CPT 69642 pays $1,184.73 in a non-facility setting and $1,184.73 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,068.08 in Arkansas to $1,461.64 in Alaska, a 37% spread.
National non-facility rate
$1,184.73
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 37% 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 | $1,461.64 | $1,461.64 | |
| District of Columbia | $1,321.46 | $1,321.46 | |
| New York | $1,303.61 | $1,303.61 | |
| New Jersey | $1,289.09 | $1,289.09 | |
| California | $1,267.94 | $1,267.94 | |
| Florida | $1,263.39 | $1,263.39 | |
| Washington | $1,261.84 | $1,261.84 | |
| Massachusetts | $1,255.55 | $1,255.55 | |
| Connecticut | $1,255.09 | $1,255.09 | |
| Illinois | $1,242.12 | $1,242.12 | |
| Hawaii | $1,225.65 | $1,225.65 | |
| Maryland | $1,221.54 | $1,221.54 | |
| Colorado | $1,208.70 | $1,208.70 | |
| Rhode Island | $1,204.61 | $1,204.61 | |
| New Hampshire | $1,197.06 | $1,197.06 | |
| Oregon | $1,196.06 | $1,196.06 | |
| Puerto Rico | $1,189.54 | $1,189.54 | |
| Virgin Islands | $1,189.54 | $1,189.54 | |
| Montana | $1,184.57 | $1,184.57 | |
| Michigan | $1,184.37 | $1,184.37 | |
| Pennsylvania | $1,184.09 | $1,184.09 | |
| Georgia | $1,176.30 | $1,176.30 | |
| Texas | $1,173.52 | $1,173.52 | |
| Delaware | $1,172.73 | $1,172.73 | |
| Nevada | $1,171.72 | $1,171.72 | |
| Wyoming | $1,163.63 | $1,163.63 | |
| Arizona | $1,156.05 | $1,156.05 | |
| New Mexico | $1,155.55 | $1,155.55 | |
| Virginia | $1,151.55 | $1,151.55 | |
| West Virginia | $1,147.91 | $1,147.91 | |
| Utah | $1,143.56 | $1,143.56 | |
| Minnesota | $1,143.49 | $1,143.49 | |
| Louisiana | $1,140.86 | $1,140.86 | |
| Vermont | $1,139.15 | $1,139.15 | |
| Missouri | $1,138.33 | $1,138.33 | |
| Ohio | $1,137.69 | $1,137.69 | |
| North Dakota | $1,136.52 | $1,136.52 | |
| South Carolina | $1,130.90 | $1,130.90 | |
| South Dakota | $1,130.84 | $1,130.84 | |
| Maine | $1,130.02 | $1,130.02 | |
| North Carolina | $1,118.71 | $1,118.71 | |
| Kentucky | $1,116.99 | $1,116.99 | |
| Oklahoma | $1,107.98 | $1,107.98 | |
| Wisconsin | $1,105.54 | $1,105.54 | |
| Indiana | $1,103.00 | $1,103.00 | |
| Idaho | $1,098.11 | $1,098.11 | |
| Tennessee | $1,097.27 | $1,097.27 | |
| Nebraska | $1,092.04 | $1,092.04 | |
| Kansas | $1,091.85 | $1,091.85 | |
| Iowa | $1,089.20 | $1,089.20 | |
| Mississippi | $1,087.36 | $1,087.36 | |
| Alabama | $1,080.99 | $1,080.99 | |
| Arkansas | $1,068.08 | $1,068.08 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates