HCPCS G0109 pays $16.03 in a non-facility setting and $16.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $14.83 in Arkansas to $20.54 in Alaska, a 39% spread.
National non-facility rate
$16.03
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $20.54 | $20.54 | |
| District of Columbia | $17.83 | $17.83 | |
| California | $17.53 | $17.53 | |
| New Jersey | $17.42 | $17.42 | |
| New York | $17.40 | $17.40 | |
| Washington | $17.25 | $17.25 | |
| Massachusetts | $17.13 | $17.13 | |
| Hawaii | $16.90 | $16.90 | |
| Connecticut | $16.84 | $16.84 | |
| Colorado | $16.53 | $16.53 | |
| Maryland | $16.48 | $16.48 | |
| Oregon | $16.40 | $16.40 | |
| Rhode Island | $16.40 | $16.40 | |
| Florida | $16.37 | $16.37 | |
| New Hampshire | $16.29 | $16.29 | |
| Illinois | $16.12 | $16.12 | |
| Puerto Rico | $16.11 | $16.11 | |
| Virgin Islands | $16.11 | $16.11 | |
| Montana | $16.03 | $16.03 | |
| Minnesota | $16.01 | $16.01 | |
| Nevada | $15.98 | $15.98 | |
| Pennsylvania | $15.98 | $15.98 | |
| Delaware | $15.95 | $15.95 | |
| Wyoming | $15.95 | $15.95 | |
| Texas | $15.94 | $15.94 | |
| North Dakota | $15.83 | $15.83 | |
| South Dakota | $15.81 | $15.81 | |
| Virginia | $15.81 | $15.81 | |
| Vermont | $15.79 | $15.79 | |
| Georgia | $15.77 | $15.77 | |
| Arizona | $15.76 | $15.76 | |
| Michigan | $15.72 | $15.72 | |
| Maine | $15.58 | $15.58 | |
| Utah | $15.56 | $15.56 | |
| New Mexico | $15.49 | $15.49 | |
| Wisconsin | $15.49 | $15.49 | |
| Missouri | $15.42 | $15.42 | |
| North Carolina | $15.42 | $15.42 | |
| South Carolina | $15.42 | $15.42 | |
| Louisiana | $15.41 | $15.41 | |
| Ohio | $15.40 | $15.40 | |
| Indiana | $15.32 | $15.32 | |
| Idaho | $15.27 | $15.27 | |
| Nebraska | $15.26 | $15.26 | |
| Iowa | $15.21 | $15.21 | |
| Tennessee | $15.21 | $15.21 | |
| West Virginia | $15.21 | $15.21 | |
| Kentucky | $15.19 | $15.19 | |
| Oklahoma | $15.17 | $15.17 | |
| Kansas | $15.16 | $15.16 | |
| Alabama | $14.97 | $14.97 | |
| Mississippi | $14.92 | $14.92 | |
| Arkansas | $14.83 | $14.83 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates