CPT 92260 pays $18.70 in a non-facility setting and $9.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $16.89 in Arkansas to $22.65 in Alaska, a 34% spread.
National non-facility rate
$18.70
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 | $22.65 | $12.34 | |
| District of Columbia | $21.18 | $9.77 | |
| California | $20.93 | $9.47 | |
| New Jersey | $20.55 | $9.64 | |
| New York | $20.49 | $9.69 | |
| Washington | $20.48 | $9.44 | |
| Massachusetts | $20.29 | $9.40 | |
| Hawaii | $20.17 | $9.15 | |
| Connecticut | $19.81 | $9.38 | |
| Colorado | $19.46 | $9.15 | |
| Maryland | $19.31 | $9.22 | |
| Oregon | $19.29 | $9.09 | |
| Rhode Island | $19.18 | $9.18 | |
| New Hampshire | $19.14 | $9.06 | |
| Florida | $19.06 | $9.34 | |
| Puerto Rico | $18.83 | $9.04 | |
| Virgin Islands | $18.83 | $9.04 | |
| Minnesota | $18.81 | $8.84 | |
| Montana | $18.70 | $9.02 | |
| Nevada | $18.66 | $8.96 | |
| Illinois | $18.64 | $9.28 | |
| Wyoming | $18.62 | $8.93 | |
| Delaware | $18.56 | $8.99 | |
| Pennsylvania | $18.55 | $9.06 | |
| Texas | $18.54 | $9.00 | |
| North Dakota | $18.51 | $8.82 | |
| South Dakota | $18.48 | $8.80 | |
| Vermont | $18.42 | $8.83 | |
| Virginia | $18.41 | $8.89 | |
| Arizona | $18.29 | $8.91 | |
| Georgia | $18.24 | $9.00 | |
| Michigan | $18.13 | $9.03 | |
| Maine | $18.06 | $8.80 | |
| Wisconsin | $17.98 | $8.70 | |
| Utah | $17.97 | $8.86 | |
| New Mexico | $17.80 | $8.92 | |
| North Carolina | $17.80 | $8.76 | |
| South Carolina | $17.77 | $8.82 | |
| Missouri | $17.74 | $8.85 | |
| Louisiana | $17.70 | $8.86 | |
| Ohio | $17.69 | $8.85 | |
| Indiana | $17.68 | $8.70 | |
| Nebraska | $17.60 | $8.66 | |
| Idaho | $17.59 | $8.68 | |
| Iowa | $17.51 | $8.65 | |
| Tennessee | $17.49 | $8.68 | |
| Kansas | $17.42 | $8.66 | |
| Kentucky | $17.38 | $8.77 | |
| Oklahoma | $17.38 | $8.73 | |
| West Virginia | $17.32 | $8.90 | |
| Alabama | $17.10 | $8.62 | |
| Mississippi | $16.99 | $8.65 | |
| Arkansas | $16.89 | $8.57 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates