CPT 92235 pays $162.33 in a non-facility setting and $162.33 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $142.65 in Arkansas to $188.16 in District of Columbia, a 32% spread.
National non-facility rate
$162.33
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 | $188.16 | $188.16 | |
| California | $188.06 | $188.06 | |
| Alaska | $183.14 | $183.14 | |
| Washington | $182.17 | $182.17 | |
| New Jersey | $180.94 | $180.94 | |
| Hawaii | $180.85 | $180.85 | |
| Massachusetts | $179.87 | $179.87 | |
| New York | $179.59 | $179.59 | |
| Connecticut | $173.53 | $173.53 | |
| Colorado | $171.26 | $171.26 | |
| Oregon | $169.68 | $169.68 | |
| Maryland | $168.53 | $168.53 | |
| New Hampshire | $167.87 | $167.87 | |
| Rhode Island | $167.25 | $167.25 | |
| Minnesota | $165.84 | $165.84 | |
| Puerto Rico | $163.83 | $163.83 | |
| Virgin Islands | $163.83 | $163.83 | |
| Florida | $163.42 | $163.42 | |
| Nevada | $162.35 | $162.35 | |
| Montana | $162.33 | $162.33 | |
| Wyoming | $162.15 | $162.15 | |
| North Dakota | $161.93 | $161.93 | |
| South Dakota | $161.88 | $161.88 | |
| Delaware | $160.74 | $160.74 | |
| Vermont | $160.63 | $160.63 | |
| Texas | $160.29 | $160.29 | |
| Virginia | $159.80 | $159.80 | |
| Pennsylvania | $159.78 | $159.78 | |
| Illinois | $158.39 | $158.39 | |
| Arizona | $157.98 | $157.98 | |
| Georgia | $156.18 | $156.18 | |
| Wisconsin | $156.10 | $156.10 | |
| Maine | $155.97 | $155.97 | |
| Michigan | $154.23 | $154.23 | |
| Utah | $154.02 | $154.02 | |
| North Carolina | $152.89 | $152.89 | |
| Indiana | $151.96 | $151.96 | |
| South Carolina | $151.80 | $151.80 | |
| Nebraska | $151.34 | $151.34 | |
| New Mexico | $151.07 | $151.07 | |
| Missouri | $151.02 | $151.02 | |
| Idaho | $150.99 | $150.99 | |
| Louisiana | $150.42 | $150.42 | |
| Ohio | $150.39 | $150.39 | |
| Iowa | $150.26 | $150.26 | |
| Tennessee | $149.53 | $149.53 | |
| Kansas | $148.82 | $148.82 | |
| Oklahoma | $147.49 | $147.49 | |
| Kentucky | $147.03 | $147.03 | |
| Alabama | $144.88 | $144.88 | |
| West Virginia | $144.63 | $144.63 | |
| Mississippi | $143.07 | $143.07 | |
| Arkansas | $142.65 | $142.65 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates