CPT 78015 pays $204.08 in a non-facility setting and $204.08 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $177.45 in Arkansas to $237.54 in District of Columbia, a 34% spread.
National non-facility rate
$204.08
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 34% 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 | $237.54 | $237.54 | |
| California | $236.57 | $236.57 | |
| Washington | $229.36 | $229.36 | |
| New Jersey | $228.06 | $228.06 | |
| Hawaii | $227.57 | $227.57 | |
| New York | $226.84 | $226.84 | |
| Massachusetts | $226.47 | $226.47 | |
| Alaska | $225.42 | $225.42 | |
| Connecticut | $218.91 | $218.91 | |
| Colorado | $215.26 | $215.26 | |
| Oregon | $213.13 | $213.13 | |
| Maryland | $212.21 | $212.21 | |
| New Hampshire | $211.11 | $211.11 | |
| Rhode Island | $210.13 | $210.13 | |
| Minnesota | $207.41 | $207.41 | |
| Florida | $207.21 | $207.21 | |
| Puerto Rico | $206.02 | $206.02 | |
| Virgin Islands | $206.02 | $206.02 | |
| Montana | $204.07 | $204.07 | |
| Nevada | $203.81 | $203.81 | |
| Wyoming | $203.38 | $203.38 | |
| North Dakota | $202.49 | $202.49 | |
| South Dakota | $202.31 | $202.31 | |
| Delaware | $201.76 | $201.76 | |
| Texas | $201.22 | $201.22 | |
| Vermont | $200.96 | $200.96 | |
| Pennsylvania | $200.78 | $200.78 | |
| Illinois | $200.52 | $200.52 | |
| Virginia | $200.24 | $200.24 | |
| Arizona | $198.12 | $198.12 | |
| Georgia | $196.37 | $196.37 | |
| Maine | $195.08 | $195.08 | |
| Wisconsin | $194.68 | $194.68 | |
| Michigan | $194.21 | $194.21 | |
| Utah | $193.03 | $193.03 | |
| North Carolina | $191.08 | $191.08 | |
| South Carolina | $190.02 | $190.02 | |
| New Mexico | $189.70 | $189.70 | |
| Indiana | $189.59 | $189.59 | |
| Missouri | $189.24 | $189.24 | |
| Nebraska | $188.58 | $188.58 | |
| Louisiana | $188.57 | $188.57 | |
| Ohio | $188.47 | $188.47 | |
| Idaho | $188.30 | $188.30 | |
| Iowa | $187.19 | $187.19 | |
| Tennessee | $186.49 | $186.49 | |
| Kansas | $185.50 | $185.50 | |
| Oklahoma | $184.26 | $184.26 | |
| Kentucky | $183.91 | $183.91 | |
| West Virginia | $181.69 | $181.69 | |
| Alabama | $180.46 | $180.46 | |
| Mississippi | $178.40 | $178.40 | |
| Arkansas | $177.45 | $177.45 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates