CPT 92201 pays $25.05 in a non-facility setting and $18.37 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $23.13 in Arkansas to $32.00 in Alaska, a 38% spread.
National non-facility rate
$25.05
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 38% 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 | $32.00 | $24.89 | |
| District of Columbia | $27.85 | $19.98 | |
| California | $27.29 | $19.39 | |
| New York | $27.22 | $19.77 | |
| New Jersey | $27.21 | $19.69 | |
| Washington | $26.91 | $19.29 | |
| Massachusetts | $26.72 | $19.21 | |
| Connecticut | $26.33 | $19.13 | |
| Hawaii | $26.33 | $18.73 | |
| Colorado | $25.79 | $18.68 | |
| Maryland | $25.75 | $18.79 | |
| Florida | $25.72 | $19.02 | |
| Rhode Island | $25.60 | $18.70 | |
| Oregon | $25.58 | $18.54 | |
| New Hampshire | $25.43 | $18.48 | |
| Illinois | $25.32 | $18.87 | |
| Puerto Rico | $25.17 | $18.41 | |
| Virgin Islands | $25.17 | $18.41 | |
| Montana | $25.05 | $18.37 | |
| Pennsylvania | $24.98 | $18.44 | |
| Nevada | $24.95 | $18.26 | |
| Delaware | $24.91 | $18.31 | |
| Minnesota | $24.91 | $18.04 | |
| Texas | $24.90 | $18.32 | |
| Wyoming | $24.88 | $18.20 | |
| Georgia | $24.68 | $18.31 | |
| Virginia | $24.66 | $18.09 | |
| North Dakota | $24.65 | $17.97 | |
| Michigan | $24.63 | $18.36 | |
| South Dakota | $24.61 | $17.93 | |
| Vermont | $24.61 | $17.99 | |
| Arizona | $24.60 | $18.13 | |
| Maine | $24.30 | $17.91 | |
| Utah | $24.30 | $18.02 | |
| New Mexico | $24.24 | $18.12 | |
| Missouri | $24.11 | $17.98 | |
| Wisconsin | $24.11 | $17.71 | |
| Louisiana | $24.09 | $18.00 | |
| South Carolina | $24.09 | $17.91 | |
| Ohio | $24.07 | $17.97 | |
| North Carolina | $24.05 | $17.82 | |
| Indiana | $23.88 | $17.69 | |
| West Virginia | $23.85 | $18.05 | |
| Idaho | $23.79 | $17.64 | |
| Nebraska | $23.76 | $17.59 | |
| Kentucky | $23.73 | $17.79 | |
| Tennessee | $23.71 | $17.64 | |
| Oklahoma | $23.69 | $17.72 | |
| Iowa | $23.68 | $17.57 | |
| Kansas | $23.63 | $17.59 | |
| Alabama | $23.34 | $17.50 | |
| Mississippi | $23.30 | $17.55 | |
| Arkansas | $23.13 | $17.39 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates