CPT 92540

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CPT 92540 pays $103.54 in a non-facility setting and $103.54 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $95.59 in Arkansas to $131.14 in Alaska, a 37% spread.

National non-facility rate

$103.54

Office and other outpatient settings

Facility rate
$103.54

Hospital and ASC settings

Highest state
$131.14

Alaska

Lowest state
$95.59

Arkansas · 37% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $103.54
CPT 92540 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $103.54, national facility $103.54.
StateRate compared visuallyNon-facilityFacility
Alaska
$131.14$131.14
District of Columbia
$115.88$115.88
California
$114.90$114.90
New Jersey
$112.93$112.93
Washington
$112.51$112.51
New York
$112.35$112.35
Massachusetts
$111.51$111.51
Hawaii
$110.67$110.67
Connecticut
$108.82$108.82
Colorado
$107.44$107.44
Oregon
$106.64$106.64
Maryland
$106.53$106.53
Rhode Island
$106.18$106.18
New Hampshire
$105.68$105.68
Minnesota
$104.64$104.64
Florida
$104.36$104.36
Puerto Rico
$104.13$104.13
Virgin Islands
$104.13$104.13
Montana
$103.54$103.54
Nevada
$103.49$103.49
Wyoming
$103.37$103.37
North Dakota
$103.15$103.15
South Dakota
$103.10$103.10
Delaware
$103.07$103.07
Pennsylvania
$102.92$102.92
Texas
$102.92$102.92
Vermont
$102.67$102.67
Illinois
$102.50$102.50
Virginia
$102.43$102.43
Arizona
$101.77$101.77
Georgia
$101.26$101.26
Maine
$100.89$100.89
Wisconsin
$100.81$100.81
Michigan
$100.51$100.51
Utah
$100.23$100.23
North Carolina
$99.68$99.68
South Carolina
$99.33$99.33
Indiana
$99.25$99.25
New Mexico
$99.19$99.19
Missouri
$99.08$99.08
Nebraska
$98.96$98.96
Louisiana
$98.87$98.87
Idaho
$98.86$98.86
Ohio
$98.84$98.84
Iowa
$98.54$98.54
Tennessee
$98.31$98.31
Kansas
$98.02$98.02
Oklahoma
$97.60$97.60
Kentucky
$97.48$97.48
West Virginia
$96.74$96.74
Alabama
$96.49$96.49
Mississippi
$95.85$95.85
Arkansas
$95.59$95.59

Billed by 1 specialties

Commercial rates for 92540

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates