CPT 91010 pays $245.83 in a non-facility setting and $245.83 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $216.02 in Arkansas to $284.22 in District of Columbia, a 32% spread.
National non-facility rate
$245.83
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 32% 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 | $284.22 | $284.22 | |
| California | $282.80 | $282.80 | |
| Alaska | $278.43 | $278.43 | |
| Washington | $274.66 | $274.66 | |
| New Jersey | $273.56 | $273.56 | |
| New York | $272.13 | $272.13 | |
| Hawaii | $272.11 | $272.11 | |
| Massachusetts | $271.38 | $271.38 | |
| Connecticut | $262.78 | $262.78 | |
| Colorado | $258.54 | $258.54 | |
| Oregon | $256.09 | $256.09 | |
| Maryland | $255.15 | $255.15 | |
| New Hampshire | $253.70 | $253.70 | |
| Rhode Island | $252.93 | $252.93 | |
| Minnesota | $249.55 | $249.55 | |
| Florida | $249.35 | $249.35 | |
| Puerto Rico | $248.00 | $248.00 | |
| Virgin Islands | $248.00 | $248.00 | |
| Montana | $245.82 | $245.82 | |
| Nevada | $245.53 | $245.53 | |
| Wyoming | $245.05 | $245.05 | |
| North Dakota | $244.05 | $244.05 | |
| South Dakota | $243.83 | $243.83 | |
| Delaware | $243.32 | $243.32 | |
| Texas | $242.73 | $242.73 | |
| Vermont | $242.33 | $242.33 | |
| Pennsylvania | $242.29 | $242.29 | |
| Illinois | $241.93 | $241.93 | |
| Virginia | $241.53 | $241.53 | |
| Arizona | $239.16 | $239.16 | |
| Georgia | $237.23 | $237.23 | |
| Maine | $235.76 | $235.76 | |
| Wisconsin | $235.31 | $235.31 | |
| Michigan | $234.79 | $234.79 | |
| Utah | $233.46 | $233.46 | |
| North Carolina | $231.27 | $231.27 | |
| South Carolina | $230.10 | $230.10 | |
| New Mexico | $229.75 | $229.75 | |
| Indiana | $229.61 | $229.61 | |
| Missouri | $229.23 | $229.23 | |
| Louisiana | $228.48 | $228.48 | |
| Nebraska | $228.48 | $228.48 | |
| Ohio | $228.36 | $228.36 | |
| Idaho | $228.16 | $228.16 | |
| Iowa | $226.93 | $226.93 | |
| Tennessee | $226.14 | $226.14 | |
| Kansas | $225.04 | $225.04 | |
| Oklahoma | $223.65 | $223.65 | |
| Kentucky | $223.26 | $223.26 | |
| West Virginia | $220.79 | $220.79 | |
| Alabama | $219.39 | $219.39 | |
| Mississippi | $217.10 | $217.10 | |
| Arkansas | $216.02 | $216.02 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates