CPT 92551 pays $13.36 in a non-facility setting and $13.36 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $11.36 in Arkansas to $15.72 in District of Columbia, a 38% spread.
National non-facility rate
$13.36
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 | $15.72 | $15.72 | |
| California | $15.59 | $15.59 | |
| Washington | $15.11 | $15.11 | |
| New Jersey | $15.03 | $15.03 | |
| Hawaii | $15.00 | $15.00 | |
| New York | $14.99 | $14.99 | |
| Massachusetts | $14.92 | $14.92 | |
| Connecticut | $14.43 | $14.43 | |
| Colorado | $14.12 | $14.12 | |
| Alaska | $14.06 | $14.06 | |
| Oregon | $13.96 | $13.96 | |
| Maryland | $13.94 | $13.94 | |
| New Hampshire | $13.85 | $13.85 | |
| Rhode Island | $13.75 | $13.75 | |
| Florida | $13.72 | $13.72 | |
| Minnesota | $13.50 | $13.50 | |
| Puerto Rico | $13.50 | $13.50 | |
| Virgin Islands | $13.50 | $13.50 | |
| Montana | $13.36 | $13.36 | |
| Nevada | $13.32 | $13.32 | |
| Wyoming | $13.27 | $13.27 | |
| Illinois | $13.23 | $13.23 | |
| Delaware | $13.17 | $13.17 | |
| North Dakota | $13.16 | $13.16 | |
| South Dakota | $13.14 | $13.14 | |
| Texas | $13.13 | $13.13 | |
| Pennsylvania | $13.12 | $13.12 | |
| Vermont | $13.07 | $13.07 | |
| Virginia | $13.04 | $13.04 | |
| Arizona | $12.91 | $12.91 | |
| Georgia | $12.83 | $12.83 | |
| Michigan | $12.70 | $12.70 | |
| Maine | $12.66 | $12.66 | |
| Wisconsin | $12.58 | $12.58 | |
| Utah | $12.54 | $12.54 | |
| North Carolina | $12.37 | $12.37 | |
| New Mexico | $12.35 | $12.35 | |
| South Carolina | $12.32 | $12.32 | |
| Missouri | $12.28 | $12.28 | |
| Indiana | $12.24 | $12.24 | |
| Louisiana | $12.24 | $12.24 | |
| Ohio | $12.23 | $12.23 | |
| Nebraska | $12.15 | $12.15 | |
| Idaho | $12.14 | $12.14 | |
| Iowa | $12.05 | $12.05 | |
| Tennessee | $12.02 | $12.02 | |
| Kansas | $11.94 | $11.94 | |
| Kentucky | $11.89 | $11.89 | |
| Oklahoma | $11.89 | $11.89 | |
| West Virginia | $11.80 | $11.80 | |
| Alabama | $11.59 | $11.59 | |
| Mississippi | $11.46 | $11.46 | |
| Arkansas | $11.36 | $11.36 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates