CPT 92557 pays $35.74 in a non-facility setting and $25.72 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $33.41 in Arkansas to $46.61 in Alaska, a 40% spread.
National non-facility rate
$35.74
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 40% 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 | $46.61 | $35.94 | |
| District of Columbia | $39.59 | $27.79 | |
| California | $39.12 | $27.26 | |
| New Jersey | $38.73 | $27.45 | |
| New York | $38.59 | $27.41 | |
| Washington | $38.45 | $27.03 | |
| Massachusetts | $38.16 | $26.90 | |
| Hawaii | $37.70 | $26.31 | |
| Connecticut | $37.39 | $26.60 | |
| Colorado | $36.89 | $26.23 | |
| Maryland | $36.68 | $26.23 | |
| Oregon | $36.63 | $26.07 | |
| Rhode Island | $36.59 | $26.24 | |
| New Hampshire | $36.33 | $25.90 | |
| Florida | $36.11 | $26.05 | |
| Minnesota | $35.95 | $25.64 | |
| Puerto Rico | $35.90 | $25.77 | |
| Virgin Islands | $35.90 | $25.77 | |
| Montana | $35.74 | $25.72 | |
| Nevada | $35.70 | $25.67 | |
| Wyoming | $35.65 | $25.63 | |
| Pennsylvania | $35.63 | $25.81 | |
| Delaware | $35.62 | $25.72 | |
| Illinois | $35.59 | $25.91 | |
| Texas | $35.59 | $25.72 | |
| North Dakota | $35.54 | $25.52 | |
| South Dakota | $35.52 | $25.50 | |
| Vermont | $35.42 | $25.50 | |
| Virginia | $35.38 | $25.53 | |
| Arizona | $35.21 | $25.50 | |
| Georgia | $35.13 | $25.57 | |
| Michigan | $34.94 | $25.53 | |
| Maine | $34.93 | $25.36 | |
| Wisconsin | $34.86 | $25.26 | |
| Utah | $34.78 | $25.36 | |
| North Carolina | $34.59 | $25.24 | |
| New Mexico | $34.53 | $25.34 | |
| South Carolina | $34.52 | $25.26 | |
| Missouri | $34.47 | $25.27 | |
| Indiana | $34.45 | $25.16 | |
| Louisiana | $34.42 | $25.27 | |
| Ohio | $34.40 | $25.26 | |
| Nebraska | $34.35 | $25.10 | |
| Idaho | $34.33 | $25.12 | |
| Iowa | $34.23 | $25.06 | |
| Tennessee | $34.19 | $25.08 | |
| Kansas | $34.10 | $25.04 | |
| Oklahoma | $34.02 | $25.07 | |
| Kentucky | $34.01 | $25.10 | |
| West Virginia | $33.87 | $25.16 | |
| Alabama | $33.67 | $24.91 | |
| Mississippi | $33.52 | $24.89 | |
| Arkansas | $33.41 | $24.80 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates