CPT 76513 pays $76.49 in a non-facility setting and $76.49 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $68.25 in Arkansas to $89.69 in Alaska, a 31% spread.
National non-facility rate
$76.49
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 | $89.69 | $89.69 | |
| District of Columbia | $87.62 | $87.62 | |
| California | $87.17 | $87.17 | |
| Washington | $84.82 | $84.82 | |
| New Jersey | $84.63 | $84.63 | |
| New York | $84.15 | $84.15 | |
| Hawaii | $83.89 | $83.89 | |
| Massachusetts | $83.88 | $83.88 | |
| Connecticut | $81.34 | $81.34 | |
| Colorado | $80.17 | $80.17 | |
| Oregon | $79.46 | $79.46 | |
| Maryland | $79.18 | $79.18 | |
| New Hampshire | $78.71 | $78.71 | |
| Rhode Island | $78.64 | $78.64 | |
| Minnesota | $77.65 | $77.65 | |
| Florida | $77.31 | $77.31 | |
| Puerto Rico | $77.10 | $77.10 | |
| Virgin Islands | $77.10 | $77.10 | |
| Montana | $76.49 | $76.49 | |
| Nevada | $76.43 | $76.43 | |
| Wyoming | $76.31 | $76.31 | |
| North Dakota | $76.09 | $76.09 | |
| South Dakota | $76.04 | $76.04 | |
| Delaware | $75.85 | $75.85 | |
| Texas | $75.68 | $75.68 | |
| Vermont | $75.60 | $75.60 | |
| Pennsylvania | $75.56 | $75.56 | |
| Virginia | $75.34 | $75.34 | |
| Illinois | $75.27 | $75.27 | |
| Arizona | $74.65 | $74.65 | |
| Georgia | $74.07 | $74.07 | |
| Maine | $73.74 | $73.74 | |
| Wisconsin | $73.67 | $73.67 | |
| Michigan | $73.34 | $73.34 | |
| Utah | $73.05 | $73.05 | |
| North Carolina | $72.49 | $72.49 | |
| South Carolina | $72.12 | $72.12 | |
| Indiana | $72.05 | $72.05 | |
| New Mexico | $71.96 | $71.96 | |
| Missouri | $71.86 | $71.86 | |
| Nebraska | $71.75 | $71.75 | |
| Idaho | $71.65 | $71.65 | |
| Louisiana | $71.64 | $71.64 | |
| Ohio | $71.61 | $71.61 | |
| Iowa | $71.32 | $71.32 | |
| Tennessee | $71.07 | $71.07 | |
| Kansas | $70.77 | $70.77 | |
| Oklahoma | $70.33 | $70.33 | |
| Kentucky | $70.20 | $70.20 | |
| West Virginia | $69.43 | $69.43 | |
| Alabama | $69.18 | $69.18 | |
| Mississippi | $68.51 | $68.51 | |
| Arkansas | $68.25 | $68.25 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates