | |
| New Mexico | $573.06 | $573.06 | |
| Utah | $572.04 | $572.04 | |
| Maine | $569.75 | $569.75 | |
| Louisiana | $568.34 | $568.34 | |
| Missouri | $568.10 | $568.10 | |
| Ohio | $567.41 | $567.41 | |
| South Carolina | $566.61 | $566.61 | |
| West Virginia | $565.66 | $565.66 | |
| North Carolina | $564.02 | $564.02 | |
| Wisconsin | $562.87 | $562.87 | |
| Indiana | $558.78 | $558.78 | |
| Kentucky | $558.78 | $558.78 | |
| Idaho | $556.60 | $556.60 | |
| Oklahoma | $556.58 | $556.58 | |
| Tennessee | $555.17 | $555.17 | |
| Nebraska | $555.15 | $555.15 | |
| Iowa | $553.46 | $553.46 | |
| Kansas | $553.05 | $553.05 | |
| Mississippi | $547.10 | $547.10 | |
| Alabama | $546.75 | $546.75 | |
| Arkansas | $541.26 | $541.26 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates