CPT 88365 pays $169.01 in a non-facility setting and $169.01 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $148.88 in Arkansas to $195.47 in District of Columbia, a 31% spread.
National non-facility rate
$169.01
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 31% 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 | $195.47 | $195.47 | |
| California | $195.11 | $195.11 | |
| Alaska | $191.97 | $191.97 | |
| Washington | $189.20 | $189.20 | |
| New Jersey | $188.12 | $188.12 | |
| Hawaii | $187.67 | $187.67 | |
| Massachusetts | $186.87 | $186.87 | |
| New York | $186.83 | $186.83 | |
| Connecticut | $180.52 | $180.52 | |
| Colorado | $178.05 | $178.05 | |
| Oregon | $176.41 | $176.41 | |
| Maryland | $175.38 | $175.38 | |
| New Hampshire | $174.59 | $174.59 | |
| Rhode Island | $174.04 | $174.04 | |
| Minnesota | $172.34 | $172.34 | |
| Puerto Rico | $170.53 | $170.53 | |
| Virgin Islands | $170.53 | $170.53 | |
| Florida | $170.42 | $170.42 | |
| Montana | $169.01 | $169.01 | |
| Nevada | $168.98 | $168.98 | |
| Wyoming | $168.75 | $168.75 | |
| North Dakota | $168.41 | $168.41 | |
| South Dakota | $168.34 | $168.34 | |
| Delaware | $167.38 | $167.38 | |
| Vermont | $167.12 | $167.12 | |
| Texas | $166.94 | $166.94 | |
| Pennsylvania | $166.48 | $166.48 | |
| Virginia | $166.35 | $166.35 | |
| Illinois | $165.32 | $165.32 | |
| Arizona | $164.55 | $164.55 | |
| Georgia | $162.84 | $162.84 | |
| Wisconsin | $162.47 | $162.47 | |
| Maine | $162.44 | $162.44 | |
| Michigan | $160.92 | $160.92 | |
| Utah | $160.55 | $160.55 | |
| North Carolina | $159.31 | $159.31 | |
| Indiana | $158.33 | $158.33 | |
| South Carolina | $158.27 | $158.27 | |
| Nebraska | $157.66 | $157.66 | |
| New Mexico | $157.65 | $157.65 | |
| Missouri | $157.53 | $157.53 | |
| Idaho | $157.34 | $157.34 | |
| Louisiana | $156.94 | $156.94 | |
| Ohio | $156.90 | $156.90 | |
| Iowa | $156.57 | $156.57 | |
| Tennessee | $155.87 | $155.87 | |
| Kansas | $155.14 | $155.14 | |
| Oklahoma | $153.88 | $153.88 | |
| Kentucky | $153.46 | $153.46 | |
| West Virginia | $151.19 | $151.19 | |
| Alabama | $151.16 | $151.16 | |
| Mississippi | $149.39 | $149.39 | |
| Arkansas | $148.88 | $148.88 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates