CPT 96573 pays $217.44 in a non-facility setting and $217.44 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $188.76 in Arkansas to $254.55 in California, a 35% spread.
National non-facility rate
$217.44
Office and other outpatient settings
Hospital and ASC settings
California
Arkansas · 35% 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 |
|---|---|---|---|
| California | $254.55 | $254.55 | |
| District of Columbia | $254.15 | $254.15 | |
| Washington | $245.94 | $245.94 | |
| Hawaii | $244.71 | $244.71 | |
| New Jersey | $243.64 | $243.64 | |
| Massachusetts | $242.62 | $242.62 | |
| New York | $241.67 | $241.67 | |
| Alaska | $238.06 | $238.06 | |
| Connecticut | $233.38 | $233.38 | |
| Colorado | $230.35 | $230.35 | |
| Oregon | $228.14 | $228.14 | |
| Maryland | $226.24 | $226.24 | |
| New Hampshire | $225.60 | $225.60 | |
| Rhode Island | $224.30 | $224.30 | |
| Minnesota | $222.80 | $222.80 | |
| Puerto Rico | $219.64 | $219.64 | |
| Virgin Islands | $219.64 | $219.64 | |
| Florida | $218.74 | $218.74 | |
| Nevada | $217.53 | $217.53 | |
| Montana | $217.44 | $217.44 | |
| Wyoming | $217.27 | $217.27 | |
| North Dakota | $217.04 | $217.04 | |
| South Dakota | $217.00 | $217.00 | |
| Vermont | $215.10 | $215.10 | |
| Delaware | $215.04 | $215.04 | |
| Texas | $214.36 | $214.36 | |
| Virginia | $213.83 | $213.83 | |
| Pennsylvania | $213.51 | $213.51 | |
| Illinois | $211.32 | $211.32 | |
| Arizona | $211.11 | $211.11 | |
| Wisconsin | $208.53 | $208.53 | |
| Georgia | $208.35 | $208.35 | |
| Maine | $208.24 | $208.24 | |
| Michigan | $205.45 | $205.45 | |
| Utah | $205.31 | $205.31 | |
| North Carolina | $203.73 | $203.73 | |
| Indiana | $202.42 | $202.42 | |
| South Carolina | $202.06 | $202.06 | |
| Nebraska | $201.54 | $201.54 | |
| Idaho | $201.00 | $201.00 | |
| New Mexico | $200.89 | $200.89 | |
| Missouri | $200.87 | $200.87 | |
| Louisiana | $199.98 | $199.98 | |
| Iowa | $199.95 | $199.95 | |
| Ohio | $199.95 | $199.95 | |
| Tennessee | $198.83 | $198.83 | |
| Kansas | $197.81 | $197.81 | |
| Oklahoma | $195.78 | $195.78 | |
| Kentucky | $195.06 | $195.06 | |
| Alabama | $192.02 | $192.02 | |
| West Virginia | $191.39 | $191.39 | |
| Mississippi | $189.32 | $189.32 | |
| Arkansas | $188.76 | $188.76 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates