CPT 12004

Simple Rpr Scalp/Neck/Ax/Genit/Trunk 7.6-12.5cm

CPT 12004 pays $161.99 in a non-facility setting and $72.15 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $141.95 in Arkansas to $187.20 in Alaska, a 32% spread.

National non-facility rate

$161.99

Office and other outpatient settings

Facility rate
$72.15

Hospital and ASC settings

Highest state
$187.20

Alaska

Lowest state
$141.95

Arkansas · 32% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $161.99
CPT 12004 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $161.99, national facility $72.15.
StateRate compared visuallyNon-facilityFacility
Alaska
$187.20$91.51
District of Columbia
$184.31$78.47
New York
$180.22$79.99
New Jersey
$178.44$77.27
California
$177.72$71.41
Washington
$175.73$73.30
Massachusetts
$174.47$73.53
Connecticut
$173.27$76.50
Florida
$172.78$82.63
Hawaii
$171.63$69.47
Illinois
$168.68$81.87
Maryland
$167.89$74.22
Colorado
$166.81$71.21
Rhode Island
$165.13$72.32
Oregon
$164.90$70.24
New Hampshire
$164.89$71.36
Puerto Rico
$162.98$72.14
Virgin Islands
$162.98$72.14
Montana
$161.97$72.12
Pennsylvania
$161.04$73.03
Nevada
$160.26$70.32
Michigan
$160.13$75.76
Delaware
$159.86$71.09
Texas
$159.85$71.40
Georgia
$159.44$73.72
Wyoming
$159.13$69.28
Minnesota
$157.26$64.80
Arizona
$157.18$70.11
Virginia
$156.98$68.66
New Mexico
$155.56$73.17
Vermont
$155.51$66.56
North Dakota
$155.45$65.60
South Dakota
$154.68$64.83
Utah
$154.62$70.16
Louisiana
$153.45$71.41
Maine
$153.24$67.39
Missouri
$153.24$70.79
West Virginia
$153.09$75.02
Ohio
$153.02$70.98
South Carolina
$152.42$69.40
North Carolina
$151.03$67.20
Wisconsin
$149.99$63.92
Kentucky
$149.49$69.61
Indiana
$148.72$65.43
Oklahoma
$148.39$68.15
Idaho
$147.85$65.19
Tennessee
$147.41$65.74
Nebraska
$147.11$64.18
Kansas
$146.52$65.30
Iowa
$146.49$64.28
Mississippi
$144.63$67.27
Alabama
$144.18$65.57
Arkansas
$141.95$64.78

Billed by 2 specialties

Commercial rates for 12004

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates