CPT 91030 pays $162.66 in a non-facility setting and $162.66 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $143.34 in Arkansas to $187.82 in District of Columbia, a 31% spread.
National non-facility rate
$162.66
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 | $187.82 | $187.82 | |
| California | $187.02 | $187.02 | |
| Alaska | $185.31 | $185.31 | |
| Washington | $181.62 | $181.62 | |
| New Jersey | $180.87 | $180.87 | |
| Hawaii | $179.94 | $179.94 | |
| New York | $179.85 | $179.85 | |
| Massachusetts | $179.46 | $179.46 | |
| Connecticut | $173.72 | $173.72 | |
| Colorado | $171.05 | $171.05 | |
| Oregon | $169.46 | $169.46 | |
| Maryland | $168.76 | $168.76 | |
| New Hampshire | $167.84 | $167.84 | |
| Rhode Island | $167.38 | $167.38 | |
| Minnesota | $165.29 | $165.29 | |
| Florida | $164.68 | $164.68 | |
| Puerto Rico | $164.08 | $164.08 | |
| Virgin Islands | $164.08 | $164.08 | |
| Montana | $162.66 | $162.66 | |
| Nevada | $162.51 | $162.51 | |
| Wyoming | $162.23 | $162.23 | |
| North Dakota | $161.67 | $161.67 | |
| South Dakota | $161.55 | $161.55 | |
| Delaware | $161.07 | $161.07 | |
| Texas | $160.67 | $160.67 | |
| Vermont | $160.52 | $160.52 | |
| Pennsylvania | $160.35 | $160.35 | |
| Virginia | $159.94 | $159.94 | |
| Illinois | $159.86 | $159.86 | |
| Arizona | $158.35 | $158.35 | |
| Georgia | $157.00 | $157.00 | |
| Maine | $156.20 | $156.20 | |
| Wisconsin | $155.99 | $155.99 | |
| Michigan | $155.34 | $155.34 | |
| Utah | $154.62 | $154.62 | |
| North Carolina | $153.26 | $153.26 | |
| South Carolina | $152.44 | $152.44 | |
| Indiana | $152.22 | $152.22 | |
| New Mexico | $152.10 | $152.10 | |
| Missouri | $151.83 | $151.83 | |
| Nebraska | $151.52 | $151.52 | |
| Louisiana | $151.32 | $151.32 | |
| Idaho | $151.28 | $151.28 | |
| Ohio | $151.26 | $151.26 | |
| Iowa | $150.50 | $150.50 | |
| Tennessee | $149.94 | $149.94 | |
| Kansas | $149.23 | $149.23 | |
| Oklahoma | $148.24 | $148.24 | |
| Kentucky | $147.95 | $147.95 | |
| West Virginia | $146.19 | $146.19 | |
| Alabama | $145.53 | $145.53 | |
| Mississippi | $143.98 | $143.98 | |
| Arkansas | $143.34 | $143.34 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates