CPT 88323

Consltj&Reprt Referred Matrl Requiring Prepj Sld

CPT 88323 pays $112.90 in a non-facility setting and $112.90 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $105.13 in Arkansas to $145.75 in Alaska, a 39% spread.

National non-facility rate

$112.90

Office and other outpatient settings

Facility rate
$112.90

Hospital and ASC settings

Highest state
$145.75

Alaska

Lowest state
$105.13

Arkansas · 39% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $112.90
CPT 88323 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $112.90, national facility $112.90.
StateRate compared visuallyNon-facilityFacility
Alaska
$145.75$145.75
District of Columbia
$125.57$125.57
California
$124.39$124.39
New Jersey
$122.66$122.66
New York
$122.05$122.05
Washington
$122.02$122.02
Massachusetts
$121.00$121.00
Hawaii
$119.84$119.84
Connecticut
$118.29$118.29
Colorado
$116.84$116.84
Oregon
$116.01$116.01
Maryland
$115.96$115.96
Rhode Island
$115.69$115.69
New Hampshire
$114.98$114.98
Minnesota
$113.96$113.96
Florida
$113.70$113.70
Puerto Rico
$113.47$113.47
Virgin Islands
$113.47$113.47
Montana
$112.89$112.89
Nevada
$112.84$112.84
Wyoming
$112.72$112.72
North Dakota
$112.50$112.50
Delaware
$112.49$112.49
South Dakota
$112.45$112.45
Pennsylvania
$112.39$112.39
Texas
$112.36$112.36
Vermont
$112.04$112.04
Illinois
$111.93$111.93
Virginia
$111.80$111.80
Arizona
$111.16$111.16
Georgia
$110.69$110.69
Maine
$110.30$110.30
Wisconsin
$110.22$110.22
Michigan
$109.95$109.95
Utah
$109.66$109.66
North Carolina
$109.12$109.12
South Carolina
$108.78$108.78
Indiana
$108.70$108.70
New Mexico
$108.65$108.65
Missouri
$108.54$108.54
Nebraska
$108.42$108.42
Louisiana
$108.34$108.34
Idaho
$108.32$108.32
Ohio
$108.31$108.31
Iowa
$108.01$108.01
Tennessee
$107.78$107.78
Kansas
$107.50$107.50
Oklahoma
$107.10$107.10
Kentucky
$106.98$106.98
West Virginia
$106.27$106.27
Alabama
$106.01$106.01
Mississippi
$105.39$105.39
Arkansas
$105.13$105.13

Billed by 1 specialties

Commercial rates for 88323

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates