CPT 92240 pays $245.50 in a non-facility setting and $245.50 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $213.64 in Arkansas to $285.79 in District of Columbia, a 34% spread.
National non-facility rate
$245.50
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 34% 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 | $285.79 | $285.79 | |
| California | $284.94 | $284.94 | |
| Washington | $276.10 | $276.10 | |
| New Jersey | $274.37 | $274.37 | |
| Hawaii | $274.07 | $274.07 | |
| New York | $272.75 | $272.75 | |
| Massachusetts | $272.59 | $272.59 | |
| Alaska | $271.41 | $271.41 | |
| Connecticut | $263.27 | $263.27 | |
| Colorado | $259.10 | $259.10 | |
| Oregon | $256.56 | $256.56 | |
| Maryland | $255.26 | $255.26 | |
| New Hampshire | $254.05 | $254.05 | |
| Rhode Island | $252.86 | $252.86 | |
| Minnesota | $249.90 | $249.90 | |
| Florida | $248.75 | $248.75 | |
| Puerto Rico | $247.84 | $247.84 | |
| Virgin Islands | $247.84 | $247.84 | |
| Montana | $245.49 | $245.49 | |
| Nevada | $245.27 | $245.27 | |
| Wyoming | $244.80 | $244.80 | |
| North Dakota | $243.91 | $243.91 | |
| South Dakota | $243.72 | $243.72 | |
| Delaware | $242.76 | $242.76 | |
| Texas | $242.09 | $242.09 | |
| Vermont | $242.01 | $242.01 | |
| Pennsylvania | $241.47 | $241.47 | |
| Virginia | $241.03 | $241.03 | |
| Illinois | $240.71 | $240.71 | |
| Arizona | $238.39 | $238.39 | |
| Georgia | $236.09 | $236.09 | |
| Maine | $234.85 | $234.85 | |
| Wisconsin | $234.54 | $234.54 | |
| Michigan | $233.36 | $233.36 | |
| Utah | $232.22 | $232.22 | |
| North Carolina | $230.01 | $230.01 | |
| South Carolina | $228.62 | $228.62 | |
| Indiana | $228.30 | $228.30 | |
| New Mexico | $228.04 | $228.04 | |
| Missouri | $227.61 | $227.61 | |
| Nebraska | $227.14 | $227.14 | |
| Louisiana | $226.76 | $226.76 | |
| Idaho | $226.75 | $226.75 | |
| Ohio | $226.66 | $226.66 | |
| Iowa | $225.46 | $225.46 | |
| Tennessee | $224.53 | $224.53 | |
| Kansas | $223.36 | $223.36 | |
| Oklahoma | $221.71 | $221.71 | |
| Kentucky | $221.21 | $221.21 | |
| West Virginia | $218.25 | $218.25 | |
| Alabama | $217.24 | $217.24 | |
| Mississippi | $214.67 | $214.67 | |
| Arkansas | $213.64 | $213.64 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates