CPT 92228

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CPT 92228 pays $30.39 in a non-facility setting and $30.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $27.34 in Arkansas to $36.53 in Alaska, a 34% spread.

National non-facility rate

$30.39

Office and other outpatient settings

Facility rate
$30.39

Hospital and ASC settings

Highest state
$36.53

Alaska

Lowest state
$27.34

Arkansas · 34% 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 $30.39
CPT 92228 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $30.39, national facility $30.39.
StateRate compared visuallyNon-facilityFacility
Alaska
$36.53$36.53
District of Columbia
$34.48$34.48
California
$34.01$34.01
New Jersey
$33.42$33.42
New York
$33.37$33.37
Washington
$33.29$33.29
Massachusetts
$32.98$32.98
Hawaii
$32.77$32.77
Connecticut
$32.23$32.23
Colorado
$31.61$31.61
Maryland
$31.40$31.40
Oregon
$31.33$31.33
Rhode Island
$31.16$31.16
New Hampshire
$31.11$31.11
Florida
$31.09$31.09
Puerto Rico
$30.60$30.60
Virgin Islands
$30.60$30.60
Minnesota
$30.49$30.49
Illinois
$30.39$30.39
Montana
$30.39$30.39
Nevada
$30.30$30.30
Wyoming
$30.22$30.22
Delaware
$30.15$30.15
Pennsylvania
$30.14$30.14
Texas
$30.10$30.10
North Dakota
$30.00$30.00
South Dakota
$29.95$29.95
Vermont
$29.87$29.87
Virginia
$29.87$29.87
Arizona
$29.70$29.70
Georgia
$29.65$29.65
Michigan
$29.49$29.49
Maine
$29.28$29.28
Utah
$29.16$29.16
Wisconsin
$29.12$29.12
New Mexico
$28.92$28.92
North Carolina
$28.86$28.86
South Carolina
$28.82$28.82
Missouri
$28.79$28.79
Louisiana
$28.74$28.74
Ohio
$28.71$28.71
Indiana
$28.64$28.64
Idaho
$28.49$28.49
Nebraska
$28.49$28.49
Iowa
$28.35$28.35
Tennessee
$28.32$28.32
Kansas
$28.20$28.20
Kentucky
$28.19$28.19
Oklahoma
$28.17$28.17
West Virginia
$28.14$28.14
Alabama
$27.68$27.68
Mississippi
$27.53$27.53
Arkansas
$27.34$27.34

Billed by 2 specialties

Commercial rates for 92228

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

See negotiated rates