CPT 92015

Determination Refractive State

CPT 92015 pays $19.04 in a non-facility setting and $15.70 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $17.87 in Arkansas to $25.31 in Alaska, a 42% spread.

National non-facility rate

$19.04

Office and other outpatient settings

Facility rate
$15.70

Hospital and ASC settings

Highest state
$25.31

Alaska

Lowest state
$17.87

Arkansas · 42% 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 $19.04
CPT 92015 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $19.04, national facility $15.70.
StateRate compared visuallyNon-facilityFacility
Alaska
$25.31$21.75
District of Columbia
$20.85$16.92
New York
$20.56$16.83
New Jersey
$20.49$16.73
California
$20.28$16.33
Washington
$20.13$16.32
Massachusetts
$20.03$16.28
Connecticut
$19.89$16.29
Florida
$19.69$16.34
Hawaii
$19.58$15.78
Maryland
$19.51$16.02
Illinois
$19.49$16.26
Colorado
$19.43$15.87
Rhode Island
$19.40$15.95
Oregon
$19.27$15.76
New Hampshire
$19.20$15.72
Puerto Rico
$19.09$15.72
Virgin Islands
$19.09$15.72
Pennsylvania
$19.07$15.80
Montana
$19.04$15.70
Texas
$18.97$15.68
Delaware
$18.96$15.66
Michigan
$18.94$15.81
Nevada
$18.93$15.59
Georgia
$18.91$15.73
Wyoming
$18.86$15.52
Arizona
$18.76$15.52
Minnesota
$18.74$15.31
Virginia
$18.74$15.46
New Mexico
$18.67$15.61
Vermont
$18.65$15.34
North Dakota
$18.64$15.30
Utah
$18.61$15.47
South Dakota
$18.59$15.25
Louisiana
$18.55$15.50
West Virginia
$18.54$15.64
Missouri
$18.53$15.47
Maine
$18.52$15.33
Ohio
$18.52$15.47
South Carolina
$18.48$15.40
North Carolina
$18.39$15.28
Wisconsin
$18.32$15.12
Kentucky
$18.31$15.35
Indiana
$18.26$15.16
Oklahoma
$18.25$15.26
Idaho
$18.21$15.13
Tennessee
$18.18$15.15
Nebraska
$18.16$15.08
Kansas
$18.13$15.11
Iowa
$18.12$15.07
Mississippi
$18.03$15.15
Alabama
$18.00$15.07
Arkansas
$17.87$15.00

Billed by 2 specialties

Commercial rates for 92015

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

See negotiated rates