CPT 92230 pays $132.94 in a non-facility setting and $26.72 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $116.51 in Arkansas to $154.07 in District of Columbia, a 32% spread.
National non-facility rate
$132.94
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 32% 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 | $154.07 | $28.95 | |
| California | $153.54 | $27.86 | |
| Alaska | $149.46 | $36.34 | |
| Washington | $148.94 | $27.85 | |
| New Jersey | $148.16 | $28.56 | |
| Hawaii | $147.70 | $26.94 | |
| New York | $147.28 | $28.79 | |
| Massachusetts | $147.11 | $27.77 | |
| Connecticut | $142.23 | $27.83 | |
| Colorado | $140.04 | $27.03 | |
| Oregon | $138.71 | $26.81 | |
| Maryland | $138.05 | $27.32 | |
| New Hampshire | $137.36 | $26.79 | |
| Rhode Island | $136.86 | $27.14 | |
| Minnesota | $135.24 | $25.94 | |
| Florida | $134.57 | $28.00 | |
| Puerto Rico | $134.15 | $26.76 | |
| Virgin Islands | $134.15 | $26.76 | |
| Montana | $132.93 | $26.72 | |
| Nevada | $132.82 | $26.50 | |
| Wyoming | $132.59 | $26.37 | |
| North Dakota | $132.14 | $25.93 | |
| South Dakota | $132.05 | $25.83 | |
| Delaware | $131.56 | $26.62 | |
| Texas | $131.21 | $26.65 | |
| Vermont | $131.16 | $26.00 | |
| Pennsylvania | $130.91 | $26.87 | |
| Virginia | $130.64 | $26.23 | |
| Illinois | $130.45 | $27.82 | |
| Arizona | $129.27 | $26.35 | |
| Georgia | $128.08 | $26.75 | |
| Maine | $127.46 | $25.97 | |
| Wisconsin | $127.31 | $25.56 | |
| Michigan | $126.65 | $26.92 | |
| Utah | $126.09 | $26.24 | |
| North Carolina | $124.96 | $25.86 | |
| South Carolina | $124.23 | $26.09 | |
| Indiana | $124.08 | $25.62 | |
| New Mexico | $123.92 | $26.52 | |
| Missouri | $123.70 | $26.23 | |
| Nebraska | $123.49 | $25.45 | |
| Idaho | $123.28 | $25.56 | |
| Louisiana | $123.26 | $26.29 | |
| Ohio | $123.21 | $26.24 | |
| Iowa | $122.62 | $25.43 | |
| Tennessee | $122.13 | $25.59 | |
| Kansas | $121.53 | $25.51 | |
| Oklahoma | $120.67 | $25.82 | |
| Kentucky | $120.40 | $25.98 | |
| West Virginia | $118.85 | $26.55 | |
| Alabama | $118.37 | $25.43 | |
| Mississippi | $117.03 | $25.58 | |
| Arkansas | $116.51 | $25.27 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates