CPT 69420 pays $191.72 in a non-facility setting and $110.56 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $168.75 in Arkansas to $220.36 in Alaska, a 31% spread.
National non-facility rate
$191.72
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 | $220.36 | $133.92 | |
| District of Columbia | $219.82 | $124.21 | |
| California | $215.93 | $119.89 | |
| New York | $212.44 | $121.89 | |
| New Jersey | $212.23 | $120.84 | |
| Washington | $211.32 | $118.80 | |
| Massachusetts | $209.24 | $118.06 | |
| Hawaii | $208.08 | $115.80 | |
| Connecticut | $204.80 | $117.39 | |
| Colorado | $199.76 | $113.40 | |
| Maryland | $198.77 | $114.16 | |
| Florida | $198.51 | $117.08 | |
| Oregon | $197.72 | $112.22 | |
| New Hampshire | $196.62 | $112.13 | |
| Rhode Island | $196.47 | $112.63 | |
| Illinois | $193.24 | $114.82 | |
| Puerto Rico | $193.16 | $111.10 | |
| Virgin Islands | $193.16 | $111.10 | |
| Montana | $191.71 | $110.54 | |
| Minnesota | $191.08 | $107.56 | |
| Nevada | $190.75 | $109.50 | |
| Wyoming | $189.98 | $108.82 | |
| Pennsylvania | $189.72 | $110.22 | |
| Delaware | $189.59 | $109.40 | |
| Texas | $189.32 | $109.42 | |
| North Dakota | $187.75 | $106.59 | |
| Virginia | $187.38 | $107.59 | |
| South Dakota | $187.29 | $106.12 | |
| Vermont | $187.02 | $106.67 | |
| Georgia | $186.66 | $109.23 | |
| Arizona | $186.42 | $107.77 | |
| Michigan | $185.91 | $109.69 | |
| Maine | $183.00 | $105.45 | |
| Utah | $182.64 | $106.35 | |
| New Mexico | $181.45 | $107.02 | |
| Wisconsin | $181.22 | $103.47 | |
| Missouri | $180.09 | $105.61 | |
| South Carolina | $180.08 | $105.09 | |
| North Carolina | $179.93 | $104.21 | |
| Louisiana | $179.86 | $105.76 | |
| Ohio | $179.60 | $105.50 | |
| Indiana | $178.07 | $102.83 | |
| Idaho | $177.00 | $102.33 | |
| Nebraska | $176.79 | $101.88 | |
| West Virginia | $176.27 | $105.74 | |
| Tennessee | $175.89 | $102.11 | |
| Iowa | $175.80 | $101.53 | |
| Kentucky | $175.62 | $103.46 | |
| Oklahoma | $175.26 | $102.78 | |
| Kansas | $174.97 | $101.60 | |
| Alabama | $171.33 | $100.31 | |
| Mississippi | $170.52 | $100.64 | |
| Arkansas | $168.75 | $99.03 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates