CPT 92504 pays $28.72 in a non-facility setting and $7.68 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $25.41 in Arkansas to $33.07 in District of Columbia, a 30% spread.
National non-facility rate
$28.72
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 30% 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 | $33.07 | $8.28 | |
| Alaska | $33.04 | $10.63 | |
| California | $32.89 | $7.99 | |
| Washington | $31.98 | $7.99 | |
| New Jersey | $31.88 | $8.19 | |
| New York | $31.72 | $8.24 | |
| Hawaii | $31.65 | $7.72 | |
| Massachusetts | $31.61 | $7.97 | |
| Connecticut | $30.64 | $7.98 | |
| Colorado | $30.16 | $7.77 | |
| Oregon | $29.88 | $7.71 | |
| Maryland | $29.78 | $7.84 | |
| New Hampshire | $29.60 | $7.70 | |
| Rhode Island | $29.54 | $7.80 | |
| Minnesota | $29.14 | $7.49 | |
| Florida | $29.12 | $8.00 | |
| Puerto Rico | $28.97 | $7.69 | |
| Virgin Islands | $28.97 | $7.69 | |
| Montana | $28.72 | $7.68 | |
| Nevada | $28.69 | $7.63 | |
| Wyoming | $28.64 | $7.60 | |
| North Dakota | $28.53 | $7.48 | |
| South Dakota | $28.50 | $7.46 | |
| Delaware | $28.45 | $7.66 | |
| Texas | $28.39 | $7.67 | |
| Pennsylvania | $28.34 | $7.73 | |
| Vermont | $28.34 | $7.50 | |
| Illinois | $28.29 | $7.96 | |
| Virginia | $28.25 | $7.56 | |
| Arizona | $27.98 | $7.59 | |
| Georgia | $27.77 | $7.70 | |
| Maine | $27.60 | $7.50 | |
| Wisconsin | $27.55 | $7.39 | |
| Michigan | $27.50 | $7.74 | |
| Utah | $27.35 | $7.57 | |
| North Carolina | $27.10 | $7.47 | |
| South Carolina | $26.97 | $7.53 | |
| New Mexico | $26.93 | $7.64 | |
| Indiana | $26.92 | $7.41 | |
| Missouri | $26.88 | $7.57 | |
| Louisiana | $26.79 | $7.58 | |
| Nebraska | $26.79 | $7.37 | |
| Ohio | $26.78 | $7.57 | |
| Idaho | $26.76 | $7.40 | |
| Iowa | $26.62 | $7.37 | |
| Tennessee | $26.53 | $7.41 | |
| Kansas | $26.41 | $7.39 | |
| Oklahoma | $26.26 | $7.46 | |
| Kentucky | $26.21 | $7.51 | |
| West Virginia | $25.94 | $7.65 | |
| Alabama | $25.78 | $7.37 | |
| Mississippi | $25.53 | $7.41 | |
| Arkansas | $25.41 | $7.33 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates