CPT 92002

Oph Svcs Medical Xm&Eval Intermediate New Pt

CPT 92002 pays $84.84 in a non-facility setting and $37.74 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $76.79 in Arkansas to $102.80 in Alaska, a 34% spread.

National non-facility rate

$84.84

Office and other outpatient settings

Facility rate
$37.74

Hospital and ASC settings

Highest state
$102.80

Alaska

Lowest state
$76.79

Arkansas · 34% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $84.84
CPT 92002 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $84.84, national facility $37.74.
StateRate compared visuallyNon-facilityFacility
Alaska
$102.80$52.64
District of Columbia
$96.25$40.77
California
$95.63$39.90
New Jersey
$93.31$40.28
Washington
$93.29$39.60
New York
$92.80$40.26
Massachusetts
$92.34$39.42
Hawaii
$92.06$38.51
Connecticut
$89.78$39.06
Colorado
$88.55$38.44
Oregon
$87.82$38.20
Maryland
$87.60$38.50
Rhode Island
$87.13$38.48
New Hampshire
$87.00$37.97
Minnesota
$85.96$37.50
Florida
$85.65$38.40
Puerto Rico
$85.43$37.82
Virgin Islands
$85.43$37.82
Montana
$84.84$37.74
Nevada
$84.78$37.64
Wyoming
$84.66$37.57
North Dakota
$84.44$37.35
South Dakota
$84.39$37.30
Delaware
$84.26$37.73
Texas
$84.10$37.74
Pennsylvania
$84.03$37.90
Vermont
$83.96$37.34
Virginia
$83.71$37.42
Illinois
$83.70$38.20
Arizona
$83.04$37.41
Georgia
$82.49$37.56
Maine
$82.15$37.15
Wisconsin
$82.08$36.96
Michigan
$81.77$37.55
Utah
$81.48$37.21
North Carolina
$80.93$36.99
South Carolina
$80.57$37.06
Indiana
$80.50$36.84
New Mexico
$80.43$37.24
Missouri
$80.32$37.10
Nebraska
$80.20$36.74
Idaho
$80.10$36.78
Louisiana
$80.10$37.11
Ohio
$80.08$37.08
Iowa
$79.78$36.69
Tennessee
$79.54$36.73
Kansas
$79.25$36.67
Oklahoma
$78.83$36.77
Kentucky
$78.70$36.83
West Virginia
$77.95$37.02
Alabama
$77.70$36.49
Mississippi
$77.05$36.50
Arkansas
$76.79$36.34

Billed by 2 specialties

Commercial rates for 92002

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates