CPT 92355 pays $23.38 in a non-facility setting and $23.38 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $19.85 in Arkansas to $27.50 in District of Columbia, a 39% spread.
National non-facility rate
$23.38
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 39% 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 | $27.50 | $27.50 | |
| California | $27.24 | $27.24 | |
| Washington | $26.42 | $26.42 | |
| New Jersey | $26.30 | $26.30 | |
| New York | $26.25 | $26.25 | |
| Hawaii | $26.21 | $26.21 | |
| Massachusetts | $26.08 | $26.08 | |
| Connecticut | $25.27 | $25.27 | |
| Colorado | $24.69 | $24.69 | |
| Alaska | $24.56 | $24.56 | |
| Oregon | $24.41 | $24.41 | |
| Maryland | $24.40 | $24.40 | |
| New Hampshire | $24.23 | $24.23 | |
| Florida | $24.09 | $24.09 | |
| Rhode Island | $24.06 | $24.06 | |
| Puerto Rico | $23.62 | $23.62 | |
| Virgin Islands | $23.62 | $23.62 | |
| Minnesota | $23.57 | $23.57 | |
| Montana | $23.38 | $23.38 | |
| Nevada | $23.29 | $23.29 | |
| Illinois | $23.22 | $23.22 | |
| Wyoming | $23.21 | $23.21 | |
| Delaware | $23.04 | $23.04 | |
| North Dakota | $22.98 | $22.98 | |
| Texas | $22.98 | $22.98 | |
| Pennsylvania | $22.96 | $22.96 | |
| South Dakota | $22.94 | $22.94 | |
| Vermont | $22.82 | $22.82 | |
| Virginia | $22.80 | $22.80 | |
| Arizona | $22.58 | $22.58 | |
| Georgia | $22.47 | $22.47 | |
| Michigan | $22.27 | $22.27 | |
| Maine | $22.12 | $22.12 | |
| Wisconsin | $21.96 | $21.96 | |
| Utah | $21.95 | $21.95 | |
| New Mexico | $21.63 | $21.63 | |
| North Carolina | $21.62 | $21.62 | |
| South Carolina | $21.55 | $21.55 | |
| Missouri | $21.50 | $21.50 | |
| Louisiana | $21.44 | $21.44 | |
| Ohio | $21.41 | $21.41 | |
| Indiana | $21.38 | $21.38 | |
| Nebraska | $21.22 | $21.22 | |
| Idaho | $21.21 | $21.21 | |
| Iowa | $21.05 | $21.05 | |
| Tennessee | $21.00 | $21.00 | |
| Kansas | $20.87 | $20.87 | |
| Kentucky | $20.80 | $20.80 | |
| Oklahoma | $20.80 | $20.80 | |
| West Virginia | $20.69 | $20.69 | |
| Alabama | $20.25 | $20.25 | |
| Mississippi | $20.05 | $20.05 | |
| Arkansas | $19.85 | $19.85 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates