CPT 92004 pays $149.64 in a non-facility setting and $77.82 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $136.65 in Arkansas to $185.12 in Alaska, a 35% spread.
National non-facility rate
$149.64
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 35% 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 |
|---|---|---|---|
| Alaska | $185.12 | $108.64 | |
| District of Columbia | $168.65 | $84.05 | |
| California | $167.24 | $82.27 | |
| New Jersey | $163.90 | $83.04 | |
| Washington | $163.52 | $81.65 | |
| New York | $163.11 | $83.00 | |
| Massachusetts | $161.97 | $81.29 | |
| Hawaii | $161.06 | $79.41 | |
| Connecticut | $157.87 | $80.53 | |
| Colorado | $155.67 | $79.27 | |
| Oregon | $154.43 | $78.78 | |
| Maryland | $154.25 | $79.39 | |
| Rhode Island | $153.53 | $79.35 | |
| New Hampshire | $153.06 | $78.30 | |
| Minnesota | $151.23 | $77.34 | |
| Florida | $151.19 | $79.14 | |
| Puerto Rico | $150.58 | $77.98 | |
| Virgin Islands | $150.58 | $77.98 | |
| Montana | $149.63 | $77.82 | |
| Nevada | $149.50 | $77.62 | |
| Wyoming | $149.29 | $77.48 | |
| North Dakota | $148.84 | $77.03 | |
| Delaware | $148.75 | $77.80 | |
| South Dakota | $148.75 | $76.94 | |
| Texas | $148.52 | $77.82 | |
| Pennsylvania | $148.48 | $78.14 | |
| Illinois | $148.11 | $78.72 | |
| Vermont | $148.10 | $77.01 | |
| Virginia | $147.76 | $77.16 | |
| Arizona | $146.73 | $77.15 | |
| Georgia | $145.96 | $77.46 | |
| Maine | $145.24 | $76.63 | |
| Wisconsin | $145.04 | $76.24 | |
| Michigan | $144.84 | $77.41 | |
| Utah | $144.25 | $76.75 | |
| North Carolina | $143.29 | $76.29 | |
| South Carolina | $142.78 | $76.43 | |
| New Mexico | $142.64 | $76.79 | |
| Indiana | $142.56 | $75.99 | |
| Missouri | $142.41 | $76.51 | |
| Louisiana | $142.09 | $76.52 | |
| Nebraska | $142.07 | $75.78 | |
| Ohio | $142.03 | $76.47 | |
| Idaho | $141.93 | $75.86 | |
| Iowa | $141.39 | $75.68 | |
| Tennessee | $141.05 | $75.78 | |
| Kansas | $140.57 | $75.65 | |
| Oklahoma | $139.97 | $75.85 | |
| Kentucky | $139.81 | $75.97 | |
| West Virginia | $138.75 | $76.34 | |
| Alabama | $138.12 | $75.28 | |
| Mississippi | $137.12 | $75.29 | |
| Arkansas | $136.65 | $74.96 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates