CPT 92316 pays $97.86 in a non-facility setting and $26.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $87.06 in Arkansas to $113.64 in Alaska, a 31% spread.
National non-facility rate
$97.86
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $113.64 | $37.52 | |
| District of Columbia | $112.53 | $28.33 | |
| California | $112.34 | $27.76 | |
| Washington | $109.06 | $27.57 | |
| New Jersey | $108.54 | $28.05 | |
| Hawaii | $108.07 | $26.80 | |
| Massachusetts | $107.76 | $27.46 | |
| New York | $107.76 | $28.02 | |
| Connecticut | $104.19 | $27.21 | |
| Colorado | $102.89 | $26.83 | |
| Oregon | $101.99 | $26.69 | |
| Maryland | $101.39 | $26.87 | |
| New Hampshire | $100.92 | $26.51 | |
| Rhode Island | $100.74 | $26.90 | |
| Minnesota | $99.82 | $26.27 | |
| Puerto Rico | $98.69 | $26.43 | |
| Virgin Islands | $98.69 | $26.43 | |
| Florida | $98.43 | $26.72 | |
| Nevada | $97.88 | $26.33 | |
| Montana | $97.86 | $26.39 | |
| Wyoming | $97.78 | $26.30 | |
| North Dakota | $97.67 | $26.19 | |
| South Dakota | $97.64 | $26.16 | |
| Delaware | $97.04 | $26.42 | |
| Vermont | $96.94 | $26.18 | |
| Texas | $96.79 | $26.42 | |
| Pennsylvania | $96.54 | $26.53 | |
| Virginia | $96.48 | $26.22 | |
| Illinois | $95.70 | $26.63 | |
| Arizona | $95.48 | $26.21 | |
| Georgia | $94.49 | $26.30 | |
| Wisconsin | $94.46 | $25.99 | |
| Maine | $94.38 | $26.08 | |
| Michigan | $93.40 | $26.28 | |
| Utah | $93.30 | $26.11 | |
| North Carolina | $92.69 | $26.00 | |
| Indiana | $92.18 | $25.92 | |
| South Carolina | $92.08 | $26.03 | |
| Nebraska | $91.84 | $25.87 | |
| New Mexico | $91.67 | $26.12 | |
| Idaho | $91.65 | $25.89 | |
| Missouri | $91.64 | $26.05 | |
| Louisiana | $91.31 | $26.05 | |
| Ohio | $91.30 | $26.04 | |
| Iowa | $91.25 | $25.84 | |
| Tennessee | $90.84 | $25.87 | |
| Kansas | $90.45 | $25.84 | |
| Oklahoma | $89.71 | $25.88 | |
| Kentucky | $89.46 | $25.91 | |
| Alabama | $88.28 | $25.74 | |
| West Virginia | $88.12 | $26.01 | |
| Mississippi | $87.28 | $25.74 | |
| Arkansas | $87.06 | $25.66 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates