CPT 69205 pays $87.51 in a non-facility setting and $87.51 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $78.78 in Arkansas to $107.42 in Alaska, a 36% spread.
National non-facility rate
$87.51
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 36% 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 | $107.42 | $107.42 | |
| District of Columbia | $97.83 | $97.83 | |
| New York | $96.32 | $96.32 | |
| New Jersey | $95.35 | $95.35 | |
| California | $94.10 | $94.10 | |
| Washington | $93.49 | $93.49 | |
| Florida | $93.03 | $93.03 | |
| Massachusetts | $92.98 | $92.98 | |
| Connecticut | $92.76 | $92.76 | |
| Illinois | $91.39 | $91.39 | |
| Hawaii | $90.93 | $90.93 | |
| Maryland | $90.27 | $90.27 | |
| Colorado | $89.45 | $89.45 | |
| Rhode Island | $89.05 | $89.05 | |
| New Hampshire | $88.54 | $88.54 | |
| Oregon | $88.53 | $88.53 | |
| Puerto Rico | $87.89 | $87.89 | |
| Virgin Islands | $87.89 | $87.89 | |
| Montana | $87.50 | $87.50 | |
| Pennsylvania | $87.39 | $87.39 | |
| Michigan | $87.24 | $87.24 | |
| Georgia | $86.73 | $86.73 | |
| Texas | $86.67 | $86.67 | |
| Delaware | $86.62 | $86.62 | |
| Nevada | $86.60 | $86.60 | |
| Wyoming | $86.03 | $86.03 | |
| Arizona | $85.38 | $85.38 | |
| New Mexico | $85.13 | $85.13 | |
| Virginia | $85.12 | $85.12 | |
| Minnesota | $84.74 | $84.74 | |
| West Virginia | $84.40 | $84.40 | |
| Utah | $84.39 | $84.39 | |
| Vermont | $84.28 | $84.28 | |
| North Dakota | $84.14 | $84.14 | |
| Louisiana | $84.09 | $84.09 | |
| Missouri | $83.93 | $83.93 | |
| Ohio | $83.87 | $83.87 | |
| South Dakota | $83.74 | $83.74 | |
| Maine | $83.50 | $83.50 | |
| South Carolina | $83.43 | $83.43 | |
| North Carolina | $82.62 | $82.62 | |
| Kentucky | $82.32 | $82.32 | |
| Wisconsin | $81.80 | $81.80 | |
| Oklahoma | $81.71 | $81.71 | |
| Indiana | $81.50 | $81.50 | |
| Idaho | $81.12 | $81.12 | |
| Tennessee | $81.02 | $81.02 | |
| Nebraska | $80.71 | $80.71 | |
| Kansas | $80.62 | $80.62 | |
| Iowa | $80.48 | $80.48 | |
| Mississippi | $80.13 | $80.13 | |
| Alabama | $79.74 | $79.74 | |
| Arkansas | $78.78 | $78.78 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates