CPT 92612 pays $199.74 in a non-facility setting and $54.11 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $176.84 in Arkansas to $230.05 in District of Columbia, a 30% spread.
National non-facility rate
$199.74
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 30% 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 | $230.05 | $58.50 | |
| Alaska | $229.88 | $74.78 | |
| California | $229.17 | $56.85 | |
| Washington | $222.62 | $56.60 | |
| New Jersey | $221.75 | $57.77 | |
| Hawaii | $220.50 | $54.92 | |
| New York | $220.41 | $57.95 | |
| Massachusetts | $220.00 | $56.39 | |
| Connecticut | $212.98 | $56.14 | |
| Colorado | $209.89 | $54.95 | |
| Oregon | $207.99 | $54.57 | |
| Maryland | $207.06 | $55.25 | |
| New Hampshire | $205.95 | $54.35 | |
| Rhode Island | $205.51 | $55.08 | |
| Minnesota | $203.10 | $53.25 | |
| Florida | $201.84 | $55.73 | |
| Puerto Rico | $201.44 | $54.21 | |
| Virgin Islands | $201.44 | $54.21 | |
| Montana | $199.73 | $54.11 | |
| Nevada | $199.62 | $53.84 | |
| Wyoming | $199.30 | $53.68 | |
| North Dakota | $198.75 | $53.12 | |
| South Dakota | $198.63 | $53.00 | |
| Delaware | $197.90 | $54.02 | |
| Texas | $197.42 | $54.05 | |
| Vermont | $197.35 | $53.17 | |
| Pennsylvania | $197.01 | $54.37 | |
| Virginia | $196.58 | $53.43 | |
| Illinois | $196.12 | $55.40 | |
| Arizona | $194.64 | $53.53 | |
| Georgia | $192.92 | $53.99 | |
| Maine | $192.14 | $53.00 | |
| Wisconsin | $192.00 | $52.49 | |
| Michigan | $190.86 | $54.12 | |
| Utah | $190.17 | $53.28 | |
| North Carolina | $188.64 | $52.77 | |
| South Carolina | $187.58 | $53.02 | |
| Indiana | $187.44 | $52.45 | |
| New Mexico | $187.07 | $53.53 | |
| Missouri | $186.81 | $53.18 | |
| Nebraska | $186.64 | $52.22 | |
| Idaho | $186.33 | $52.35 | |
| Louisiana | $186.19 | $53.23 | |
| Ohio | $186.12 | $53.16 | |
| Iowa | $185.42 | $52.17 | |
| Tennessee | $184.71 | $52.33 | |
| Kansas | $183.87 | $52.22 | |
| Oklahoma | $182.60 | $52.56 | |
| Kentucky | $182.21 | $52.74 | |
| West Virginia | $179.94 | $53.39 | |
| Alabama | $179.43 | $52.01 | |
| Mississippi | $177.53 | $52.14 | |
| Arkansas | $176.84 | $51.75 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates