CPT 69220 pays $78.49 in a non-facility setting and $44.42 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $69.86 in Arkansas to $93.30 in Alaska, a 34% spread.
National non-facility rate
$78.49
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 34% 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 | $93.30 | $57.02 | |
| District of Columbia | $88.85 | $48.72 | |
| New York | $86.70 | $48.69 | |
| California | $86.32 | $46.01 | |
| New Jersey | $86.19 | $47.83 | |
| Washington | $85.14 | $46.30 | |
| Massachusetts | $84.49 | $46.22 | |
| Connecticut | $83.53 | $46.83 | |
| Hawaii | $83.30 | $44.57 | |
| Florida | $82.44 | $48.26 | |
| Maryland | $81.17 | $45.65 | |
| Colorado | $80.97 | $44.73 | |
| Illinois | $80.64 | $47.72 | |
| Oregon | $80.14 | $44.25 | |
| Rhode Island | $80.14 | $44.95 | |
| New Hampshire | $79.94 | $44.47 | |
| Puerto Rico | $78.95 | $44.51 | |
| Virgin Islands | $78.95 | $44.51 | |
| Montana | $78.48 | $44.42 | |
| Pennsylvania | $78.04 | $44.67 | |
| Nevada | $77.87 | $43.77 | |
| Delaware | $77.65 | $43.99 | |
| Texas | $77.62 | $44.08 | |
| Wyoming | $77.45 | $43.38 | |
| Michigan | $77.23 | $45.24 | |
| Georgia | $77.14 | $44.64 | |
| Minnesota | $77.05 | $41.99 | |
| Virginia | $76.51 | $43.02 | |
| Arizona | $76.44 | $43.43 | |
| North Dakota | $76.11 | $42.04 | |
| Vermont | $76.04 | $42.31 | |
| South Dakota | $75.83 | $41.76 | |
| New Mexico | $75.36 | $44.12 | |
| Utah | $75.24 | $43.21 | |
| Maine | $74.88 | $42.33 | |
| Louisiana | $74.55 | $43.45 | |
| Missouri | $74.52 | $43.26 | |
| Ohio | $74.40 | $43.29 | |
| South Carolina | $74.29 | $42.81 | |
| West Virginia | $74.01 | $44.40 | |
| North Carolina | $73.87 | $42.08 | |
| Wisconsin | $73.73 | $41.09 | |
| Indiana | $72.97 | $41.39 | |
| Kentucky | $72.89 | $42.60 | |
| Idaho | $72.59 | $41.24 | |
| Oklahoma | $72.52 | $42.10 | |
| Nebraska | $72.35 | $40.90 | |
| Tennessee | $72.32 | $41.35 | |
| Iowa | $72.04 | $40.87 | |
| Kansas | $71.95 | $41.15 | |
| Mississippi | $70.85 | $41.52 | |
| Alabama | $70.82 | $41.01 | |
| Arkansas | $69.86 | $40.60 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates