# CPT 92286: Ant Sgm Imaging I&r Speclr Microscopy&ndthl Alys

Medicare CPT 92286 pays $39.41 in a non-facility setting and $39.41 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $35.46 in Arkansas to $47.30 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/92286-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $39.41 |
| National facility | $39.41 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $47.30 | $47.30 |
| District of Columbia | $44.77 | $44.77 |
| California | $44.29 | $44.29 |
| New Jersey | $43.38 | $43.38 |
| Washington | $43.29 | $43.29 |
| New York | $43.24 | $43.24 |
| Massachusetts | $42.86 | $42.86 |
| Hawaii | $42.66 | $42.66 |
| Connecticut | $41.79 | $41.79 |
| Colorado | $41.07 | $41.07 |
| Maryland | $40.73 | $40.73 |
| Oregon | $40.71 | $40.71 |
| Rhode Island | $40.44 | $40.44 |
| New Hampshire | $40.38 | $40.38 |
| Florida | $40.13 | $40.13 |
| Minnesota | $39.69 | $39.69 |
| Puerto Rico | $39.69 | $39.69 |
| Virgin Islands | $39.69 | $39.69 |
| Montana | $39.41 | $39.41 |
| Nevada | $39.33 | $39.33 |
| Wyoming | $39.24 | $39.24 |
| Illinois | $39.20 | $39.20 |
| Delaware | $39.10 | $39.10 |
| Pennsylvania | $39.05 | $39.05 |
| Texas | $39.04 | $39.04 |
| North Dakota | $39.02 | $39.02 |
| South Dakota | $38.97 | $38.97 |
| Vermont | $38.83 | $38.83 |
| Virginia | $38.78 | $38.78 |
| Arizona | $38.52 | $38.52 |
| Georgia | $38.38 | $38.38 |
| Michigan | $38.11 | $38.11 |
| Maine | $38.02 | $38.02 |
| Wisconsin | $37.87 | $37.87 |
| Utah | $37.80 | $37.80 |
| North Carolina | $37.45 | $37.45 |
| New Mexico | $37.41 | $37.41 |
| South Carolina | $37.36 | $37.36 |
| Missouri | $37.29 | $37.29 |
| Louisiana | $37.21 | $37.21 |
| Indiana | $37.19 | $37.19 |
| Ohio | $37.18 | $37.18 |
| Nebraska | $37.02 | $37.02 |
| Idaho | $37.00 | $37.00 |
| Iowa | $36.82 | $36.82 |
| Tennessee | $36.76 | $36.76 |
| Kansas | $36.61 | $36.61 |
| Oklahoma | $36.51 | $36.51 |
| Kentucky | $36.50 | $36.50 |
| West Virginia | $36.33 | $36.33 |
| Alabama | $35.91 | $35.91 |
| Mississippi | $35.66 | $35.66 |
| Arkansas | $35.46 | $35.46 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 92286 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules