CPT 94680 pays $57.78 in a non-facility setting and $57.78 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $50.47 in Arkansas to $66.97 in District of Columbia, a 33% spread.
National non-facility rate
$57.78
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
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 |
|---|---|---|---|
| District of Columbia | $66.97 | $66.97 | |
| California | $66.50 | $66.50 | |
| Alaska | $64.66 | $64.66 | |
| Washington | $64.62 | $64.62 | |
| New Jersey | $64.40 | $64.40 | |
| New York | $64.14 | $64.14 | |
| Hawaii | $64.00 | $64.00 | |
| Massachusetts | $63.85 | $63.85 | |
| Connecticut | $61.89 | $61.89 | |
| Colorado | $60.76 | $60.76 | |
| Oregon | $60.16 | $60.16 | |
| Maryland | $60.03 | $60.03 | |
| New Hampshire | $59.64 | $59.64 | |
| Rhode Island | $59.43 | $59.43 | |
| Florida | $58.89 | $58.89 | |
| Minnesota | $58.48 | $58.48 | |
| Puerto Rico | $58.30 | $58.30 | |
| Virgin Islands | $58.30 | $58.30 | |
| Montana | $57.78 | $57.78 | |
| Nevada | $57.66 | $57.66 | |
| Wyoming | $57.52 | $57.52 | |
| North Dakota | $57.19 | $57.19 | |
| Delaware | $57.14 | $57.14 | |
| South Dakota | $57.12 | $57.12 | |
| Illinois | $57.09 | $57.09 | |
| Texas | $57.01 | $57.01 | |
| Pennsylvania | $56.94 | $56.94 | |
| Vermont | $56.80 | $56.80 | |
| Virginia | $56.67 | $56.67 | |
| Arizona | $56.14 | $56.14 | |
| Georgia | $55.77 | $55.77 | |
| Maine | $55.25 | $55.25 | |
| Michigan | $55.24 | $55.24 | |
| Wisconsin | $55.06 | $55.06 | |
| Utah | $54.78 | $54.78 | |
| North Carolina | $54.18 | $54.18 | |
| New Mexico | $53.97 | $53.97 | |
| South Carolina | $53.95 | $53.95 | |
| Missouri | $53.78 | $53.78 | |
| Indiana | $53.73 | $53.73 | |
| Louisiana | $53.62 | $53.62 | |
| Ohio | $53.58 | $53.58 | |
| Nebraska | $53.43 | $53.43 | |
| Idaho | $53.38 | $53.38 | |
| Iowa | $53.06 | $53.06 | |
| Tennessee | $52.91 | $52.91 | |
| Kansas | $52.64 | $52.64 | |
| Oklahoma | $52.38 | $52.38 | |
| Kentucky | $52.32 | $52.32 | |
| West Virginia | $51.87 | $51.87 | |
| Alabama | $51.29 | $51.29 | |
| Mississippi | $50.79 | $50.79 | |
| Arkansas | $50.47 | $50.47 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates