CPT 88321

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CPT 88321 pays $93.86 in a non-facility setting and $67.47 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $87.31 in Arkansas to $121.86 in Alaska, a 40% spread.

National non-facility rate

$93.86

Office and other outpatient settings

Facility rate
$67.47

Hospital and ASC settings

Highest state
$121.86

Alaska

Lowest state
$87.31

Arkansas · 40% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $93.86
CPT 88321 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $93.86, national facility $67.47.
StateRate compared visuallyNon-facilityFacility
Alaska
$121.86$93.76
District of Columbia
$103.83$72.74
California
$101.73$70.51
New York
$101.65$72.22
New Jersey
$101.62$71.91
Washington
$100.41$70.33
Massachusetts
$99.75$70.10
Connecticut
$98.37$69.95
Hawaii
$98.13$68.13
Colorado
$96.44$68.36
Maryland
$96.36$68.85
Florida
$96.20$69.72
Rhode Island
$95.88$68.62
Oregon
$95.69$67.89
New Hampshire
$95.14$67.67
Illinois
$94.88$69.38
Puerto Rico
$94.24$67.57
Virgin Islands
$94.24$67.57
Montana
$93.85$67.47
Pennsylvania
$93.71$67.86
Nevada
$93.50$67.09
Delaware
$93.42$67.35
Texas
$93.39$67.41
Minnesota
$93.32$66.17
Wyoming
$93.25$66.86
Georgia
$92.63$67.46
Virginia
$92.52$66.58
Michigan
$92.47$67.69
North Dakota
$92.47$66.08
Arizona
$92.33$66.76
Vermont
$92.32$66.19
South Dakota
$92.30$65.92
Utah
$91.31$66.51
Maine
$91.27$66.06
New Mexico
$91.14$66.94
Missouri
$90.66$66.44
Wisconsin
$90.63$65.35
Louisiana
$90.62$66.53
South Carolina
$90.59$66.21
Ohio
$90.53$66.44
North Carolina
$90.44$65.82
Indiana
$89.85$65.39
West Virginia
$89.83$66.90
Idaho
$89.55$65.28
Nebraska
$89.44$65.09
Kentucky
$89.39$65.94
Tennessee
$89.28$65.29
Oklahoma
$89.23$65.66
Iowa
$89.18$65.04
Kansas
$89.01$65.16
Alabama
$88.04$64.95
Mississippi
$87.91$65.19
Arkansas
$87.31$64.64

Billed by 2 specialties

Commercial rates for 88321

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates