CPT 15100

Split Agrft T/A/L 1st 100 Cm/&/1% Bdy Inft/Chld

CPT 15100 pays $922.53 in a non-facility setting and $660.34 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $815.96 in Arkansas to $1,089.92 in Alaska, a 34% spread.

National non-facility rate

$922.53

Office and other outpatient settings

Facility rate
$660.34

Hospital and ASC settings

Highest state
$1,089.92

Alaska

Lowest state
$815.96

Arkansas · 34% 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 $922.53
CPT 15100 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $922.53, national facility $660.34.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,089.92$810.68
District of Columbia
$1,042.63$733.76
New York
$1,022.76$730.25
New Jersey
$1,011.98$716.75
California
$1,003.20$692.95
Washington
$994.32$695.42
Massachusetts
$987.98$693.40
Florida
$984.71$721.64
Connecticut
$983.68$701.29
Hawaii
$969.16$671.05
Illinois
$963.67$710.33
Maryland
$954.46$681.12
Colorado
$946.76$667.78
Rhode Island
$939.47$668.62
New Hampshire
$936.55$663.60
Oregon
$936.17$659.95
Puerto Rico
$927.48$662.40
Virgin Islands
$927.48$662.40
Montana
$922.41$660.21
Pennsylvania
$918.84$662.02
Michigan
$915.81$669.61
Nevada
$912.42$649.96
Texas
$911.45$653.32
Delaware
$911.26$652.21
Georgia
$910.88$660.74
Wyoming
$905.95$643.75
Arizona
$896.72$642.65
Virginia
$894.66$636.92
Minnesota
$893.18$623.38
New Mexico
$890.83$650.40
Vermont
$885.65$626.08
North Dakota
$884.64$622.44
Utah
$883.84$637.38
South Dakota
$880.17$617.98
West Virginia
$879.76$651.91
Louisiana
$878.86$639.48
Missouri
$877.37$636.76
Ohio
$876.37$636.99
Maine
$874.83$624.31
South Carolina
$872.20$629.93
North Carolina
$863.56$618.93
Kentucky
$857.57$624.47
Wisconsin
$855.86$604.67
Oklahoma
$850.91$616.77
Indiana
$850.58$607.53
Idaho
$846.00$604.78
Tennessee
$844.18$605.84
Nebraska
$841.55$599.54
Kansas
$839.39$602.37
Iowa
$838.47$598.56
Mississippi
$831.32$605.57
Alabama
$827.79$598.37
Arkansas
$815.96$590.73

Billed by 1 specialties

Commercial rates for 15100

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

See negotiated rates