CPT 92270 pays $125.92 in a non-facility setting and $125.92 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $111.54 in Arkansas to $145.07 in Alaska, a 30% spread.
National non-facility rate
$125.92
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 30% 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 | $145.07 | $145.07 | |
| District of Columbia | $145.00 | $145.00 | |
| California | $144.47 | $144.47 | |
| Washington | $140.34 | $140.34 | |
| New Jersey | $139.78 | $139.78 | |
| Hawaii | $139.00 | $139.00 | |
| New York | $138.92 | $138.92 | |
| Massachusetts | $138.69 | $138.69 | |
| Connecticut | $134.25 | $134.25 | |
| Colorado | $132.32 | $132.32 | |
| Oregon | $131.13 | $131.13 | |
| Maryland | $130.53 | $130.53 | |
| New Hampshire | $129.84 | $129.84 | |
| Rhode Island | $129.57 | $129.57 | |
| Minnesota | $128.07 | $128.07 | |
| Florida | $127.20 | $127.20 | |
| Puerto Rico | $126.99 | $126.99 | |
| Virgin Islands | $126.99 | $126.99 | |
| Montana | $125.92 | $125.92 | |
| Nevada | $125.85 | $125.85 | |
| Wyoming | $125.66 | $125.66 | |
| North Dakota | $125.33 | $125.33 | |
| South Dakota | $125.26 | $125.26 | |
| Delaware | $124.77 | $124.77 | |
| Texas | $124.47 | $124.47 | |
| Vermont | $124.44 | $124.44 | |
| Pennsylvania | $124.21 | $124.21 | |
| Virginia | $123.95 | $123.95 | |
| Illinois | $123.60 | $123.60 | |
| Arizona | $122.72 | $122.72 | |
| Georgia | $121.63 | $121.63 | |
| Maine | $121.16 | $121.16 | |
| Wisconsin | $121.09 | $121.09 | |
| Michigan | $120.32 | $120.32 | |
| Utah | $119.91 | $119.91 | |
| North Carolina | $118.96 | $118.96 | |
| South Carolina | $118.28 | $118.28 | |
| Indiana | $118.21 | $118.21 | |
| New Mexico | $117.94 | $117.94 | |
| Missouri | $117.79 | $117.79 | |
| Nebraska | $117.71 | $117.71 | |
| Idaho | $117.51 | $117.51 | |
| Louisiana | $117.40 | $117.40 | |
| Ohio | $117.36 | $117.36 | |
| Iowa | $116.94 | $116.94 | |
| Tennessee | $116.49 | $116.49 | |
| Kansas | $115.97 | $115.97 | |
| Oklahoma | $115.15 | $115.15 | |
| Kentucky | $114.90 | $114.90 | |
| West Virginia | $113.45 | $113.45 | |
| Alabama | $113.17 | $113.17 | |
| Mississippi | $111.96 | $111.96 | |
| Arkansas | $111.54 | $111.54 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates