CPT 78012 pays $80.16 in a non-facility setting and $80.16 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $69.29 in Arkansas to $93.56 in District of Columbia, a 35% spread.
National non-facility rate
$80.16
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 35% 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 | $93.56 | $93.56 | |
| California | $93.06 | $93.06 | |
| Washington | $90.23 | $90.23 | |
| New Jersey | $89.73 | $89.73 | |
| Hawaii | $89.53 | $89.53 | |
| New York | $89.32 | $89.32 | |
| Massachusetts | $89.09 | $89.09 | |
| Alaska | $87.45 | $87.45 | |
| Connecticut | $86.15 | $86.15 | |
| Colorado | $84.58 | $84.58 | |
| Oregon | $83.72 | $83.72 | |
| Maryland | $83.43 | $83.43 | |
| New Hampshire | $82.97 | $82.97 | |
| Rhode Island | $82.53 | $82.53 | |
| Florida | $81.67 | $81.67 | |
| Minnesota | $81.32 | $81.32 | |
| Puerto Rico | $80.94 | $80.94 | |
| Virgin Islands | $80.94 | $80.94 | |
| Montana | $80.16 | $80.16 | |
| Nevada | $80.01 | $80.01 | |
| Wyoming | $79.81 | $79.81 | |
| North Dakota | $79.37 | $79.37 | |
| South Dakota | $79.28 | $79.28 | |
| Delaware | $79.19 | $79.19 | |
| Texas | $78.98 | $78.98 | |
| Illinois | $78.96 | $78.96 | |
| Pennsylvania | $78.83 | $78.83 | |
| Vermont | $78.78 | $78.78 | |
| Virginia | $78.54 | $78.54 | |
| Arizona | $77.72 | $77.72 | |
| Georgia | $77.10 | $77.10 | |
| Maine | $76.44 | $76.44 | |
| Michigan | $76.29 | $76.29 | |
| Wisconsin | $76.19 | $76.19 | |
| Utah | $75.68 | $75.68 | |
| North Carolina | $74.82 | $74.82 | |
| South Carolina | $74.45 | $74.45 | |
| New Mexico | $74.41 | $74.41 | |
| Indiana | $74.18 | $74.18 | |
| Missouri | $74.17 | $74.17 | |
| Louisiana | $73.92 | $73.92 | |
| Ohio | $73.87 | $73.87 | |
| Nebraska | $73.75 | $73.75 | |
| Idaho | $73.66 | $73.66 | |
| Iowa | $73.20 | $73.20 | |
| Tennessee | $72.95 | $72.95 | |
| Kansas | $72.54 | $72.54 | |
| Oklahoma | $72.11 | $72.11 | |
| Kentucky | $72.00 | $72.00 | |
| West Virginia | $71.24 | $71.24 | |
| Alabama | $70.52 | $70.52 | |
| Mississippi | $69.74 | $69.74 | |
| Arkansas | $69.29 | $69.29 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates