CPT 74181 pays $193.73 in a non-facility setting and $193.73 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $172.06 in Arkansas to $225.40 in Alaska, a 31% spread.
National non-facility rate
$193.73
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $225.40 | $225.40 | |
| District of Columbia | $222.13 | $222.13 | |
| California | $220.31 | $220.31 | |
| Washington | $214.65 | $214.65 | |
| New Jersey | $214.47 | $214.47 | |
| New York | $213.62 | $213.62 | |
| Massachusetts | $212.30 | $212.30 | |
| Hawaii | $212.09 | $212.09 | |
| Connecticut | $206.34 | $206.34 | |
| Colorado | $202.81 | $202.81 | |
| Oregon | $200.94 | $200.94 | |
| Maryland | $200.66 | $200.66 | |
| New Hampshire | $199.22 | $199.22 | |
| Rhode Island | $199.03 | $199.03 | |
| Florida | $197.05 | $197.05 | |
| Minnesota | $195.76 | $195.76 | |
| Puerto Rico | $195.26 | $195.26 | |
| Virgin Islands | $195.26 | $195.26 | |
| Montana | $193.72 | $193.72 | |
| Nevada | $193.37 | $193.37 | |
| Wyoming | $192.94 | $192.94 | |
| Delaware | $191.94 | $191.94 | |
| North Dakota | $191.94 | $191.94 | |
| Illinois | $191.79 | $191.79 | |
| South Dakota | $191.73 | $191.73 | |
| Texas | $191.55 | $191.55 | |
| Pennsylvania | $191.42 | $191.42 | |
| Vermont | $190.81 | $190.81 | |
| Virginia | $190.41 | $190.41 | |
| Arizona | $188.85 | $188.85 | |
| Georgia | $187.80 | $187.80 | |
| Maine | $186.23 | $186.23 | |
| Michigan | $186.21 | $186.21 | |
| Wisconsin | $185.63 | $185.63 | |
| Utah | $184.82 | $184.82 | |
| North Carolina | $183.04 | $183.04 | |
| New Mexico | $182.44 | $182.44 | |
| South Carolina | $182.38 | $182.38 | |
| Missouri | $181.88 | $181.88 | |
| Indiana | $181.72 | $181.72 | |
| Louisiana | $181.40 | $181.40 | |
| Ohio | $181.28 | $181.28 | |
| Nebraska | $180.82 | $180.82 | |
| Idaho | $180.68 | $180.68 | |
| Iowa | $179.73 | $179.73 | |
| Tennessee | $179.29 | $179.29 | |
| Kansas | $178.48 | $178.48 | |
| Oklahoma | $177.72 | $177.72 | |
| Kentucky | $177.56 | $177.56 | |
| West Virginia | $176.25 | $176.25 | |
| Alabama | $174.51 | $174.51 | |
| Mississippi | $173.02 | $173.02 | |
| Arkansas | $172.06 | $172.06 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates