CPT 90875 pays $60.46 in a non-facility setting and $51.44 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $56.78 in Arkansas to $80.62 in Alaska, a 42% spread.
National non-facility rate
$60.46
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 42% 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 |
|---|---|---|---|
| Alaska | $80.62 | $71.01 | |
| District of Columbia | $66.09 | $55.47 | |
| New York | $65.28 | $55.22 | |
| New Jersey | $64.99 | $54.83 | |
| California | $64.13 | $53.46 | |
| Washington | $63.75 | $53.47 | |
| Massachusetts | $63.46 | $53.33 | |
| Connecticut | $63.14 | $53.42 | |
| Florida | $62.73 | $53.68 | |
| Illinois | $62.12 | $53.40 | |
| Hawaii | $61.94 | $51.69 | |
| Maryland | $61.92 | $52.52 | |
| Colorado | $61.58 | $51.98 | |
| Rhode Island | $61.56 | $52.24 | |
| Oregon | $61.09 | $51.59 | |
| New Hampshire | $60.90 | $51.51 | |
| Puerto Rico | $60.62 | $51.50 | |
| Virgin Islands | $60.62 | $51.50 | |
| Pennsylvania | $60.61 | $51.77 | |
| Montana | $60.45 | $51.43 | |
| Michigan | $60.31 | $51.84 | |
| Texas | $60.23 | $51.35 | |
| Delaware | $60.20 | $51.29 | |
| Georgia | $60.15 | $51.54 | |
| Nevada | $60.08 | $51.06 | |
| Wyoming | $59.85 | $50.83 | |
| Arizona | $59.56 | $50.82 | |
| Virginia | $59.46 | $50.60 | |
| New Mexico | $59.43 | $51.16 | |
| Minnesota | $59.33 | $50.05 | |
| Utah | $59.13 | $50.66 | |
| Vermont | $59.12 | $50.19 | |
| West Virginia | $59.10 | $51.26 | |
| North Dakota | $59.07 | $50.05 | |
| Louisiana | $59.00 | $50.76 | |
| Missouri | $58.93 | $50.66 | |
| Ohio | $58.91 | $50.67 | |
| South Dakota | $58.90 | $49.88 | |
| Maine | $58.78 | $50.16 | |
| South Carolina | $58.73 | $50.40 | |
| North Carolina | $58.40 | $49.99 | |
| Kentucky | $58.25 | $50.24 | |
| Wisconsin | $58.08 | $49.44 | |
| Oklahoma | $58.00 | $49.95 | |
| Indiana | $57.94 | $49.58 | |
| Idaho | $57.78 | $49.48 | |
| Tennessee | $57.73 | $49.53 | |
| Nebraska | $57.61 | $49.29 | |
| Kansas | $57.56 | $49.41 | |
| Iowa | $57.51 | $49.26 | |
| Mississippi | $57.34 | $49.57 | |
| Alabama | $57.19 | $49.30 | |
| Arkansas | $56.78 | $49.03 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates