CPT 96574 pays $266.87 in a non-facility setting and $266.87 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $233.40 in Arkansas to $310.23 in District of Columbia, a 33% spread.
National non-facility rate
$266.87
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 | $310.23 | $310.23 | |
| California | $310.10 | $310.10 | |
| Washington | $300.21 | $300.21 | |
| Hawaii | $298.20 | $298.20 | |
| New Jersey | $298.00 | $298.00 | |
| Alaska | $297.77 | $297.77 | |
| Massachusetts | $296.35 | $296.35 | |
| New York | $295.82 | $295.82 | |
| Connecticut | $285.73 | $285.73 | |
| Colorado | $281.87 | $281.87 | |
| Oregon | $279.22 | $279.22 | |
| Maryland | $277.30 | $277.30 | |
| New Hampshire | $276.25 | $276.25 | |
| Rhode Island | $275.03 | $275.03 | |
| Minnesota | $272.68 | $272.68 | |
| Puerto Rico | $269.41 | $269.41 | |
| Virgin Islands | $269.41 | $269.41 | |
| Florida | $268.91 | $268.91 | |
| Nevada | $266.88 | $266.88 | |
| Montana | $266.87 | $266.87 | |
| Wyoming | $266.53 | $266.53 | |
| North Dakota | $266.08 | $266.08 | |
| South Dakota | $265.99 | $265.99 | |
| Delaware | $264.11 | $264.11 | |
| Vermont | $263.89 | $263.89 | |
| Texas | $263.35 | $263.35 | |
| Virginia | $262.52 | $262.52 | |
| Pennsylvania | $262.49 | $262.49 | |
| Illinois | $260.35 | $260.35 | |
| Arizona | $259.46 | $259.46 | |
| Georgia | $256.48 | $256.48 | |
| Wisconsin | $256.17 | $256.17 | |
| Maine | $256.01 | $256.01 | |
| Michigan | $253.22 | $253.22 | |
| Utah | $252.77 | $252.77 | |
| North Carolina | $250.79 | $250.79 | |
| Indiana | $249.19 | $249.19 | |
| South Carolina | $248.98 | $248.98 | |
| Nebraska | $248.12 | $248.12 | |
| New Mexico | $247.82 | $247.82 | |
| Missouri | $247.68 | $247.68 | |
| Idaho | $247.54 | $247.54 | |
| Louisiana | $246.68 | $246.68 | |
| Ohio | $246.63 | $246.63 | |
| Iowa | $246.28 | $246.28 | |
| Tennessee | $245.07 | $245.07 | |
| Kansas | $243.86 | $243.86 | |
| Oklahoma | $241.67 | $241.67 | |
| Kentucky | $240.92 | $240.92 | |
| Alabama | $237.19 | $237.19 | |
| West Virginia | $236.95 | $236.95 | |
| Mississippi | $234.16 | $234.16 | |
| Arkansas | $233.40 | $233.40 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates