CPT 73130

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CPT 73130 pays $38.08 in a non-facility setting and $38.08 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $33.28 in Arkansas to $44.11 in District of Columbia, a 33% spread.

National non-facility rate

$38.08

Office and other outpatient settings

Facility rate
$38.08

Hospital and ASC settings

Highest state
$44.11

District of Columbia

Lowest state
$33.28

Arkansas · 33% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $38.08
CPT 73130 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $38.08, national facility $38.08.
StateRate compared visuallyNon-facilityFacility
District of Columbia
$44.11$44.11
California
$43.79$43.79
Alaska
$42.68$42.68
Washington
$42.56$42.56
New Jersey
$42.42$42.42
New York
$42.25$42.25
Hawaii
$42.14$42.14
Massachusetts
$42.05$42.05
Connecticut
$40.77$40.77
Colorado
$40.03$40.03
Oregon
$39.64$39.64
Maryland
$39.55$39.55
New Hampshire
$39.29$39.29
Rhode Island
$39.16$39.16
Florida
$38.82$38.82
Minnesota
$38.53$38.53
Puerto Rico
$38.42$38.42
Virgin Islands
$38.42$38.42
Montana
$38.08$38.08
Nevada
$38.00$38.00
Wyoming
$37.90$37.90
North Dakota
$37.68$37.68
Delaware
$37.66$37.66
Illinois
$37.63$37.63
South Dakota
$37.63$37.63
Texas
$37.57$37.57
Pennsylvania
$37.52$37.52
Vermont
$37.43$37.43
Virginia
$37.34$37.34
Arizona
$37.00$37.00
Georgia
$36.76$36.76
Maine
$36.42$36.42
Michigan
$36.41$36.41
Wisconsin
$36.28$36.28
Utah
$36.11$36.11
North Carolina
$35.71$35.71
New Mexico
$35.58$35.58
South Carolina
$35.57$35.57
Missouri
$35.45$35.45
Indiana
$35.42$35.42
Louisiana
$35.35$35.35
Ohio
$35.32$35.32
Nebraska
$35.22$35.22
Idaho
$35.19$35.19
Iowa
$34.98$34.98
Tennessee
$34.88$34.88
Kansas
$34.70$34.70
Oklahoma
$34.53$34.53
Kentucky
$34.50$34.50
West Virginia
$34.21$34.21
Alabama
$33.82$33.82
Mississippi
$33.49$33.49
Arkansas
$33.28$33.28

Billed by 2 specialties

Commercial rates for 73130

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates