CPT 76604 pays $61.12 in a non-facility setting and $61.12 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $54.66 in Arkansas to $72.67 in Alaska, a 33% spread.
National non-facility rate
$61.12
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $72.67 | $72.67 | |
| District of Columbia | $69.49 | $69.49 | |
| California | $68.40 | $68.40 | |
| New Jersey | $67.31 | $67.31 | |
| New York | $67.28 | $67.28 | |
| Washington | $66.99 | $66.99 | |
| Massachusetts | $66.36 | $66.36 | |
| Hawaii | $65.91 | $65.91 | |
| Connecticut | $64.95 | $64.95 | |
| Colorado | $63.56 | $63.56 | |
| Maryland | $63.21 | $63.21 | |
| Oregon | $62.96 | $62.96 | |
| Florida | $62.84 | $62.84 | |
| Rhode Island | $62.63 | $62.63 | |
| New Hampshire | $62.56 | $62.56 | |
| Puerto Rico | $61.54 | $61.54 | |
| Virgin Islands | $61.54 | $61.54 | |
| Illinois | $61.36 | $61.36 | |
| Montana | $61.12 | $61.12 | |
| Minnesota | $61.11 | $61.11 | |
| Nevada | $60.88 | $60.88 | |
| Wyoming | $60.69 | $60.69 | |
| Pennsylvania | $60.59 | $60.59 | |
| Delaware | $60.57 | $60.57 | |
| Texas | $60.49 | $60.49 | |
| North Dakota | $60.13 | $60.13 | |
| South Dakota | $60.01 | $60.01 | |
| Virginia | $59.95 | $59.95 | |
| Vermont | $59.90 | $59.90 | |
| Arizona | $59.64 | $59.64 | |
| Georgia | $59.64 | $59.64 | |
| Michigan | $59.36 | $59.36 | |
| Maine | $58.72 | $58.72 | |
| Utah | $58.55 | $58.55 | |
| Wisconsin | $58.28 | $58.28 | |
| New Mexico | $58.13 | $58.13 | |
| North Carolina | $57.84 | $57.84 | |
| South Carolina | $57.83 | $57.83 | |
| Missouri | $57.80 | $57.80 | |
| Louisiana | $57.72 | $57.72 | |
| Ohio | $57.65 | $57.65 | |
| Indiana | $57.34 | $57.34 | |
| Idaho | $57.04 | $57.04 | |
| Nebraska | $57.00 | $57.00 | |
| Iowa | $56.71 | $56.71 | |
| Tennessee | $56.70 | $56.70 | |
| West Virginia | $56.59 | $56.59 | |
| Kentucky | $56.53 | $56.53 | |
| Oklahoma | $56.46 | $56.46 | |
| Kansas | $56.45 | $56.45 | |
| Alabama | $55.39 | $55.39 | |
| Mississippi | $55.12 | $55.12 | |
| Arkansas | $54.66 | $54.66 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates