CPT 72100 pays $40.42 in a non-facility setting and $40.42 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $35.48 in Arkansas to $46.70 in District of Columbia, a 32% spread.
National non-facility rate
$40.42
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 32% 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 | $46.70 | $46.70 | |
| California | $46.36 | $46.36 | |
| Alaska | $45.75 | $45.75 | |
| Washington | $45.08 | $45.08 | |
| New Jersey | $44.96 | $44.96 | |
| New York | $44.77 | $44.77 | |
| Hawaii | $44.62 | $44.62 | |
| Massachusetts | $44.55 | $44.55 | |
| Connecticut | $43.22 | $43.22 | |
| Colorado | $42.45 | $42.45 | |
| Oregon | $42.04 | $42.04 | |
| Maryland | $41.95 | $41.95 | |
| New Hampshire | $41.67 | $41.67 | |
| Rhode Island | $41.56 | $41.56 | |
| Florida | $41.16 | $41.16 | |
| Minnesota | $40.89 | $40.89 | |
| Puerto Rico | $40.77 | $40.77 | |
| Virgin Islands | $40.77 | $40.77 | |
| Montana | $40.41 | $40.41 | |
| Nevada | $40.34 | $40.34 | |
| Wyoming | $40.24 | $40.24 | |
| North Dakota | $40.02 | $40.02 | |
| Delaware | $39.99 | $39.99 | |
| South Dakota | $39.97 | $39.97 | |
| Illinois | $39.94 | $39.94 | |
| Texas | $39.90 | $39.90 | |
| Pennsylvania | $39.85 | $39.85 | |
| Vermont | $39.76 | $39.76 | |
| Virginia | $39.66 | $39.66 | |
| Arizona | $39.30 | $39.30 | |
| Georgia | $39.05 | $39.05 | |
| Maine | $38.71 | $38.71 | |
| Michigan | $38.69 | $38.69 | |
| Wisconsin | $38.58 | $38.58 | |
| Utah | $38.38 | $38.38 | |
| North Carolina | $37.98 | $37.98 | |
| New Mexico | $37.83 | $37.83 | |
| South Carolina | $37.83 | $37.83 | |
| Missouri | $37.71 | $37.71 | |
| Indiana | $37.68 | $37.68 | |
| Louisiana | $37.60 | $37.60 | |
| Ohio | $37.57 | $37.57 | |
| Nebraska | $37.48 | $37.48 | |
| Idaho | $37.44 | $37.44 | |
| Iowa | $37.23 | $37.23 | |
| Tennessee | $37.13 | $37.13 | |
| Kansas | $36.94 | $36.94 | |
| Oklahoma | $36.76 | $36.76 | |
| Kentucky | $36.72 | $36.72 | |
| West Virginia | $36.41 | $36.41 | |
| Alabama | $36.03 | $36.03 | |
| Mississippi | $35.69 | $35.69 | |
| Arkansas | $35.48 | $35.48 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates