CPT 92227 pays $18.70 in a non-facility setting and $18.70 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $15.95 in Arkansas to $22.01 in District of Columbia, a 38% spread.
National non-facility rate
$18.70
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
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 |
|---|---|---|---|
| District of Columbia | $22.01 | $22.01 | |
| California | $21.92 | $21.92 | |
| Washington | $21.21 | $21.21 | |
| Hawaii | $21.08 | $21.08 | |
| New Jersey | $21.05 | $21.05 | |
| New York | $20.95 | $20.95 | |
| Massachusetts | $20.92 | $20.92 | |
| Connecticut | $20.19 | $20.19 | |
| Colorado | $19.81 | $19.81 | |
| Alaska | $19.75 | $19.75 | |
| Oregon | $19.59 | $19.59 | |
| Maryland | $19.51 | $19.51 | |
| New Hampshire | $19.42 | $19.42 | |
| Rhode Island | $19.27 | $19.27 | |
| Florida | $19.08 | $19.08 | |
| Minnesota | $19.00 | $19.00 | |
| Puerto Rico | $18.90 | $18.90 | |
| Virgin Islands | $18.90 | $18.90 | |
| Montana | $18.70 | $18.70 | |
| Nevada | $18.67 | $18.67 | |
| Wyoming | $18.62 | $18.62 | |
| North Dakota | $18.51 | $18.51 | |
| South Dakota | $18.48 | $18.48 | |
| Delaware | $18.45 | $18.45 | |
| Texas | $18.40 | $18.40 | |
| Illinois | $18.39 | $18.39 | |
| Vermont | $18.36 | $18.36 | |
| Pennsylvania | $18.35 | $18.35 | |
| Virginia | $18.29 | $18.29 | |
| Arizona | $18.09 | $18.09 | |
| Georgia | $17.93 | $17.93 | |
| Maine | $17.76 | $17.76 | |
| Michigan | $17.72 | $17.72 | |
| Wisconsin | $17.70 | $17.70 | |
| Utah | $17.57 | $17.57 | |
| North Carolina | $17.35 | $17.35 | |
| South Carolina | $17.26 | $17.26 | |
| New Mexico | $17.25 | $17.25 | |
| Indiana | $17.19 | $17.19 | |
| Missouri | $17.19 | $17.19 | |
| Louisiana | $17.12 | $17.12 | |
| Ohio | $17.11 | $17.11 | |
| Nebraska | $17.08 | $17.08 | |
| Idaho | $17.06 | $17.06 | |
| Iowa | $16.94 | $16.94 | |
| Tennessee | $16.88 | $16.88 | |
| Kansas | $16.78 | $16.78 | |
| Oklahoma | $16.66 | $16.66 | |
| Kentucky | $16.64 | $16.64 | |
| West Virginia | $16.44 | $16.44 | |
| Alabama | $16.26 | $16.26 | |
| Mississippi | $16.06 | $16.06 | |
| Arkansas | $15.95 | $15.95 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates