CPT 69433 pays $202.41 in a non-facility setting and $119.58 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $178.66 in Arkansas to $234.19 in Alaska, a 31% spread.
National non-facility rate
$202.41
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 | $234.19 | $145.97 | |
| District of Columbia | $231.65 | $134.07 | |
| California | $227.48 | $129.46 | |
| New York | $224.03 | $131.62 | |
| New Jersey | $223.80 | $130.53 | |
| Washington | $222.74 | $128.31 | |
| Massachusetts | $220.59 | $127.52 | |
| Hawaii | $219.22 | $125.04 | |
| Connecticut | $216.01 | $126.80 | |
| Colorado | $210.72 | $122.59 | |
| Maryland | $209.75 | $123.40 | |
| Florida | $209.53 | $126.42 | |
| Oregon | $208.60 | $121.33 | |
| New Hampshire | $207.45 | $121.22 | |
| Rhode Island | $207.38 | $121.82 | |
| Illinois | $204.11 | $124.07 | |
| Puerto Rico | $203.89 | $120.15 | |
| Virgin Islands | $203.89 | $120.15 | |
| Montana | $202.40 | $119.56 | |
| Minnesota | $201.66 | $116.42 | |
| Nevada | $201.38 | $118.47 | |
| Wyoming | $200.59 | $117.75 | |
| Pennsylvania | $200.40 | $119.26 | |
| Delaware | $200.23 | $118.38 | |
| Texas | $199.96 | $118.40 | |
| North Dakota | $198.24 | $115.41 | |
| Virginia | $197.89 | $116.47 | |
| South Dakota | $197.75 | $114.92 | |
| Vermont | $197.50 | $115.50 | |
| Georgia | $197.23 | $118.20 | |
| Arizona | $196.93 | $116.66 | |
| Michigan | $196.47 | $118.68 | |
| Maine | $193.37 | $114.22 | |
| Utah | $193.04 | $115.17 | |
| New Mexico | $191.84 | $115.88 | |
| Wisconsin | $191.50 | $112.14 | |
| Missouri | $190.42 | $114.41 | |
| South Carolina | $190.39 | $113.85 | |
| North Carolina | $190.21 | $112.93 | |
| Louisiana | $190.19 | $114.56 | |
| Ohio | $189.91 | $114.28 | |
| Indiana | $188.27 | $111.48 | |
| Idaho | $187.17 | $110.96 | |
| Nebraska | $186.94 | $110.48 | |
| West Virginia | $186.53 | $114.55 | |
| Tennessee | $186.03 | $110.74 | |
| Iowa | $185.92 | $110.12 | |
| Kentucky | $185.80 | $112.16 | |
| Oklahoma | $185.41 | $111.44 | |
| Kansas | $185.08 | $110.20 | |
| Alabama | $181.33 | $108.85 | |
| Mississippi | $180.52 | $109.20 | |
| Arkansas | $178.66 | $107.51 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates