CPT 15120

Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 %

CPT 15120 pays $874.10 in a non-facility setting and $614.91 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $778.75 in Arkansas to $1,046.78 in Alaska, a 34% spread.

National non-facility rate

$874.10

Office and other outpatient settings

Facility rate
$614.91

Hospital and ASC settings

Highest state
$1,046.78

Alaska

Lowest state
$778.75

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 $874.10
CPT 15120 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $874.10, national facility $614.91.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,046.78$770.74
District of Columbia
$985.15$679.82
New York
$965.88$676.73
New Jersey
$957.24$665.39
California
$950.65$643.96
Washington
$941.49$646.01
Massachusetts
$935.40$644.19
Connecticut
$929.80$650.65
Florida
$927.27$667.22
Hawaii
$918.17$623.47
Illinois
$908.35$657.91
Maryland
$903.40$633.20
Colorado
$897.44$621.66
Rhode Island
$890.64$622.90
Oregon
$887.85$614.80
New Hampshire
$887.34$617.53
Puerto Rico
$878.66$616.62
Virgin Islands
$878.66$616.62
Montana
$873.99$614.80
Pennsylvania
$870.81$616.93
Michigan
$866.46$623.08
Nevada
$865.50$606.05
Texas
$864.47$609.30
Delaware
$864.39$608.31
Georgia
$862.80$615.53
Wyoming
$859.95$600.76
Arizona
$851.10$599.95
Minnesota
$849.95$583.25
Virginia
$849.78$595.00
New Mexico
$844.46$606.78
Vermont
$842.32$585.72
North Dakota
$841.76$582.57
Utah
$839.21$595.57
South Dakota
$837.95$578.76
Louisiana
$834.12$597.48
West Virginia
$833.51$608.27
Missouri
$832.99$595.14
Maine
$832.01$584.35
Ohio
$832.00$595.35
South Carolina
$828.77$589.28
North Carolina
$821.69$579.86
Wisconsin
$815.89$567.58
Kentucky
$815.20$584.78
Indiana
$810.42$570.15
Oklahoma
$809.64$578.18
Idaho
$806.29$567.84
Tennessee
$804.40$568.79
Nebraska
$802.59$563.35
Kansas
$800.15$565.85
Iowa
$799.71$562.55
Mississippi
$791.92$568.76
Alabama
$789.35$562.56
Arkansas
$778.75$556.10

Billed by 1 specialties

Commercial rates for 15120

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

See negotiated rates