CPT 91013 pays $28.39 in a non-facility setting and $28.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $25.12 in Arkansas to $32.68 in Alaska, a 30% spread.
National non-facility rate
$28.39
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 30% 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 | $32.68 | $32.68 | |
| District of Columbia | $32.68 | $32.68 | |
| California | $32.49 | $32.49 | |
| Washington | $31.60 | $31.60 | |
| New Jersey | $31.51 | $31.51 | |
| New York | $31.34 | $31.34 | |
| Hawaii | $31.27 | $31.27 | |
| Massachusetts | $31.23 | $31.23 | |
| Connecticut | $30.28 | $30.28 | |
| Colorado | $29.80 | $29.80 | |
| Oregon | $29.53 | $29.53 | |
| Maryland | $29.43 | $29.43 | |
| New Hampshire | $29.25 | $29.25 | |
| Rhode Island | $29.20 | $29.20 | |
| Minnesota | $28.79 | $28.79 | |
| Florida | $28.78 | $28.78 | |
| Puerto Rico | $28.63 | $28.63 | |
| Virgin Islands | $28.63 | $28.63 | |
| Montana | $28.39 | $28.39 | |
| Nevada | $28.36 | $28.36 | |
| Wyoming | $28.30 | $28.30 | |
| North Dakota | $28.19 | $28.19 | |
| South Dakota | $28.17 | $28.17 | |
| Delaware | $28.12 | $28.12 | |
| Texas | $28.06 | $28.06 | |
| Pennsylvania | $28.02 | $28.02 | |
| Vermont | $28.01 | $28.01 | |
| Illinois | $27.97 | $27.97 | |
| Virginia | $27.92 | $27.92 | |
| Arizona | $27.66 | $27.66 | |
| Georgia | $27.45 | $27.45 | |
| Maine | $27.29 | $27.29 | |
| Wisconsin | $27.23 | $27.23 | |
| Michigan | $27.18 | $27.18 | |
| Utah | $27.03 | $27.03 | |
| North Carolina | $26.79 | $26.79 | |
| South Carolina | $26.67 | $26.67 | |
| New Mexico | $26.63 | $26.63 | |
| Indiana | $26.61 | $26.61 | |
| Missouri | $26.57 | $26.57 | |
| Louisiana | $26.49 | $26.49 | |
| Nebraska | $26.49 | $26.49 | |
| Ohio | $26.48 | $26.48 | |
| Idaho | $26.45 | $26.45 | |
| Iowa | $26.32 | $26.32 | |
| Tennessee | $26.23 | $26.23 | |
| Kansas | $26.11 | $26.11 | |
| Oklahoma | $25.96 | $25.96 | |
| Kentucky | $25.92 | $25.92 | |
| West Virginia | $25.65 | $25.65 | |
| Alabama | $25.49 | $25.49 | |
| Mississippi | $25.24 | $25.24 | |
| Arkansas | $25.12 | $25.12 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates