CPT 92315 pays $79.16 in a non-facility setting and $17.70 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $69.96 in Arkansas to $91.41 in District of Columbia, a 31% spread.
National non-facility rate
$79.16
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 31% 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 |
|---|---|---|---|
| District of Columbia | $91.41 | $19.01 | |
| California | $91.29 | $18.57 | |
| Alaska | $90.53 | $25.07 | |
| Washington | $88.53 | $18.47 | |
| New Jersey | $88.02 | $18.82 | |
| Hawaii | $87.81 | $17.93 | |
| Massachusetts | $87.45 | $18.40 | |
| New York | $87.39 | $18.83 | |
| Connecticut | $84.46 | $18.27 | |
| Colorado | $83.37 | $17.98 | |
| Oregon | $82.62 | $17.87 | |
| Maryland | $82.10 | $18.03 | |
| New Hampshire | $81.75 | $17.77 | |
| Rhode Island | $81.52 | $18.03 | |
| Minnesota | $80.78 | $17.54 | |
| Puerto Rico | $79.86 | $17.73 | |
| Virgin Islands | $79.86 | $17.73 | |
| Florida | $79.69 | $18.03 | |
| Nevada | $79.17 | $17.65 | |
| Montana | $79.16 | $17.70 | |
| Wyoming | $79.07 | $17.62 | |
| North Dakota | $78.96 | $17.50 | |
| South Dakota | $78.94 | $17.48 | |
| Delaware | $78.43 | $17.71 | |
| Vermont | $78.35 | $17.51 | |
| Texas | $78.22 | $17.72 | |
| Pennsylvania | $78.00 | $17.80 | |
| Virginia | $77.97 | $17.56 | |
| Illinois | $77.35 | $17.97 | |
| Arizona | $77.12 | $17.57 | |
| Georgia | $76.30 | $17.67 | |
| Wisconsin | $76.24 | $17.36 | |
| Maine | $76.18 | $17.46 | |
| Michigan | $75.38 | $17.68 | |
| Utah | $75.28 | $17.51 | |
| North Carolina | $74.74 | $17.40 | |
| Indiana | $74.31 | $17.34 | |
| South Carolina | $74.24 | $17.45 | |
| Nebraska | $74.01 | $17.29 | |
| New Mexico | $73.90 | $17.55 | |
| Missouri | $73.87 | $17.48 | |
| Idaho | $73.85 | $17.31 | |
| Louisiana | $73.60 | $17.49 | |
| Ohio | $73.58 | $17.47 | |
| Iowa | $73.51 | $17.27 | |
| Tennessee | $73.17 | $17.30 | |
| Kansas | $72.84 | $17.28 | |
| Oklahoma | $72.22 | $17.34 | |
| Kentucky | $72.01 | $17.38 | |
| Alabama | $71.00 | $17.22 | |
| West Virginia | $70.90 | $17.50 | |
| Mississippi | $70.16 | $17.24 | |
| Arkansas | $69.96 | $17.16 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates