CPT 91034 pays $202.41 in a non-facility setting and $202.41 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $177.42 in Arkansas to $234.33 in District of Columbia, a 32% spread.
National non-facility rate
$202.41
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 | $234.33 | $234.33 | |
| California | $233.11 | $233.11 | |
| Alaska | $228.00 | $228.00 | |
| Washington | $226.37 | $226.37 | |
| New Jersey | $225.43 | $225.43 | |
| Hawaii | $224.30 | $224.30 | |
| New York | $224.30 | $224.30 | |
| Massachusetts | $223.64 | $223.64 | |
| Connecticut | $216.54 | $216.54 | |
| Colorado | $212.96 | $212.96 | |
| Oregon | $210.91 | $210.91 | |
| Maryland | $210.17 | $210.17 | |
| New Hampshire | $208.96 | $208.96 | |
| Rhode Island | $208.27 | $208.27 | |
| Florida | $205.50 | $205.50 | |
| Minnesota | $205.40 | $205.40 | |
| Puerto Rico | $204.22 | $204.22 | |
| Virgin Islands | $204.22 | $204.22 | |
| Montana | $202.40 | $202.40 | |
| Nevada | $202.13 | $202.13 | |
| Wyoming | $201.71 | $201.71 | |
| North Dakota | $200.82 | $200.82 | |
| South Dakota | $200.64 | $200.64 | |
| Delaware | $200.28 | $200.28 | |
| Texas | $199.79 | $199.79 | |
| Pennsylvania | $199.44 | $199.44 | |
| Vermont | $199.41 | $199.41 | |
| Illinois | $199.28 | $199.28 | |
| Virginia | $198.77 | $198.77 | |
| Arizona | $196.82 | $196.82 | |
| Georgia | $195.25 | $195.25 | |
| Maine | $193.94 | $193.94 | |
| Wisconsin | $193.50 | $193.50 | |
| Michigan | $193.25 | $193.25 | |
| Utah | $192.06 | $192.06 | |
| North Carolina | $190.19 | $190.19 | |
| South Carolina | $189.24 | $189.24 | |
| New Mexico | $189.00 | $189.00 | |
| Indiana | $188.77 | $188.77 | |
| Missouri | $188.54 | $188.54 | |
| Louisiana | $187.92 | $187.92 | |
| Nebraska | $187.81 | $187.81 | |
| Ohio | $187.81 | $187.81 | |
| Idaho | $187.56 | $187.56 | |
| Iowa | $186.52 | $186.52 | |
| Tennessee | $185.88 | $185.88 | |
| Kansas | $184.96 | $184.96 | |
| Oklahoma | $183.84 | $183.84 | |
| Kentucky | $183.53 | $183.53 | |
| West Virginia | $181.55 | $181.55 | |
| Alabama | $180.25 | $180.25 | |
| Mississippi | $178.36 | $178.36 | |
| Arkansas | $177.42 | $177.42 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates