CPT 76856 pays $105.21 in a non-facility setting and $105.21 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $92.96 in Arkansas to $121.06 in District of Columbia, a 30% spread.
National non-facility rate
$105.21
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 30% 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 | $121.06 | $121.06 | |
| Alaska | $120.93 | $120.93 | |
| California | $120.13 | $120.13 | |
| Washington | $116.93 | $116.93 | |
| New Jersey | $116.73 | $116.73 | |
| New York | $116.26 | $116.26 | |
| Hawaii | $115.63 | $115.63 | |
| Massachusetts | $115.61 | $115.61 | |
| Connecticut | $112.26 | $112.26 | |
| Colorado | $110.31 | $110.31 | |
| Oregon | $109.27 | $109.27 | |
| Maryland | $109.08 | $109.08 | |
| New Hampshire | $108.33 | $108.33 | |
| Rhode Island | $108.14 | $108.14 | |
| Florida | $107.06 | $107.06 | |
| Minnesota | $106.39 | $106.39 | |
| Puerto Rico | $106.08 | $106.08 | |
| Virgin Islands | $106.08 | $106.08 | |
| Montana | $105.21 | $105.21 | |
| Nevada | $105.02 | $105.02 | |
| Wyoming | $104.78 | $104.78 | |
| North Dakota | $104.22 | $104.22 | |
| Delaware | $104.18 | $104.18 | |
| South Dakota | $104.10 | $104.10 | |
| Illinois | $104.07 | $104.07 | |
| Texas | $103.96 | $103.96 | |
| Pennsylvania | $103.87 | $103.87 | |
| Vermont | $103.58 | $103.58 | |
| Virginia | $103.34 | $103.34 | |
| Arizona | $102.46 | $102.46 | |
| Georgia | $101.84 | $101.84 | |
| Maine | $100.98 | $100.98 | |
| Michigan | $100.94 | $100.94 | |
| Wisconsin | $100.65 | $100.65 | |
| Utah | $100.17 | $100.17 | |
| North Carolina | $99.17 | $99.17 | |
| New Mexico | $98.81 | $98.81 | |
| South Carolina | $98.79 | $98.79 | |
| Missouri | $98.50 | $98.50 | |
| Indiana | $98.43 | $98.43 | |
| Louisiana | $98.23 | $98.23 | |
| Ohio | $98.16 | $98.16 | |
| Nebraska | $97.92 | $97.92 | |
| Idaho | $97.84 | $97.84 | |
| Iowa | $97.31 | $97.31 | |
| Tennessee | $97.05 | $97.05 | |
| Kansas | $96.59 | $96.59 | |
| Oklahoma | $96.16 | $96.16 | |
| Kentucky | $96.06 | $96.06 | |
| West Virginia | $95.30 | $95.30 | |
| Alabama | $94.34 | $94.34 | |
| Mississippi | $93.50 | $93.50 | |
| Arkansas | $92.96 | $92.96 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates