CPT 92100 pays $84.50 in a non-facility setting and $26.05 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $75.14 in Arkansas to $98.23 in Alaska, a 31% spread.
National non-facility rate
$84.50
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 31% 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 | $98.23 | $35.98 | |
| District of Columbia | $97.06 | $28.20 | |
| California | $96.66 | $27.49 | |
| Washington | $93.96 | $27.33 | |
| New Jersey | $93.65 | $27.84 | |
| New York | $93.09 | $27.88 | |
| Hawaii | $93.01 | $26.55 | |
| Massachusetts | $92.88 | $27.21 | |
| Connecticut | $89.98 | $27.02 | |
| Colorado | $88.70 | $26.51 | |
| Oregon | $87.91 | $26.33 | |
| Maryland | $87.54 | $26.60 | |
| New Hampshire | $87.05 | $26.20 | |
| Rhode Island | $86.92 | $26.54 | |
| Minnesota | $85.89 | $25.75 | |
| Florida | $85.35 | $26.70 | |
| Puerto Rico | $85.20 | $26.11 | |
| Virgin Islands | $85.20 | $26.11 | |
| Montana | $84.50 | $26.05 | |
| Nevada | $84.46 | $25.95 | |
| Wyoming | $84.33 | $25.88 | |
| North Dakota | $84.11 | $25.66 | |
| South Dakota | $84.06 | $25.61 | |
| Delaware | $83.77 | $26.02 | |
| Texas | $83.57 | $26.03 | |
| Vermont | $83.53 | $25.67 | |
| Pennsylvania | $83.41 | $26.16 | |
| Virginia | $83.22 | $25.76 | |
| Illinois | $83.02 | $26.54 | |
| Arizona | $82.42 | $25.78 | |
| Georgia | $81.72 | $25.95 | |
| Maine | $81.40 | $25.55 | |
| Wisconsin | $81.35 | $25.35 | |
| Michigan | $80.86 | $25.98 | |
| Utah | $80.59 | $25.64 | |
| North Carolina | $79.97 | $25.43 | |
| South Carolina | $79.53 | $25.52 | |
| Indiana | $79.48 | $25.29 | |
| New Mexico | $79.32 | $25.72 | |
| Missouri | $79.21 | $25.57 | |
| Nebraska | $79.15 | $25.20 | |
| Idaho | $79.02 | $25.25 | |
| Louisiana | $78.96 | $25.59 | |
| Ohio | $78.93 | $25.56 | |
| Iowa | $78.65 | $25.17 | |
| Tennessee | $78.36 | $25.23 | |
| Kansas | $78.02 | $25.18 | |
| Oklahoma | $77.49 | $25.30 | |
| Kentucky | $77.33 | $25.37 | |
| West Virginia | $76.39 | $25.60 | |
| Alabama | $76.20 | $25.05 | |
| Mississippi | $75.42 | $25.09 | |
| Arkansas | $75.14 | $24.93 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates