CPT 74019 pays $36.07 in a non-facility setting and $36.07 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $31.79 in Arkansas to $41.54 in District of Columbia, a 31% spread.
National non-facility rate
$36.07
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
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 |
|---|---|---|---|
| District of Columbia | $41.54 | $41.54 | |
| Alaska | $41.27 | $41.27 | |
| California | $41.17 | $41.17 | |
| Washington | $40.09 | $40.09 | |
| New Jersey | $40.04 | $40.04 | |
| New York | $39.90 | $39.90 | |
| Hawaii | $39.64 | $39.64 | |
| Massachusetts | $39.64 | $39.64 | |
| Connecticut | $38.52 | $38.52 | |
| Colorado | $37.81 | $37.81 | |
| Oregon | $37.45 | $37.45 | |
| Maryland | $37.41 | $37.41 | |
| New Hampshire | $37.14 | $37.14 | |
| Rhode Island | $37.07 | $37.07 | |
| Florida | $36.80 | $36.80 | |
| Minnesota | $36.42 | $36.42 | |
| Puerto Rico | $36.37 | $36.37 | |
| Virgin Islands | $36.37 | $36.37 | |
| Montana | $36.07 | $36.07 | |
| Nevada | $35.99 | $35.99 | |
| Wyoming | $35.90 | $35.90 | |
| Illinois | $35.76 | $35.76 | |
| Delaware | $35.71 | $35.71 | |
| North Dakota | $35.68 | $35.68 | |
| South Dakota | $35.63 | $35.63 | |
| Texas | $35.63 | $35.63 | |
| Pennsylvania | $35.61 | $35.61 | |
| Vermont | $35.46 | $35.46 | |
| Virginia | $35.40 | $35.40 | |
| Arizona | $35.11 | $35.11 | |
| Georgia | $34.92 | $34.92 | |
| Michigan | $34.63 | $34.63 | |
| Maine | $34.57 | $34.57 | |
| Wisconsin | $34.43 | $34.43 | |
| Utah | $34.32 | $34.32 | |
| North Carolina | $33.95 | $33.95 | |
| New Mexico | $33.88 | $33.88 | |
| South Carolina | $33.84 | $33.84 | |
| Missouri | $33.75 | $33.75 | |
| Indiana | $33.68 | $33.68 | |
| Louisiana | $33.66 | $33.66 | |
| Ohio | $33.64 | $33.64 | |
| Nebraska | $33.50 | $33.50 | |
| Idaho | $33.48 | $33.48 | |
| Iowa | $33.29 | $33.29 | |
| Tennessee | $33.21 | $33.21 | |
| Kansas | $33.05 | $33.05 | |
| Oklahoma | $32.92 | $32.92 | |
| Kentucky | $32.90 | $32.90 | |
| West Virginia | $32.69 | $32.69 | |
| Alabama | $32.28 | $32.28 | |
| Mississippi | $32.00 | $32.00 | |
| Arkansas | $31.79 | $31.79 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates