CPT 74021 pays $42.09 in a non-facility setting and $42.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $37.15 in Arkansas to $48.46 in District of Columbia, a 30% spread.
National non-facility rate
$42.09
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 30% 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 | $48.46 | $48.46 | |
| Alaska | $48.25 | $48.25 | |
| California | $48.09 | $48.09 | |
| Washington | $46.80 | $46.80 | |
| New Jersey | $46.71 | $46.71 | |
| New York | $46.52 | $46.52 | |
| Hawaii | $46.29 | $46.29 | |
| Massachusetts | $46.27 | $46.27 | |
| Connecticut | $44.92 | $44.92 | |
| Colorado | $44.14 | $44.14 | |
| Oregon | $43.72 | $43.72 | |
| Maryland | $43.64 | $43.64 | |
| New Hampshire | $43.34 | $43.34 | |
| Rhode Island | $43.26 | $43.26 | |
| Florida | $42.83 | $42.83 | |
| Minnesota | $42.56 | $42.56 | |
| Puerto Rico | $42.44 | $42.44 | |
| Virgin Islands | $42.44 | $42.44 | |
| Montana | $42.08 | $42.08 | |
| Nevada | $42.01 | $42.01 | |
| Wyoming | $41.91 | $41.91 | |
| North Dakota | $41.69 | $41.69 | |
| Delaware | $41.67 | $41.67 | |
| South Dakota | $41.64 | $41.64 | |
| Illinois | $41.62 | $41.62 | |
| Texas | $41.58 | $41.58 | |
| Pennsylvania | $41.54 | $41.54 | |
| Vermont | $41.43 | $41.43 | |
| Virginia | $41.33 | $41.33 | |
| Arizona | $40.97 | $40.97 | |
| Georgia | $40.72 | $40.72 | |
| Maine | $40.38 | $40.38 | |
| Michigan | $40.36 | $40.36 | |
| Wisconsin | $40.25 | $40.25 | |
| Utah | $40.05 | $40.05 | |
| North Carolina | $39.65 | $39.65 | |
| New Mexico | $39.50 | $39.50 | |
| South Carolina | $39.50 | $39.50 | |
| Missouri | $39.38 | $39.38 | |
| Indiana | $39.35 | $39.35 | |
| Louisiana | $39.27 | $39.27 | |
| Ohio | $39.24 | $39.24 | |
| Nebraska | $39.15 | $39.15 | |
| Idaho | $39.11 | $39.11 | |
| Iowa | $38.90 | $38.90 | |
| Tennessee | $38.80 | $38.80 | |
| Kansas | $38.61 | $38.61 | |
| Oklahoma | $38.43 | $38.43 | |
| Kentucky | $38.40 | $38.40 | |
| West Virginia | $38.09 | $38.09 | |
| Alabama | $37.70 | $37.70 | |
| Mississippi | $37.36 | $37.36 | |
| Arkansas | $37.15 | $37.15 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates