CPT 69635 pays $1,176.05 in a non-facility setting and $1,176.05 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,045.48 in Arkansas to $1,403.84 in Alaska, a 34% spread.
National non-facility rate
$1,176.05
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 | $1,403.84 | $1,403.84 | |
| District of Columbia | $1,325.78 | $1,325.78 | |
| New York | $1,300.99 | $1,300.99 | |
| New Jersey | $1,288.07 | $1,288.07 | |
| California | $1,276.85 | $1,276.85 | |
| Washington | $1,265.65 | $1,265.65 | |
| Massachusetts | $1,257.71 | $1,257.71 | |
| Florida | $1,251.91 | $1,251.91 | |
| Connecticut | $1,251.88 | $1,251.88 | |
| Hawaii | $1,233.47 | $1,233.47 | |
| Illinois | $1,226.26 | $1,226.26 | |
| Maryland | $1,215.77 | $1,215.77 | |
| Colorado | $1,206.41 | $1,206.41 | |
| Rhode Island | $1,197.72 | $1,197.72 | |
| New Hampshire | $1,193.31 | $1,193.31 | |
| Oregon | $1,193.27 | $1,193.27 | |
| Puerto Rico | $1,182.12 | $1,182.12 | |
| Virgin Islands | $1,182.12 | $1,182.12 | |
| Montana | $1,175.89 | $1,175.89 | |
| Pennsylvania | $1,171.88 | $1,171.88 | |
| Michigan | $1,167.60 | $1,167.60 | |
| Nevada | $1,163.71 | $1,163.71 | |
| Texas | $1,162.73 | $1,162.73 | |
| Delaware | $1,162.48 | $1,162.48 | |
| Georgia | $1,161.71 | $1,161.71 | |
| Wyoming | $1,155.81 | $1,155.81 | |
| Arizona | $1,144.43 | $1,144.43 | |
| Virginia | $1,141.97 | $1,141.97 | |
| Minnesota | $1,140.35 | $1,140.35 | |
| New Mexico | $1,137.05 | $1,137.05 | |
| Vermont | $1,131.02 | $1,131.02 | |
| North Dakota | $1,129.82 | $1,129.82 | |
| Utah | $1,128.61 | $1,128.61 | |
| South Dakota | $1,124.37 | $1,124.37 | |
| West Virginia | $1,123.35 | $1,123.35 | |
| Louisiana | $1,122.43 | $1,122.43 | |
| Missouri | $1,120.62 | $1,120.62 | |
| Ohio | $1,119.39 | $1,119.39 | |
| Maine | $1,117.68 | $1,117.68 | |
| South Carolina | $1,114.34 | $1,114.34 | |
| North Carolina | $1,103.84 | $1,103.84 | |
| Kentucky | $1,096.36 | $1,096.36 | |
| Wisconsin | $1,094.54 | $1,094.54 | |
| Oklahoma | $1,088.25 | $1,088.25 | |
| Indiana | $1,087.99 | $1,087.99 | |
| Idaho | $1,082.37 | $1,082.37 | |
| Tennessee | $1,080.10 | $1,080.10 | |
| Nebraska | $1,076.95 | $1,076.95 | |
| Kansas | $1,074.25 | $1,074.25 | |
| Iowa | $1,073.16 | $1,073.16 | |
| Mississippi | $1,064.23 | $1,064.23 | |
| Alabama | $1,059.98 | $1,059.98 | |
| Arkansas | $1,045.48 | $1,045.48 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates