CPT 92552 pays $40.42 in a non-facility setting and $40.42 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $34.60 in Arkansas to $47.61 in California, a 38% spread.
National non-facility rate
$40.42
Office and other outpatient settings
Hospital and ASC settings
California
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 |
|---|---|---|---|
| California | $47.61 | $47.61 | |
| District of Columbia | $47.59 | $47.59 | |
| Washington | $45.96 | $45.96 | |
| Hawaii | $45.77 | $45.77 | |
| New Jersey | $45.49 | $45.49 | |
| Massachusetts | $45.31 | $45.31 | |
| New York | $45.17 | $45.17 | |
| Connecticut | $43.57 | $43.57 | |
| Colorado | $42.91 | $42.91 | |
| Alaska | $42.87 | $42.87 | |
| Oregon | $42.47 | $42.47 | |
| Maryland | $42.14 | $42.14 | |
| New Hampshire | $42.02 | $42.02 | |
| Rhode Island | $41.70 | $41.70 | |
| Minnesota | $41.34 | $41.34 | |
| Florida | $40.86 | $40.86 | |
| Puerto Rico | $40.85 | $40.85 | |
| Virgin Islands | $40.85 | $40.85 | |
| Montana | $40.41 | $40.41 | |
| Nevada | $40.40 | $40.40 | |
| Wyoming | $40.33 | $40.33 | |
| North Dakota | $40.22 | $40.22 | |
| South Dakota | $40.19 | $40.19 | |
| Delaware | $39.90 | $39.90 | |
| Vermont | $39.85 | $39.85 | |
| Texas | $39.77 | $39.77 | |
| Virginia | $39.64 | $39.64 | |
| Pennsylvania | $39.62 | $39.62 | |
| Illinois | $39.37 | $39.37 | |
| Arizona | $39.12 | $39.12 | |
| Georgia | $38.64 | $38.64 | |
| Maine | $38.51 | $38.51 | |
| Wisconsin | $38.50 | $38.50 | |
| Michigan | $38.11 | $38.11 | |
| Utah | $37.98 | $37.98 | |
| North Carolina | $37.61 | $37.61 | |
| Indiana | $37.32 | $37.32 | |
| South Carolina | $37.32 | $37.32 | |
| New Mexico | $37.16 | $37.16 | |
| Nebraska | $37.12 | $37.12 | |
| Missouri | $37.11 | $37.11 | |
| Idaho | $37.03 | $37.03 | |
| Louisiana | $36.94 | $36.94 | |
| Ohio | $36.93 | $36.93 | |
| Iowa | $36.81 | $36.81 | |
| Tennessee | $36.61 | $36.61 | |
| Kansas | $36.40 | $36.40 | |
| Oklahoma | $36.05 | $36.05 | |
| Kentucky | $35.94 | $35.94 | |
| West Virginia | $35.31 | $35.31 | |
| Alabama | $35.26 | $35.26 | |
| Mississippi | $34.76 | $34.76 | |
| Arkansas | $34.60 | $34.60 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates