CPT 91022 pays $194.06 in a non-facility setting and $194.06 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $172.49 in Arkansas to $225.81 in Alaska, a 31% spread.
National non-facility rate
$194.06
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $225.81 | $225.81 | |
| District of Columbia | $222.65 | $222.65 | |
| California | $221.23 | $221.23 | |
| Washington | $215.33 | $215.33 | |
| New Jersey | $214.93 | $214.93 | |
| New York | $213.87 | $213.87 | |
| Hawaii | $212.93 | $212.93 | |
| Massachusetts | $212.93 | $212.93 | |
| Connecticut | $206.65 | $206.65 | |
| Colorado | $203.39 | $203.39 | |
| Oregon | $201.54 | $201.54 | |
| Maryland | $201.01 | $201.01 | |
| New Hampshire | $199.71 | $199.71 | |
| Rhode Island | $199.48 | $199.48 | |
| Florida | $196.76 | $196.76 | |
| Minnesota | $196.62 | $196.62 | |
| Puerto Rico | $195.62 | $195.62 | |
| Virgin Islands | $195.62 | $195.62 | |
| Montana | $194.05 | $194.05 | |
| Nevada | $193.81 | $193.81 | |
| Wyoming | $193.45 | $193.45 | |
| North Dakota | $192.67 | $192.67 | |
| South Dakota | $192.51 | $192.51 | |
| Delaware | $192.32 | $192.32 | |
| Texas | $191.90 | $191.90 | |
| Pennsylvania | $191.67 | $191.67 | |
| Illinois | $191.46 | $191.46 | |
| Vermont | $191.45 | $191.45 | |
| Virginia | $190.91 | $190.91 | |
| Arizona | $189.23 | $189.23 | |
| Georgia | $187.92 | $187.92 | |
| Maine | $186.74 | $186.74 | |
| Wisconsin | $186.35 | $186.35 | |
| Michigan | $186.17 | $186.17 | |
| Utah | $185.12 | $185.12 | |
| North Carolina | $183.50 | $183.50 | |
| South Carolina | $182.69 | $182.69 | |
| New Mexico | $182.50 | $182.50 | |
| Indiana | $182.28 | $182.28 | |
| Missouri | $182.09 | $182.09 | |
| Louisiana | $181.56 | $181.56 | |
| Ohio | $181.47 | $181.47 | |
| Nebraska | $181.44 | $181.44 | |
| Idaho | $181.23 | $181.23 | |
| Iowa | $180.33 | $180.33 | |
| Tennessee | $179.79 | $179.79 | |
| Kansas | $178.98 | $178.98 | |
| Oklahoma | $178.03 | $178.03 | |
| Kentucky | $177.77 | $177.77 | |
| West Virginia | $176.08 | $176.08 | |
| Alabama | $174.92 | $174.92 | |
| Mississippi | $173.30 | $173.30 | |
| Arkansas | $172.49 | $172.49 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates