CPT 91037 pays $187.38 in a non-facility setting and $187.38 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $164.63 in Arkansas to $216.65 in District of Columbia, a 32% spread.
National non-facility rate
$187.38
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 | $216.65 | $216.65 | |
| California | $215.54 | $215.54 | |
| Alaska | $212.16 | $212.16 | |
| Washington | $209.35 | $209.35 | |
| New Jersey | $208.52 | $208.52 | |
| New York | $207.45 | $207.45 | |
| Hawaii | $207.40 | $207.40 | |
| Massachusetts | $206.85 | $206.85 | |
| Connecticut | $200.31 | $200.31 | |
| Colorado | $197.06 | $197.06 | |
| Oregon | $195.19 | $195.19 | |
| Maryland | $194.49 | $194.49 | |
| New Hampshire | $193.37 | $193.37 | |
| Rhode Island | $192.79 | $192.79 | |
| Minnesota | $190.18 | $190.18 | |
| Florida | $190.10 | $190.10 | |
| Puerto Rico | $189.03 | $189.03 | |
| Virgin Islands | $189.03 | $189.03 | |
| Montana | $187.37 | $187.37 | |
| Nevada | $187.14 | $187.14 | |
| Wyoming | $186.77 | $186.77 | |
| North Dakota | $185.99 | $185.99 | |
| South Dakota | $185.83 | $185.83 | |
| Delaware | $185.46 | $185.46 | |
| Texas | $185.01 | $185.01 | |
| Vermont | $184.69 | $184.69 | |
| Pennsylvania | $184.68 | $184.68 | |
| Illinois | $184.45 | $184.45 | |
| Virginia | $184.09 | $184.09 | |
| Arizona | $182.29 | $182.29 | |
| Georgia | $180.83 | $180.83 | |
| Maine | $179.68 | $179.68 | |
| Wisconsin | $179.32 | $179.32 | |
| Michigan | $178.98 | $178.98 | |
| Utah | $177.94 | $177.94 | |
| North Carolina | $176.26 | $176.26 | |
| South Carolina | $175.38 | $175.38 | |
| New Mexico | $175.12 | $175.12 | |
| Indiana | $174.99 | $174.99 | |
| Missouri | $174.72 | $174.72 | |
| Louisiana | $174.15 | $174.15 | |
| Nebraska | $174.12 | $174.12 | |
| Ohio | $174.06 | $174.06 | |
| Idaho | $173.88 | $173.88 | |
| Iowa | $172.94 | $172.94 | |
| Tennessee | $172.35 | $172.35 | |
| Kansas | $171.50 | $171.50 | |
| Oklahoma | $170.45 | $170.45 | |
| Kentucky | $170.16 | $170.16 | |
| West Virginia | $168.30 | $168.30 | |
| Alabama | $167.20 | $167.20 | |
| Mississippi | $165.46 | $165.46 | |
| Arkansas | $164.63 | $164.63 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates