CPT 94664 pays $20.04 in a non-facility setting and $20.04 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $16.99 in Arkansas to $23.56 in District of Columbia, a 39% spread.
National non-facility rate
$20.04
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 | $23.56 | $23.56 | |
| California | $23.29 | $23.29 | |
| Washington | $22.61 | $22.61 | |
| New Jersey | $22.54 | $22.54 | |
| New York | $22.52 | $22.52 | |
| Hawaii | $22.41 | $22.41 | |
| Massachusetts | $22.33 | $22.33 | |
| Connecticut | $21.67 | $21.67 | |
| Colorado | $21.13 | $21.13 | |
| Alaska | $21.00 | $21.00 | |
| Maryland | $20.92 | $20.92 | |
| Oregon | $20.89 | $20.89 | |
| New Hampshire | $20.75 | $20.75 | |
| Florida | $20.74 | $20.74 | |
| Rhode Island | $20.61 | $20.61 | |
| Puerto Rico | $20.24 | $20.24 | |
| Virgin Islands | $20.24 | $20.24 | |
| Minnesota | $20.13 | $20.13 | |
| Montana | $20.04 | $20.04 | |
| Illinois | $20.00 | $20.00 | |
| Nevada | $19.95 | $19.95 | |
| Wyoming | $19.87 | $19.87 | |
| Delaware | $19.74 | $19.74 | |
| Pennsylvania | $19.69 | $19.69 | |
| Texas | $19.69 | $19.69 | |
| North Dakota | $19.64 | $19.64 | |
| South Dakota | $19.60 | $19.60 | |
| Vermont | $19.52 | $19.52 | |
| Virginia | $19.51 | $19.51 | |
| Arizona | $19.34 | $19.34 | |
| Georgia | $19.28 | $19.28 | |
| Michigan | $19.13 | $19.13 | |
| Maine | $18.93 | $18.93 | |
| Utah | $18.81 | $18.81 | |
| Wisconsin | $18.76 | $18.76 | |
| New Mexico | $18.57 | $18.57 | |
| North Carolina | $18.50 | $18.50 | |
| South Carolina | $18.47 | $18.47 | |
| Missouri | $18.44 | $18.44 | |
| Louisiana | $18.39 | $18.39 | |
| Ohio | $18.36 | $18.36 | |
| Indiana | $18.28 | $18.28 | |
| Idaho | $18.14 | $18.14 | |
| Nebraska | $18.13 | $18.13 | |
| Iowa | $17.99 | $17.99 | |
| Tennessee | $17.97 | $17.97 | |
| Kansas | $17.85 | $17.85 | |
| Kentucky | $17.83 | $17.83 | |
| Oklahoma | $17.82 | $17.82 | |
| West Virginia | $17.79 | $17.79 | |
| Alabama | $17.33 | $17.33 | |
| Mississippi | $17.17 | $17.17 | |
| Arkansas | $16.99 | $16.99 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates