CPT 86580 pays $11.02 in a non-facility setting and $11.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $9.35 in Arkansas to $12.96 in District of Columbia, a 39% spread.
National non-facility rate
$11.02
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 39% 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 |
|---|---|---|---|
| District of Columbia | $12.96 | $12.96 | |
| California | $12.83 | $12.83 | |
| Washington | $12.45 | $12.45 | |
| New Jersey | $12.40 | $12.40 | |
| New York | $12.38 | $12.38 | |
| Hawaii | $12.35 | $12.35 | |
| Massachusetts | $12.29 | $12.29 | |
| Connecticut | $11.92 | $11.92 | |
| Colorado | $11.63 | $11.63 | |
| Alaska | $11.57 | $11.57 | |
| Maryland | $11.50 | $11.50 | |
| Oregon | $11.50 | $11.50 | |
| New Hampshire | $11.42 | $11.42 | |
| Florida | $11.37 | $11.37 | |
| Rhode Island | $11.34 | $11.34 | |
| Puerto Rico | $11.13 | $11.13 | |
| Virgin Islands | $11.13 | $11.13 | |
| Minnesota | $11.10 | $11.10 | |
| Montana | $11.02 | $11.02 | |
| Nevada | $10.98 | $10.98 | |
| Illinois | $10.97 | $10.97 | |
| Wyoming | $10.94 | $10.94 | |
| Delaware | $10.86 | $10.86 | |
| Pennsylvania | $10.83 | $10.83 | |
| Texas | $10.83 | $10.83 | |
| North Dakota | $10.82 | $10.82 | |
| South Dakota | $10.80 | $10.80 | |
| Vermont | $10.75 | $10.75 | |
| Virginia | $10.74 | $10.74 | |
| Arizona | $10.64 | $10.64 | |
| Georgia | $10.60 | $10.60 | |
| Michigan | $10.51 | $10.51 | |
| Maine | $10.42 | $10.42 | |
| Utah | $10.35 | $10.35 | |
| Wisconsin | $10.34 | $10.34 | |
| New Mexico | $10.20 | $10.20 | |
| North Carolina | $10.19 | $10.19 | |
| South Carolina | $10.16 | $10.16 | |
| Missouri | $10.14 | $10.14 | |
| Louisiana | $10.11 | $10.11 | |
| Ohio | $10.10 | $10.10 | |
| Indiana | $10.07 | $10.07 | |
| Idaho | $9.99 | $9.99 | |
| Nebraska | $9.99 | $9.99 | |
| Iowa | $9.91 | $9.91 | |
| Tennessee | $9.90 | $9.90 | |
| Kansas | $9.83 | $9.83 | |
| Kentucky | $9.81 | $9.81 | |
| Oklahoma | $9.80 | $9.80 | |
| West Virginia | $9.77 | $9.77 | |
| Alabama | $9.54 | $9.54 | |
| Mississippi | $9.45 | $9.45 | |
| Arkansas | $9.35 | $9.35 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates