CPT 74425 pays $133.94 in a non-facility setting and $133.94 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $116.95 in Arkansas to $155.62 in District of Columbia, a 33% spread.
National non-facility rate
$133.94
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 33% 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 | $155.62 | $155.62 | |
| California | $155.17 | $155.17 | |
| Washington | $150.41 | $150.41 | |
| New Jersey | $149.51 | $149.51 | |
| Hawaii | $149.25 | $149.25 | |
| Alaska | $149.22 | $149.22 | |
| New York | $148.61 | $148.61 | |
| Massachusetts | $148.52 | $148.52 | |
| Connecticut | $143.48 | $143.48 | |
| Colorado | $141.26 | $141.26 | |
| Oregon | $139.90 | $139.90 | |
| Maryland | $139.18 | $139.18 | |
| New Hampshire | $138.52 | $138.52 | |
| Rhode Island | $137.94 | $137.94 | |
| Minnesota | $136.36 | $136.36 | |
| Florida | $135.59 | $135.59 | |
| Puerto Rico | $135.19 | $135.19 | |
| Virgin Islands | $135.19 | $135.19 | |
| Montana | $133.93 | $133.93 | |
| Nevada | $133.83 | $133.83 | |
| Wyoming | $133.59 | $133.59 | |
| North Dakota | $133.14 | $133.14 | |
| South Dakota | $133.05 | $133.05 | |
| Delaware | $132.50 | $132.50 | |
| Texas | $132.14 | $132.14 | |
| Vermont | $132.12 | $132.12 | |
| Pennsylvania | $131.80 | $131.80 | |
| Virginia | $131.57 | $131.57 | |
| Illinois | $131.30 | $131.30 | |
| Arizona | $130.15 | $130.15 | |
| Georgia | $128.89 | $128.89 | |
| Maine | $128.28 | $128.28 | |
| Wisconsin | $128.15 | $128.15 | |
| Michigan | $127.41 | $127.41 | |
| Utah | $126.85 | $126.85 | |
| North Carolina | $125.69 | $125.69 | |
| South Carolina | $124.93 | $124.93 | |
| Indiana | $124.79 | $124.79 | |
| New Mexico | $124.59 | $124.59 | |
| Missouri | $124.37 | $124.37 | |
| Nebraska | $124.18 | $124.18 | |
| Idaho | $123.96 | $123.96 | |
| Louisiana | $123.92 | $123.92 | |
| Ohio | $123.86 | $123.86 | |
| Iowa | $123.28 | $123.28 | |
| Tennessee | $122.77 | $122.77 | |
| Kansas | $122.15 | $122.15 | |
| Oklahoma | $121.24 | $121.24 | |
| Kentucky | $120.96 | $120.96 | |
| West Virginia | $119.33 | $119.33 | |
| Alabama | $118.87 | $118.87 | |
| Mississippi | $117.48 | $117.48 | |
| Arkansas | $116.95 | $116.95 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates