CPT 67801 pays $165.00 in a non-facility setting and $110.22 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $148.77 in Arkansas to $200.17 in Alaska, a 35% spread.
National non-facility rate
$165.00
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 | $200.17 | $141.84 | |
| District of Columbia | $186.34 | $121.81 | |
| California | $182.87 | $118.05 | |
| New York | $181.06 | $119.95 | |
| New Jersey | $180.94 | $119.26 | |
| Washington | $179.60 | $117.15 | |
| Massachusetts | $178.07 | $116.53 | |
| Hawaii | $176.30 | $114.02 | |
| Connecticut | $174.83 | $115.84 | |
| Colorado | $170.91 | $112.63 | |
| Maryland | $170.36 | $113.25 | |
| Florida | $170.07 | $115.11 | |
| Oregon | $169.35 | $111.64 | |
| Rhode Island | $168.87 | $112.28 | |
| New Hampshire | $168.39 | $111.36 | |
| Illinois | $166.48 | $113.55 | |
| Puerto Rico | $166.00 | $110.62 | |
| Virgin Islands | $166.00 | $110.62 | |
| Montana | $164.99 | $110.21 | |
| Minnesota | $164.31 | $107.95 | |
| Nevada | $164.26 | $109.43 | |
| Pennsylvania | $163.90 | $110.24 | |
| Wyoming | $163.70 | $108.92 | |
| Delaware | $163.63 | $109.51 | |
| Texas | $163.47 | $109.54 | |
| North Dakota | $162.02 | $107.25 | |
| Virginia | $161.86 | $108.02 | |
| South Dakota | $161.67 | $106.90 | |
| Georgia | $161.58 | $109.32 | |
| Vermont | $161.55 | $107.32 | |
| Arizona | $161.25 | $108.17 | |
| Michigan | $161.07 | $109.64 | |
| Maine | $158.77 | $106.43 | |
| Utah | $158.62 | $107.13 | |
| New Mexico | $157.88 | $107.65 | |
| Wisconsin | $157.42 | $104.95 | |
| Missouri | $156.86 | $106.60 | |
| South Carolina | $156.81 | $106.20 | |
| Louisiana | $156.72 | $106.71 | |
| North Carolina | $156.63 | $105.53 | |
| Ohio | $156.53 | $106.51 | |
| Indiana | $155.28 | $104.50 | |
| Idaho | $154.53 | $104.14 | |
| Nebraska | $154.35 | $103.79 | |
| West Virginia | $154.34 | $106.74 | |
| Tennessee | $153.78 | $103.98 | |
| Kentucky | $153.71 | $105.01 | |
| Iowa | $153.66 | $103.54 | |
| Oklahoma | $153.41 | $104.50 | |
| Kansas | $153.12 | $103.60 | |
| Alabama | $150.59 | $102.66 | |
| Mississippi | $150.09 | $102.93 | |
| Arkansas | $148.77 | $101.72 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates