CPT 76511 pays $57.45 in a non-facility setting and $57.45 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $52.04 in Arkansas to $69.85 in Alaska, a 34% spread.
National non-facility rate
$57.45
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 34% 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 | $69.85 | $69.85 | |
| District of Columbia | $65.06 | $65.06 | |
| California | $64.50 | $64.50 | |
| New Jersey | $63.12 | $63.12 | |
| Washington | $63.01 | $63.01 | |
| New York | $62.84 | $62.84 | |
| Massachusetts | $62.39 | $62.39 | |
| Hawaii | $62.11 | $62.11 | |
| Connecticut | $60.78 | $60.78 | |
| Colorado | $59.86 | $59.86 | |
| Oregon | $59.36 | $59.36 | |
| Maryland | $59.30 | $59.30 | |
| Rhode Island | $58.96 | $58.96 | |
| New Hampshire | $58.85 | $58.85 | |
| Florida | $58.20 | $58.20 | |
| Minnesota | $58.03 | $58.03 | |
| Puerto Rico | $57.84 | $57.84 | |
| Virgin Islands | $57.84 | $57.84 | |
| Montana | $57.45 | $57.45 | |
| Nevada | $57.37 | $57.37 | |
| Wyoming | $57.28 | $57.28 | |
| Delaware | $57.05 | $57.05 | |
| North Dakota | $57.05 | $57.05 | |
| South Dakota | $57.01 | $57.01 | |
| Texas | $56.96 | $56.96 | |
| Pennsylvania | $56.94 | $56.94 | |
| Illinois | $56.91 | $56.91 | |
| Vermont | $56.76 | $56.76 | |
| Virginia | $56.64 | $56.64 | |
| Arizona | $56.24 | $56.24 | |
| Georgia | $55.95 | $55.95 | |
| Maine | $55.59 | $55.59 | |
| Michigan | $55.52 | $55.52 | |
| Wisconsin | $55.47 | $55.47 | |
| Utah | $55.22 | $55.22 | |
| North Carolina | $54.79 | $54.79 | |
| South Carolina | $54.61 | $54.61 | |
| New Mexico | $54.59 | $54.59 | |
| Indiana | $54.47 | $54.47 | |
| Missouri | $54.47 | $54.47 | |
| Louisiana | $54.34 | $54.34 | |
| Ohio | $54.32 | $54.32 | |
| Nebraska | $54.26 | $54.26 | |
| Idaho | $54.21 | $54.21 | |
| Iowa | $53.98 | $53.98 | |
| Tennessee | $53.86 | $53.86 | |
| Kansas | $53.66 | $53.66 | |
| Oklahoma | $53.44 | $53.44 | |
| Kentucky | $53.39 | $53.39 | |
| West Virginia | $53.01 | $53.01 | |
| Alabama | $52.65 | $52.65 | |
| Mississippi | $52.26 | $52.26 | |
| Arkansas | $52.04 | $52.04 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates