CPT 67101

Rpr Retinal Dtchmnt Drg Subretinal Fluid Crtx

CPT 67101 pays $335.35 in a non-facility setting and $245.83 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $301.13 in Arkansas to $402.22 in Alaska, a 34% spread.

National non-facility rate

$335.35

Office and other outpatient settings

Facility rate
$245.83

Hospital and ASC settings

Highest state
$402.22

Alaska

Lowest state
$301.13

Arkansas · 34% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $335.35
CPT 67101 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $335.35, national facility $245.83.
StateRate compared visuallyNon-facilityFacility
Alaska
$402.22$306.89
District of Columbia
$380.35$274.90
California
$374.45$268.53
New Jersey
$368.74$267.94
New York
$368.46$268.60
Washington
$366.89$264.84
Massachusetts
$363.51$262.94
Hawaii
$360.84$259.06
Connecticut
$355.83$259.42
Colorado
$348.43$253.18
Maryland
$346.54$253.22
Oregon
$345.24$250.93
Florida
$344.28$254.46
Rhode Island
$343.59$251.12
New Hampshire
$342.98$249.80
Puerto Rico
$337.56$247.06
Virgin Islands
$337.56$247.06
Illinois
$336.47$249.98
Minnesota
$335.40$243.29
Montana
$335.33$245.81
Nevada
$334.11$244.50
Wyoming
$333.09$243.57
Pennsylvania
$332.61$244.93
Delaware
$332.48$244.04
Texas
$332.06$243.93
North Dakota
$330.19$240.67
South Dakota
$329.58$240.06
Virginia
$329.17$241.18
Vermont
$328.93$240.31
Arizona
$327.50$240.76
Georgia
$327.44$242.04
Michigan
$325.91$241.85
Maine
$322.63$237.10
Utah
$321.69$237.55
Wisconsin
$320.40$234.64
New Mexico
$319.43$237.35
North Carolina
$317.95$234.44
South Carolina
$317.87$235.16
Missouri
$317.69$235.55
Louisiana
$317.24$235.52
Ohio
$316.90$235.18
Indiana
$315.35$232.37
Idaho
$313.75$231.39
Nebraska
$313.56$230.94
Iowa
$312.02$230.12
Tennessee
$311.96$230.59
West Virginia
$311.22$233.43
Kentucky
$310.99$231.41
Oklahoma
$310.64$230.71
Kansas
$310.61$229.69
Alabama
$304.98$226.66
Mississippi
$303.50$226.43
Arkansas
$301.13$224.24

Billed by 1 specialties

Commercial rates for 67101

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates