CPT 67042 pays $954.60 in a non-facility setting and $954.60 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $880.38 in Arkansas to $1,226.15 in Alaska, a 39% spread.
National non-facility rate
$954.60
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 39% 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 | $1,226.15 | $1,226.15 | |
| District of Columbia | $1,055.82 | $1,055.82 | |
| New York | $1,039.03 | $1,039.03 | |
| New Jersey | $1,033.42 | $1,033.42 | |
| California | $1,023.96 | $1,023.96 | |
| Washington | $1,015.66 | $1,015.66 | |
| Massachusetts | $1,010.10 | $1,010.10 | |
| Connecticut | $1,003.43 | $1,003.43 | |
| Florida | $996.02 | $996.02 | |
| Hawaii | $988.86 | $988.86 | |
| Illinois | $982.26 | $982.26 | |
| Maryland | $980.97 | $980.97 | |
| Colorado | $976.04 | $976.04 | |
| Rhode Island | $972.67 | $972.67 | |
| Oregon | $967.48 | $967.48 | |
| New Hampshire | $964.89 | $964.89 | |
| Puerto Rico | $958.15 | $958.15 | |
| Virgin Islands | $958.15 | $958.15 | |
| Montana | $954.51 | $954.51 | |
| Pennsylvania | $954.51 | $954.51 | |
| Michigan | $948.68 | $948.68 | |
| Texas | $948.61 | $948.61 | |
| Delaware | $948.41 | $948.41 | |
| Nevada | $947.89 | $947.89 | |
| Georgia | $946.23 | $946.23 | |
| Wyoming | $943.57 | $943.57 | |
| Arizona | $936.70 | $936.70 | |
| Minnesota | $935.77 | $935.77 | |
| Virginia | $935.66 | $935.66 | |
| New Mexico | $931.55 | $931.55 | |
| Vermont | $929.84 | $929.84 | |
| North Dakota | $929.40 | $929.40 | |
| Utah | $927.44 | $927.44 | |
| South Dakota | $926.43 | $926.43 | |
| Louisiana | $923.49 | $923.49 | |
| West Virginia | $923.04 | $923.04 | |
| Missouri | $922.61 | $922.61 | |
| Ohio | $921.84 | $921.84 | |
| Maine | $921.82 | $921.82 | |
| South Carolina | $919.32 | $919.32 | |
| North Carolina | $913.80 | $913.80 | |
| Wisconsin | $909.27 | $909.27 | |
| Kentucky | $908.76 | $908.76 | |
| Indiana | $905.02 | $905.02 | |
| Oklahoma | $904.43 | $904.43 | |
| Idaho | $901.81 | $901.81 | |
| Tennessee | $900.34 | $900.34 | |
| Nebraska | $898.92 | $898.92 | |
| Kansas | $897.04 | $897.04 | |
| Iowa | $896.68 | $896.68 | |
| Mississippi | $890.65 | $890.65 | |
| Alabama | $888.63 | $888.63 | |
| Arkansas | $880.38 | $880.38 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates