CPT 92553 pays $49.10 in a non-facility setting and $49.10 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $42.06 in Arkansas to $57.88 in California, a 38% spread.
National non-facility rate
$49.10
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 | $57.88 | $57.88 | |
| District of Columbia | $57.82 | $57.82 | |
| Washington | $55.86 | $55.86 | |
| Hawaii | $55.64 | $55.64 | |
| New Jersey | $55.27 | $55.27 | |
| Massachusetts | $55.07 | $55.07 | |
| New York | $54.86 | $54.86 | |
| Connecticut | $52.92 | $52.92 | |
| Colorado | $52.15 | $52.15 | |
| Alaska | $52.12 | $52.12 | |
| Oregon | $51.62 | $51.62 | |
| Maryland | $51.20 | $51.20 | |
| New Hampshire | $51.06 | $51.06 | |
| Rhode Island | $50.67 | $50.67 | |
| Minnesota | $50.28 | $50.28 | |
| Puerto Rico | $49.63 | $49.63 | |
| Virgin Islands | $49.63 | $49.63 | |
| Florida | $49.58 | $49.58 | |
| Montana | $49.10 | $49.10 | |
| Nevada | $49.09 | $49.09 | |
| Wyoming | $49.01 | $49.01 | |
| North Dakota | $48.90 | $48.90 | |
| South Dakota | $48.88 | $48.88 | |
| Delaware | $48.48 | $48.48 | |
| Vermont | $48.45 | $48.45 | |
| Texas | $48.32 | $48.32 | |
| Virginia | $48.17 | $48.17 | |
| Pennsylvania | $48.12 | $48.12 | |
| Illinois | $47.76 | $47.76 | |
| Arizona | $47.54 | $47.54 | |
| Georgia | $46.92 | $46.92 | |
| Wisconsin | $46.82 | $46.82 | |
| Maine | $46.80 | $46.80 | |
| Michigan | $46.26 | $46.26 | |
| Utah | $46.14 | $46.14 | |
| North Carolina | $45.71 | $45.71 | |
| Indiana | $45.37 | $45.37 | |
| South Carolina | $45.34 | $45.34 | |
| Nebraska | $45.14 | $45.14 | |
| New Mexico | $45.12 | $45.12 | |
| Missouri | $45.08 | $45.08 | |
| Idaho | $45.02 | $45.02 | |
| Louisiana | $44.87 | $44.87 | |
| Ohio | $44.86 | $44.86 | |
| Iowa | $44.75 | $44.75 | |
| Tennessee | $44.51 | $44.51 | |
| Kansas | $44.25 | $44.25 | |
| Oklahoma | $43.81 | $43.81 | |
| Kentucky | $43.66 | $43.66 | |
| Alabama | $42.86 | $42.86 | |
| West Virginia | $42.86 | $42.86 | |
| Mississippi | $42.23 | $42.23 | |
| Arkansas | $42.06 | $42.06 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates