CPT 96411 pays $57.12 in a non-facility setting and $57.12 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $49.66 in Arkansas to $66.39 in District of Columbia, a 34% spread.
National non-facility rate
$57.12
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 34% 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 | $66.39 | $66.39 | |
| California | $65.96 | $65.96 | |
| Washington | $64.04 | $64.04 | |
| New Jersey | $63.77 | $63.77 | |
| New York | $63.51 | $63.51 | |
| Hawaii | $63.47 | $63.47 | |
| Massachusetts | $63.25 | $63.25 | |
| Alaska | $63.22 | $63.22 | |
| Connecticut | $61.27 | $61.27 | |
| Colorado | $60.14 | $60.14 | |
| Oregon | $59.54 | $59.54 | |
| Maryland | $59.38 | $59.38 | |
| New Hampshire | $59.02 | $59.02 | |
| Rhode Island | $58.77 | $58.77 | |
| Florida | $58.23 | $58.23 | |
| Minnesota | $57.84 | $57.84 | |
| Puerto Rico | $57.64 | $57.64 | |
| Virgin Islands | $57.64 | $57.64 | |
| Montana | $57.11 | $57.11 | |
| Nevada | $57.00 | $57.00 | |
| Wyoming | $56.86 | $56.86 | |
| North Dakota | $56.52 | $56.52 | |
| Delaware | $56.45 | $56.45 | |
| South Dakota | $56.45 | $56.45 | |
| Illinois | $56.38 | $56.38 | |
| Texas | $56.31 | $56.31 | |
| Pennsylvania | $56.23 | $56.23 | |
| Vermont | $56.13 | $56.13 | |
| Virginia | $55.98 | $55.98 | |
| Arizona | $55.44 | $55.44 | |
| Georgia | $55.05 | $55.05 | |
| Maine | $54.54 | $54.54 | |
| Michigan | $54.51 | $54.51 | |
| Wisconsin | $54.35 | $54.35 | |
| Utah | $54.05 | $54.05 | |
| North Carolina | $53.44 | $53.44 | |
| New Mexico | $53.21 | $53.21 | |
| South Carolina | $53.21 | $53.21 | |
| Missouri | $53.03 | $53.03 | |
| Indiana | $52.99 | $52.99 | |
| Louisiana | $52.86 | $52.86 | |
| Ohio | $52.82 | $52.82 | |
| Nebraska | $52.69 | $52.69 | |
| Idaho | $52.63 | $52.63 | |
| Iowa | $52.31 | $52.31 | |
| Tennessee | $52.15 | $52.15 | |
| Kansas | $51.87 | $51.87 | |
| Oklahoma | $51.60 | $51.60 | |
| Kentucky | $51.54 | $51.54 | |
| West Virginia | $51.07 | $51.07 | |
| Alabama | $50.50 | $50.50 | |
| Mississippi | $49.98 | $49.98 | |
| Arkansas | $49.66 | $49.66 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates