CPT 92012 pays $90.52 in a non-facility setting and $41.42 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $81.74 in Arkansas to $109.25 in Alaska, a 34% spread.
National non-facility rate
$90.52
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $109.25 | $56.96 | |
| District of Columbia | $102.75 | $44.91 | |
| California | $101.93 | $43.83 | |
| New Jersey | $99.59 | $44.30 | |
| Washington | $99.50 | $43.53 | |
| New York | $99.13 | $44.35 | |
| Massachusetts | $98.50 | $43.33 | |
| Hawaii | $98.15 | $42.32 | |
| Connecticut | $95.87 | $42.99 | |
| Colorado | $94.43 | $42.19 | |
| Oregon | $93.63 | $41.90 | |
| Maryland | $93.49 | $42.31 | |
| Rhode Island | $92.93 | $42.21 | |
| New Hampshire | $92.80 | $41.69 | |
| Florida | $91.66 | $42.40 | |
| Minnesota | $91.52 | $40.99 | |
| Puerto Rico | $91.15 | $41.51 | |
| Virgin Islands | $91.15 | $41.51 | |
| Montana | $90.51 | $41.42 | |
| Nevada | $90.41 | $41.26 | |
| Wyoming | $90.26 | $41.16 | |
| North Dakota | $89.92 | $40.82 | |
| Delaware | $89.86 | $41.35 | |
| South Dakota | $89.85 | $40.75 | |
| Texas | $89.70 | $41.36 | |
| Pennsylvania | $89.66 | $41.56 | |
| Illinois | $89.55 | $42.11 | |
| Vermont | $89.43 | $40.83 | |
| Virginia | $89.22 | $40.96 | |
| Arizona | $88.55 | $40.97 | |
| Georgia | $88.06 | $41.21 | |
| Maine | $87.53 | $40.61 | |
| Wisconsin | $87.35 | $40.32 | |
| Michigan | $87.34 | $41.23 | |
| Utah | $86.89 | $40.73 | |
| North Carolina | $86.22 | $40.41 | |
| South Carolina | $85.90 | $40.53 | |
| New Mexico | $85.84 | $40.81 | |
| Indiana | $85.71 | $40.19 | |
| Missouri | $85.66 | $40.60 | |
| Louisiana | $85.45 | $40.62 | |
| Ohio | $85.41 | $40.58 | |
| Nebraska | $85.37 | $40.05 | |
| Idaho | $85.29 | $40.11 | |
| Iowa | $84.92 | $39.99 | |
| Tennessee | $84.70 | $40.07 | |
| Kansas | $84.38 | $39.99 | |
| Oklahoma | $84.00 | $40.16 | |
| Kentucky | $83.91 | $40.26 | |
| West Virginia | $83.25 | $40.58 | |
| Alabama | $82.73 | $39.77 | |
| Mississippi | $82.08 | $39.81 | |
| Arkansas | $81.74 | $39.57 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates