CPT 92542 pays $28.39 in a non-facility setting and $28.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $26.37 in Arkansas to $36.72 in Alaska, a 39% spread.
National non-facility rate
$28.39
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $36.72 | $36.72 | |
| District of Columbia | $31.45 | $31.45 | |
| California | $30.85 | $30.85 | |
| New Jersey | $30.77 | $30.77 | |
| New York | $30.77 | $30.77 | |
| Washington | $30.43 | $30.43 | |
| Massachusetts | $30.22 | $30.22 | |
| Connecticut | $29.77 | $29.77 | |
| Hawaii | $29.76 | $29.76 | |
| Colorado | $29.20 | $29.20 | |
| Maryland | $29.16 | $29.16 | |
| Florida | $29.06 | $29.06 | |
| Rhode Island | $29.01 | $29.01 | |
| Oregon | $28.97 | $28.97 | |
| New Hampshire | $28.80 | $28.80 | |
| Illinois | $28.65 | $28.65 | |
| Puerto Rico | $28.51 | $28.51 | |
| Virgin Islands | $28.51 | $28.51 | |
| Montana | $28.39 | $28.39 | |
| Pennsylvania | $28.33 | $28.33 | |
| Nevada | $28.29 | $28.29 | |
| Minnesota | $28.27 | $28.27 | |
| Delaware | $28.26 | $28.26 | |
| Texas | $28.24 | $28.24 | |
| Wyoming | $28.22 | $28.22 | |
| Georgia | $27.99 | $27.99 | |
| North Dakota | $27.99 | $27.99 | |
| Virginia | $27.99 | $27.99 | |
| South Dakota | $27.95 | $27.95 | |
| Vermont | $27.94 | $27.94 | |
| Michigan | $27.93 | $27.93 | |
| Arizona | $27.92 | $27.92 | |
| Maine | $27.61 | $27.61 | |
| Utah | $27.60 | $27.60 | |
| New Mexico | $27.53 | $27.53 | |
| Wisconsin | $27.42 | $27.42 | |
| Missouri | $27.39 | $27.39 | |
| Louisiana | $27.38 | $27.38 | |
| South Carolina | $27.38 | $27.38 | |
| Ohio | $27.35 | $27.35 | |
| North Carolina | $27.34 | $27.34 | |
| Indiana | $27.17 | $27.17 | |
| West Virginia | $27.10 | $27.10 | |
| Idaho | $27.08 | $27.08 | |
| Nebraska | $27.05 | $27.05 | |
| Kentucky | $27.00 | $27.00 | |
| Tennessee | $26.99 | $26.99 | |
| Iowa | $26.97 | $26.97 | |
| Oklahoma | $26.96 | $26.96 | |
| Kansas | $26.91 | $26.91 | |
| Alabama | $26.60 | $26.60 | |
| Mississippi | $26.55 | $26.55 | |
| Arkansas | $26.37 | $26.37 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates