CPT 92065 pays $38.41 in a non-facility setting and $27.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $36.13 in Arkansas to $50.76 in Alaska, a 40% spread.
National non-facility rate
$38.41
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 40% 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 | $50.76 | $39.02 | |
| District of Columbia | $42.37 | $29.38 | |
| California | $41.84 | $28.80 | |
| New Jersey | $41.52 | $29.11 | |
| New York | $41.36 | $29.06 | |
| Washington | $41.17 | $28.61 | |
| Massachusetts | $40.87 | $28.49 | |
| Hawaii | $40.33 | $27.80 | |
| Connecticut | $40.10 | $28.23 | |
| Colorado | $39.58 | $27.85 | |
| Maryland | $39.38 | $27.88 | |
| Oregon | $39.31 | $27.70 | |
| Rhode Island | $39.31 | $27.92 | |
| New Hampshire | $38.99 | $27.51 | |
| Florida | $38.78 | $27.72 | |
| Minnesota | $38.61 | $27.27 | |
| Puerto Rico | $38.57 | $27.43 | |
| Virgin Islands | $38.57 | $27.43 | |
| Montana | $38.41 | $27.39 | |
| Nevada | $38.37 | $27.34 | |
| Pennsylvania | $38.33 | $27.54 | |
| Wyoming | $38.32 | $27.30 | |
| Delaware | $38.31 | $27.42 | |
| Illinois | $38.29 | $27.64 | |
| Texas | $38.28 | $27.43 | |
| North Dakota | $38.21 | $27.19 | |
| South Dakota | $38.19 | $27.17 | |
| Vermont | $38.10 | $27.18 | |
| Virginia | $38.06 | $27.22 | |
| Arizona | $37.90 | $27.22 | |
| Georgia | $37.82 | $27.30 | |
| Michigan | $37.63 | $27.28 | |
| Maine | $37.62 | $27.09 | |
| Wisconsin | $37.55 | $26.99 | |
| Utah | $37.48 | $27.11 | |
| North Carolina | $37.28 | $27.00 | |
| New Mexico | $37.23 | $27.12 | |
| South Carolina | $37.22 | $27.03 | |
| Missouri | $37.17 | $27.05 | |
| Indiana | $37.14 | $26.92 | |
| Louisiana | $37.12 | $27.06 | |
| Ohio | $37.11 | $27.04 | |
| Nebraska | $37.05 | $26.87 | |
| Idaho | $37.03 | $26.89 | |
| Iowa | $36.93 | $26.85 | |
| Tennessee | $36.89 | $26.87 | |
| Kansas | $36.80 | $26.84 | |
| Oklahoma | $36.73 | $26.89 | |
| Kentucky | $36.71 | $26.92 | |
| West Virginia | $36.59 | $27.01 | |
| Alabama | $36.39 | $26.74 | |
| Mississippi | $36.23 | $26.74 | |
| Arkansas | $36.13 | $26.66 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates