CPT 69421 pays $137.95 in a non-facility setting and $137.95 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $123.82 in Arkansas to $167.90 in Alaska, a 36% spread.
National non-facility rate
$137.95
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 | $167.90 | $167.90 | |
| District of Columbia | $154.75 | $154.75 | |
| New York | $151.97 | $151.97 | |
| New Jersey | $150.63 | $150.63 | |
| California | $149.31 | $149.31 | |
| Washington | $148.02 | $148.02 | |
| Massachusetts | $147.12 | $147.12 | |
| Connecticut | $146.37 | $146.37 | |
| Florida | $146.09 | $146.09 | |
| Hawaii | $144.22 | $144.22 | |
| Illinois | $143.34 | $143.34 | |
| Maryland | $142.39 | $142.39 | |
| Colorado | $141.39 | $141.39 | |
| Rhode Island | $140.51 | $140.51 | |
| Oregon | $139.93 | $139.93 | |
| New Hampshire | $139.83 | $139.83 | |
| Puerto Rico | $138.61 | $138.61 | |
| Virgin Islands | $138.61 | $138.61 | |
| Montana | $137.93 | $137.93 | |
| Pennsylvania | $137.58 | $137.58 | |
| Michigan | $136.99 | $136.99 | |
| Nevada | $136.62 | $136.62 | |
| Texas | $136.56 | $136.56 | |
| Delaware | $136.54 | $136.54 | |
| Georgia | $136.39 | $136.39 | |
| Wyoming | $135.77 | $135.77 | |
| Arizona | $134.53 | $134.53 | |
| Virginia | $134.28 | $134.28 | |
| Minnesota | $134.14 | $134.14 | |
| New Mexico | $133.69 | $133.69 | |
| Vermont | $133.11 | $133.11 | |
| North Dakota | $132.99 | $132.99 | |
| Utah | $132.81 | $132.81 | |
| South Dakota | $132.40 | $132.40 | |
| West Virginia | $132.18 | $132.18 | |
| Louisiana | $132.12 | $132.12 | |
| Missouri | $131.93 | $131.93 | |
| Ohio | $131.79 | $131.79 | |
| Maine | $131.65 | $131.65 | |
| South Carolina | $131.26 | $131.26 | |
| North Carolina | $130.14 | $130.14 | |
| Kentucky | $129.30 | $129.30 | |
| Wisconsin | $129.17 | $129.17 | |
| Indiana | $128.44 | $128.44 | |
| Oklahoma | $128.44 | $128.44 | |
| Idaho | $127.83 | $127.83 | |
| Tennessee | $127.58 | $127.58 | |
| Nebraska | $127.25 | $127.25 | |
| Kansas | $126.94 | $126.94 | |
| Iowa | $126.83 | $126.83 | |
| Mississippi | $125.83 | $125.83 | |
| Alabama | $125.39 | $125.39 | |
| Arkansas | $123.82 | $123.82 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates