CPT 76801 pays $116.90 in a non-facility setting and $116.90 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $104.30 in Arkansas to $137.57 in Alaska, a 32% spread.
National non-facility rate
$116.90
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 32% 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 | $137.57 | $137.57 | |
| District of Columbia | $133.56 | $133.56 | |
| California | $132.27 | $132.27 | |
| New Jersey | $129.13 | $129.13 | |
| Washington | $129.05 | $129.05 | |
| New York | $128.70 | $128.70 | |
| Massachusetts | $127.70 | $127.70 | |
| Hawaii | $127.36 | $127.36 | |
| Connecticut | $124.32 | $124.32 | |
| Colorado | $122.13 | $122.13 | |
| Oregon | $121.02 | $121.02 | |
| Maryland | $120.99 | $120.99 | |
| New Hampshire | $120.04 | $120.04 | |
| Rhode Island | $120.02 | $120.02 | |
| Florida | $119.08 | $119.08 | |
| Minnesota | $117.88 | $117.88 | |
| Puerto Rico | $117.78 | $117.78 | |
| Virgin Islands | $117.78 | $117.78 | |
| Montana | $116.90 | $116.90 | |
| Nevada | $116.65 | $116.65 | |
| Wyoming | $116.38 | $116.38 | |
| Illinois | $116.06 | $116.06 | |
| Delaware | $115.87 | $115.87 | |
| North Dakota | $115.71 | $115.71 | |
| Texas | $115.66 | $115.66 | |
| Pennsylvania | $115.64 | $115.64 | |
| South Dakota | $115.57 | $115.57 | |
| Vermont | $115.09 | $115.09 | |
| Virginia | $114.91 | $114.91 | |
| Arizona | $114.06 | $114.06 | |
| Georgia | $113.55 | $113.55 | |
| Michigan | $112.69 | $112.69 | |
| Maine | $112.48 | $112.48 | |
| Wisconsin | $112.05 | $112.05 | |
| Utah | $111.75 | $111.75 | |
| North Carolina | $110.65 | $110.65 | |
| New Mexico | $110.46 | $110.46 | |
| South Carolina | $110.33 | $110.33 | |
| Missouri | $110.08 | $110.08 | |
| Indiana | $109.85 | $109.85 | |
| Louisiana | $109.82 | $109.82 | |
| Ohio | $109.74 | $109.74 | |
| Nebraska | $109.30 | $109.30 | |
| Idaho | $109.25 | $109.25 | |
| Iowa | $108.68 | $108.68 | |
| Tennessee | $108.47 | $108.47 | |
| Kansas | $107.99 | $107.99 | |
| Oklahoma | $107.63 | $107.63 | |
| Kentucky | $107.58 | $107.58 | |
| West Virginia | $106.96 | $106.96 | |
| Alabama | $105.72 | $105.72 | |
| Mississippi | $104.91 | $104.91 | |
| Arkansas | $104.30 | $104.30 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates