CPT 68815 pays $373.09 in a non-facility setting and $193.06 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $330.46 in Arkansas to $431.95 in Alaska, a 31% spread.
National non-facility rate
$373.09
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 31% 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 | $431.95 | $240.21 | |
| District of Columbia | $428.15 | $216.07 | |
| California | $424.02 | $210.99 | |
| Washington | $413.33 | $208.09 | |
| New Jersey | $413.25 | $210.53 | |
| New York | $411.94 | $211.10 | |
| Massachusetts | $408.86 | $206.59 | |
| Hawaii | $408.25 | $203.56 | |
| Connecticut | $397.74 | $203.85 | |
| Colorado | $390.41 | $198.86 | |
| Oregon | $386.74 | $197.07 | |
| Maryland | $386.60 | $198.92 | |
| New Hampshire | $383.62 | $196.21 | |
| Rhode Island | $383.18 | $197.21 | |
| Florida | $380.66 | $200.02 | |
| Minnesota | $376.22 | $190.97 | |
| Puerto Rico | $376.04 | $194.03 | |
| Virgin Islands | $376.04 | $194.03 | |
| Montana | $373.07 | $193.04 | |
| Nevada | $372.19 | $191.98 | |
| Wyoming | $371.26 | $191.23 | |
| Illinois | $370.40 | $196.44 | |
| Delaware | $369.48 | $191.61 | |
| North Dakota | $368.92 | $188.89 | |
| Texas | $368.76 | $191.52 | |
| Pennsylvania | $368.66 | $192.32 | |
| South Dakota | $368.43 | $188.40 | |
| Vermont | $366.84 | $188.61 | |
| Virginia | $366.30 | $189.33 | |
| Arizona | $363.45 | $189.00 | |
| Georgia | $361.80 | $190.05 | |
| Michigan | $358.97 | $189.93 | |
| Maine | $358.09 | $186.07 | |
| Wisconsin | $356.55 | $184.08 | |
| Utah | $355.68 | $186.45 | |
| North Carolina | $351.91 | $183.95 | |
| New Mexico | $351.40 | $186.32 | |
| South Carolina | $350.89 | $184.54 | |
| Missouri | $350.07 | $184.86 | |
| Louisiana | $349.21 | $184.84 | |
| Indiana | $349.17 | $182.28 | |
| Ohio | $348.94 | $184.57 | |
| Nebraska | $347.30 | $181.13 | |
| Idaho | $347.13 | $181.50 | |
| Iowa | $345.21 | $180.48 | |
| Tennessee | $344.52 | $180.87 | |
| Kansas | $342.90 | $180.15 | |
| Oklahoma | $341.75 | $180.99 | |
| Kentucky | $341.61 | $181.56 | |
| West Virginia | $339.66 | $183.22 | |
| Alabama | $335.27 | $177.74 | |
| Mississippi | $332.58 | $177.58 | |
| Arkansas | $330.46 | $175.81 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates