CPT 92250 pays $37.07 in a non-facility setting and $37.07 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $33.45 in Arkansas to $44.81 in Alaska, a 34% spread.
National non-facility rate
$37.07
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $44.81 | $44.81 | |
| District of Columbia | $42.02 | $42.02 | |
| California | $41.52 | $41.52 | |
| New Jersey | $40.75 | $40.75 | |
| New York | $40.64 | $40.64 | |
| Washington | $40.62 | $40.62 | |
| Massachusetts | $40.23 | $40.23 | |
| Hawaii | $40.00 | $40.00 | |
| Connecticut | $39.28 | $39.28 | |
| Colorado | $38.58 | $38.58 | |
| Maryland | $38.29 | $38.29 | |
| Oregon | $38.25 | $38.25 | |
| Rhode Island | $38.02 | $38.02 | |
| New Hampshire | $37.95 | $37.95 | |
| Florida | $37.79 | $37.79 | |
| Puerto Rico | $37.32 | $37.32 | |
| Virgin Islands | $37.32 | $37.32 | |
| Minnesota | $37.28 | $37.28 | |
| Montana | $37.07 | $37.07 | |
| Nevada | $36.99 | $36.99 | |
| Illinois | $36.94 | $36.94 | |
| Wyoming | $36.90 | $36.90 | |
| Delaware | $36.79 | $36.79 | |
| Pennsylvania | $36.76 | $36.76 | |
| Texas | $36.74 | $36.74 | |
| North Dakota | $36.68 | $36.68 | |
| South Dakota | $36.63 | $36.63 | |
| Vermont | $36.51 | $36.51 | |
| Virginia | $36.48 | $36.48 | |
| Arizona | $36.25 | $36.25 | |
| Georgia | $36.15 | $36.15 | |
| Michigan | $35.92 | $35.92 | |
| Maine | $35.79 | $35.79 | |
| Wisconsin | $35.63 | $35.63 | |
| Utah | $35.60 | $35.60 | |
| New Mexico | $35.27 | $35.27 | |
| North Carolina | $35.27 | $35.27 | |
| South Carolina | $35.20 | $35.20 | |
| Missouri | $35.14 | $35.14 | |
| Louisiana | $35.07 | $35.07 | |
| Ohio | $35.05 | $35.05 | |
| Indiana | $35.02 | $35.02 | |
| Nebraska | $34.86 | $34.86 | |
| Idaho | $34.85 | $34.85 | |
| Iowa | $34.68 | $34.68 | |
| Tennessee | $34.64 | $34.64 | |
| Kansas | $34.50 | $34.50 | |
| Kentucky | $34.42 | $34.42 | |
| Oklahoma | $34.42 | $34.42 | |
| West Virginia | $34.30 | $34.30 | |
| Alabama | $33.86 | $33.86 | |
| Mississippi | $33.65 | $33.65 | |
| Arkansas | $33.45 | $33.45 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates