CPT 92313 pays $95.53 in a non-facility setting and $35.74 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $86.18 in Arkansas to $114.64 in Alaska, a 33% spread.
National non-facility rate
$95.53
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 33% 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 | $114.64 | $50.97 | |
| District of Columbia | $108.78 | $38.35 | |
| California | $108.39 | $37.64 | |
| Washington | $105.52 | $37.36 | |
| New Jersey | $105.31 | $37.99 | |
| New York | $104.60 | $37.90 | |
| Massachusetts | $104.37 | $37.20 | |
| Hawaii | $104.31 | $36.33 | |
| Connecticut | $101.21 | $36.82 | |
| Colorado | $99.98 | $36.37 | |
| Oregon | $99.16 | $36.17 | |
| Maryland | $98.71 | $36.38 | |
| Rhode Island | $98.21 | $36.45 | |
| New Hampshire | $98.16 | $35.92 | |
| Minnesota | $97.18 | $35.66 | |
| Puerto Rico | $96.24 | $35.79 | |
| Virgin Islands | $96.24 | $35.79 | |
| Florida | $96.06 | $36.07 | |
| Nevada | $95.54 | $35.69 | |
| Montana | $95.53 | $35.74 | |
| Wyoming | $95.44 | $35.65 | |
| North Dakota | $95.33 | $35.54 | |
| South Dakota | $95.30 | $35.52 | |
| Delaware | $94.86 | $35.79 | |
| Vermont | $94.71 | $35.52 | |
| Texas | $94.66 | $35.80 | |
| Pennsylvania | $94.48 | $35.92 | |
| Virginia | $94.32 | $35.55 | |
| Illinois | $93.74 | $35.97 | |
| Arizona | $93.46 | $35.53 | |
| Georgia | $92.64 | $35.60 | |
| Wisconsin | $92.56 | $35.28 | |
| Maine | $92.50 | $35.38 | |
| Michigan | $91.69 | $35.55 | |
| Utah | $91.58 | $35.38 | |
| North Carolina | $91.04 | $35.26 | |
| Indiana | $90.60 | $35.18 | |
| South Carolina | $90.53 | $35.28 | |
| Nebraska | $90.30 | $35.12 | |
| New Mexico | $90.19 | $35.36 | |
| Missouri | $90.16 | $35.29 | |
| Idaho | $90.14 | $35.14 | |
| Louisiana | $89.88 | $35.29 | |
| Ohio | $89.86 | $35.28 | |
| Iowa | $89.79 | $35.08 | |
| Tennessee | $89.44 | $35.10 | |
| Kansas | $89.11 | $35.06 | |
| Oklahoma | $88.48 | $35.09 | |
| Kentucky | $88.27 | $35.12 | |
| Alabama | $87.24 | $34.93 | |
| West Virginia | $87.14 | $35.18 | |
| Mississippi | $86.39 | $34.91 | |
| Arkansas | $86.18 | $34.82 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates