CPT 92019

Lmtd Oph Xm&Eval General Anes W/Wo Mnpj Globe

CPT 92019 pays $58.79 in a non-facility setting and $58.79 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $55.84 in Arkansas to $80.17 in Alaska, a 44% spread.

National non-facility rate

$58.79

Office and other outpatient settings

Facility rate
$58.79

Hospital and ASC settings

Highest state
$80.17

Alaska

Lowest state
$55.84

Arkansas · 44% 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 $58.79
CPT 92019 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $58.79, national facility $58.79.
StateRate compared visuallyNon-facilityFacility
Alaska
$80.17$80.17
District of Columbia
$63.82$63.82
New York
$63.15$63.15
New Jersey
$62.92$62.92
California
$61.97$61.97
Washington
$61.67$61.67
Massachusetts
$61.42$61.42
Connecticut
$61.14$61.14
Florida
$60.73$60.73
Illinois
$60.29$60.29
Maryland
$60.09$60.09
Hawaii
$59.86$59.86
Rhode Island
$59.84$59.84
Colorado
$59.76$59.76
Oregon
$59.32$59.32
New Hampshire
$59.11$59.11
Pennsylvania
$59.02$59.02
Puerto Rico
$58.91$58.91
Virgin Islands
$58.91$58.91
Montana
$58.78$58.78
Michigan
$58.75$58.75
Texas
$58.66$58.66
Delaware
$58.63$58.63
Georgia
$58.60$58.60
Nevada
$58.46$58.46
Wyoming
$58.26$58.26
Arizona
$58.06$58.06
New Mexico
$58.02$58.02
Virginia
$57.96$57.96
West Virginia
$57.81$57.81
Minnesota
$57.78$57.78
Utah
$57.74$57.74
Louisiana
$57.66$57.66
Vermont
$57.66$57.66
Missouri
$57.60$57.60
North Dakota
$57.60$57.60
Ohio
$57.58$57.58
South Dakota
$57.45$57.45
South Carolina
$57.42$57.42
Maine
$57.41$57.41
North Carolina
$57.12$57.12
Kentucky
$57.06$57.06
Oklahoma
$56.84$56.84
Wisconsin
$56.81$56.81
Indiana
$56.73$56.73
Idaho
$56.61$56.61
Tennessee
$56.58$56.58
Nebraska
$56.46$56.46
Kansas
$56.44$56.44
Iowa
$56.38$56.38
Mississippi
$56.31$56.31
Alabama
$56.16$56.16
Arkansas
$55.84$55.84

Billed by 2 specialties

Commercial rates for 92019

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

See negotiated rates