CPT 15792 pays $329.67 in a non-facility setting and $192.06 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $289.30 in Arkansas to $380.40 in District of Columbia, a 31% spread.
National non-facility rate
$329.67
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 31% 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 |
|---|---|---|---|
| District of Columbia | $380.40 | $218.29 | |
| California | $376.68 | $213.84 | |
| Alaska | $373.79 | $227.23 | |
| Washington | $366.80 | $209.92 | |
| New Jersey | $366.40 | $211.45 | |
| New York | $365.36 | $211.85 | |
| Massachusetts | $362.67 | $208.07 | |
| Hawaii | $362.63 | $206.17 | |
| Connecticut | $352.54 | $204.33 | |
| Colorado | $345.64 | $199.22 | |
| Oregon | $342.24 | $197.26 | |
| Maryland | $342.14 | $198.68 | |
| New Hampshire | $339.54 | $196.29 | |
| Rhode Island | $338.71 | $196.56 | |
| Florida | $337.18 | $199.11 | |
| Puerto Rico | $332.45 | $193.32 | |
| Virgin Islands | $332.45 | $193.32 | |
| Minnesota | $332.33 | $190.73 | |
| Montana | $329.65 | $192.04 | |
| Nevada | $328.76 | $191.01 | |
| Wyoming | $327.84 | $190.23 | |
| Illinois | $327.42 | $194.45 | |
| Delaware | $326.11 | $190.15 | |
| North Dakota | $325.50 | $187.89 | |
| Texas | $325.44 | $189.96 | |
| Pennsylvania | $325.32 | $190.53 | |
| South Dakota | $325.01 | $187.40 | |
| Vermont | $323.58 | $187.34 | |
| Virginia | $323.15 | $187.88 | |
| Arizona | $320.53 | $187.18 | |
| Georgia | $319.07 | $187.79 | |
| Michigan | $316.53 | $187.31 | |
| Maine | $315.38 | $183.89 | |
| Wisconsin | $313.80 | $181.97 | |
| Utah | $313.22 | $183.86 | |
| North Carolina | $309.57 | $181.18 | |
| New Mexico | $309.31 | $183.12 | |
| South Carolina | $308.69 | $181.53 | |
| Missouri | $307.97 | $181.69 | |
| Louisiana | $307.19 | $181.55 | |
| Indiana | $306.92 | $179.36 | |
| Ohio | $306.91 | $181.27 | |
| Nebraska | $305.11 | $178.10 | |
| Idaho | $304.99 | $178.39 | |
| Iowa | $303.15 | $177.24 | |
| Tennessee | $302.56 | $177.47 | |
| Kansas | $301.02 | $176.62 | |
| Oklahoma | $300.05 | $177.16 | |
| Kentucky | $299.97 | $177.63 | |
| West Virginia | $298.34 | $178.76 | |
| Alabama | $293.85 | $173.44 | |
| Mississippi | $291.39 | $172.91 | |
| Arkansas | $289.30 | $171.09 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates