CPT 92354 pays $14.70 in a non-facility setting and $14.70 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $12.51 in Arkansas to $17.29 in District of Columbia, a 38% spread.
National non-facility rate
$14.70
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 38% 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 | $17.29 | $17.29 | |
| California | $17.18 | $17.18 | |
| Washington | $16.64 | $16.64 | |
| New Jersey | $16.53 | $16.53 | |
| Hawaii | $16.52 | $16.52 | |
| New York | $16.48 | $16.48 | |
| Massachusetts | $16.42 | $16.42 | |
| Connecticut | $15.87 | $15.87 | |
| Colorado | $15.54 | $15.54 | |
| Alaska | $15.48 | $15.48 | |
| Oregon | $15.37 | $15.37 | |
| Maryland | $15.33 | $15.33 | |
| New Hampshire | $15.24 | $15.24 | |
| Rhode Island | $15.13 | $15.13 | |
| Florida | $15.06 | $15.06 | |
| Minnesota | $14.88 | $14.88 | |
| Puerto Rico | $14.85 | $14.85 | |
| Virgin Islands | $14.85 | $14.85 | |
| Montana | $14.70 | $14.70 | |
| Nevada | $14.65 | $14.65 | |
| Wyoming | $14.61 | $14.61 | |
| Illinois | $14.52 | $14.52 | |
| North Dakota | $14.50 | $14.50 | |
| Delaware | $14.49 | $14.49 | |
| South Dakota | $14.47 | $14.47 | |
| Texas | $14.45 | $14.45 | |
| Pennsylvania | $14.43 | $14.43 | |
| Vermont | $14.39 | $14.39 | |
| Virginia | $14.35 | $14.35 | |
| Arizona | $14.20 | $14.20 | |
| Georgia | $14.10 | $14.10 | |
| Michigan | $13.96 | $13.96 | |
| Maine | $13.93 | $13.93 | |
| Wisconsin | $13.86 | $13.86 | |
| Utah | $13.80 | $13.80 | |
| North Carolina | $13.61 | $13.61 | |
| New Mexico | $13.57 | $13.57 | |
| South Carolina | $13.55 | $13.55 | |
| Missouri | $13.51 | $13.51 | |
| Indiana | $13.48 | $13.48 | |
| Louisiana | $13.46 | $13.46 | |
| Ohio | $13.45 | $13.45 | |
| Nebraska | $13.38 | $13.38 | |
| Idaho | $13.37 | $13.37 | |
| Iowa | $13.27 | $13.27 | |
| Tennessee | $13.23 | $13.23 | |
| Kansas | $13.15 | $13.15 | |
| Oklahoma | $13.09 | $13.09 | |
| Kentucky | $13.07 | $13.07 | |
| West Virginia | $12.96 | $12.96 | |
| Alabama | $12.76 | $12.76 | |
| Mississippi | $12.61 | $12.61 | |
| Arkansas | $12.51 | $12.51 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates