CPT 91035 pays $502.35 in a non-facility setting and $502.35 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $437.09 in Arkansas to $585.02 in District of Columbia, a 34% spread.
National non-facility rate
$502.35
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 34% 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 | $585.02 | $585.02 | |
| California | $583.57 | $583.57 | |
| Washington | $565.30 | $565.30 | |
| New Jersey | $561.57 | $561.57 | |
| Hawaii | $561.28 | $561.28 | |
| New York | $558.11 | $558.11 | |
| Massachusetts | $558.07 | $558.07 | |
| Alaska | $554.95 | $554.95 | |
| Connecticut | $538.75 | $538.75 | |
| Colorado | $530.39 | $530.39 | |
| Oregon | $525.22 | $525.22 | |
| Maryland | $522.35 | $522.35 | |
| New Hampshire | $519.99 | $519.99 | |
| Rhode Island | $517.50 | $517.50 | |
| Minnesota | $511.74 | $511.74 | |
| Florida | $508.58 | $508.58 | |
| Puerto Rico | $507.18 | $507.18 | |
| Virgin Islands | $507.18 | $507.18 | |
| Montana | $502.34 | $502.34 | |
| Nevada | $501.96 | $501.96 | |
| Wyoming | $501.05 | $501.05 | |
| North Dakota | $499.37 | $499.37 | |
| South Dakota | $499.02 | $499.02 | |
| Delaware | $496.76 | $496.76 | |
| Vermont | $495.42 | $495.42 | |
| Texas | $495.37 | $495.37 | |
| Pennsylvania | $494.03 | $494.03 | |
| Virginia | $493.30 | $493.30 | |
| Illinois | $492.06 | $492.06 | |
| Arizona | $487.82 | $487.82 | |
| Georgia | $482.92 | $482.92 | |
| Maine | $480.65 | $480.65 | |
| Wisconsin | $480.17 | $480.17 | |
| Michigan | $477.21 | $477.21 | |
| Utah | $475.10 | $475.10 | |
| North Carolina | $470.69 | $470.69 | |
| South Carolina | $467.73 | $467.73 | |
| Indiana | $467.25 | $467.25 | |
| New Mexico | $466.37 | $466.37 | |
| Missouri | $465.59 | $465.59 | |
| Nebraska | $464.92 | $464.92 | |
| Idaho | $464.06 | $464.06 | |
| Louisiana | $463.82 | $463.82 | |
| Ohio | $463.63 | $463.63 | |
| Iowa | $461.46 | $461.46 | |
| Tennessee | $459.48 | $459.48 | |
| Kansas | $457.09 | $457.09 | |
| Oklahoma | $453.56 | $453.56 | |
| Kentucky | $452.47 | $452.47 | |
| West Virginia | $446.14 | $446.14 | |
| Alabama | $444.48 | $444.48 | |
| Mississippi | $439.11 | $439.11 | |
| Arkansas | $437.09 | $437.09 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates