CPT 76857 pays $51.10 in a non-facility setting and $51.10 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $45.75 in Arkansas to $60.86 in Alaska, a 33% spread.
National non-facility rate
$51.10
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 | $60.86 | $60.86 | |
| District of Columbia | $58.08 | $58.08 | |
| California | $57.20 | $57.20 | |
| New Jersey | $56.26 | $56.26 | |
| New York | $56.22 | $56.22 | |
| Washington | $56.01 | $56.01 | |
| Massachusetts | $55.49 | $55.49 | |
| Hawaii | $55.12 | $55.12 | |
| Connecticut | $54.28 | $54.28 | |
| Colorado | $53.14 | $53.14 | |
| Maryland | $52.84 | $52.84 | |
| Oregon | $52.65 | $52.65 | |
| Florida | $52.48 | $52.48 | |
| Rhode Island | $52.37 | $52.37 | |
| New Hampshire | $52.31 | $52.31 | |
| Puerto Rico | $51.45 | $51.45 | |
| Virgin Islands | $51.45 | $51.45 | |
| Illinois | $51.25 | $51.25 | |
| Minnesota | $51.13 | $51.13 | |
| Montana | $51.10 | $51.10 | |
| Nevada | $50.91 | $50.91 | |
| Wyoming | $50.76 | $50.76 | |
| Pennsylvania | $50.66 | $50.66 | |
| Delaware | $50.65 | $50.65 | |
| Texas | $50.58 | $50.58 | |
| North Dakota | $50.31 | $50.31 | |
| South Dakota | $50.22 | $50.22 | |
| Virginia | $50.14 | $50.14 | |
| Vermont | $50.11 | $50.11 | |
| Arizona | $49.88 | $49.88 | |
| Georgia | $49.85 | $49.85 | |
| Michigan | $49.61 | $49.61 | |
| Maine | $49.12 | $49.12 | |
| Utah | $48.96 | $48.96 | |
| Wisconsin | $48.78 | $48.78 | |
| New Mexico | $48.60 | $48.60 | |
| North Carolina | $48.38 | $48.38 | |
| South Carolina | $48.36 | $48.36 | |
| Missouri | $48.33 | $48.33 | |
| Louisiana | $48.26 | $48.26 | |
| Ohio | $48.21 | $48.21 | |
| Indiana | $47.98 | $47.98 | |
| Idaho | $47.73 | $47.73 | |
| Nebraska | $47.70 | $47.70 | |
| Iowa | $47.46 | $47.46 | |
| Tennessee | $47.45 | $47.45 | |
| West Virginia | $47.30 | $47.30 | |
| Kentucky | $47.28 | $47.28 | |
| Kansas | $47.23 | $47.23 | |
| Oklahoma | $47.23 | $47.23 | |
| Alabama | $46.35 | $46.35 | |
| Mississippi | $46.11 | $46.11 | |
| Arkansas | $45.75 | $45.75 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates