What does Medicare pay for this code?
Pick a CPT code and a state. See the 2026 Physician Fee Schedule payment for both facility and non-facility settings, with the national average for comparison.
Why does Medicare pay different amounts in different places?
Geographic Practice Cost Index
Medicare adjusts each RVU component by GPCI: physician work, practice expense, and malpractice. High cost-of-living areas like California and New York pay more; rural states pay less.
Facility vs non-facility
When the service is performed in a facility (hospital, ASC), part of the practice expense is paid to the facility instead of the physician, so the physician fee is lower.
Conversion factor
The CMS Conversion Factor is set annually and applies nationally. The 2026 factor multiplies your locality-adjusted RVUs to produce the dollar payment.
Put this fee lookup on your own site
Run a practice-management blog, an EHR site, or a billing resource? Drop in this free CPT Medicare fee lookup so your readers can check any code in any state without leaving your page. Copy the snippet, paste it where you want the tool to appear. It resizes itself automatically.
The widget links back to this page so readers can explore the full tool. Data updates as we refresh the fee schedule, so your embed stays current with no work on your end.
Knowing the Medicare rate is one thing. Knowing if you got paid it is another.
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