CPT 92928 pays $463.94 in a non-facility setting and $463.94 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $408.20 in Wisconsin to $596.27 in Alaska, a 46% spread.
National non-facility rate
$463.94
Office and other outpatient settings
Hospital and ASC settings
Alaska
Wisconsin · 46% 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 | $596.27 | $596.27 | |
| Florida | $536.87 | $536.87 | |
| Illinois | $532.99 | $532.99 | |
| New York | $514.10 | $514.10 | |
| District of Columbia | $501.14 | $501.14 | |
| New Jersey | $494.79 | $494.79 | |
| Michigan | $491.49 | $491.49 | |
| Connecticut | $491.32 | $491.32 | |
| West Virginia | $489.00 | $489.00 | |
| Maryland | $476.74 | $476.74 | |
| Georgia | $476.70 | $476.70 | |
| New Mexico | $474.28 | $474.28 | |
| Pennsylvania | $470.91 | $470.91 | |
| Massachusetts | $468.79 | $468.79 | |
| Washington | $466.59 | $466.59 | |
| Rhode Island | $463.86 | $463.86 | |
| Montana | $463.78 | $463.78 | |
| Puerto Rico | $463.46 | $463.46 | |
| Virgin Islands | $463.46 | $463.46 | |
| Louisiana | $462.20 | $462.20 | |
| Texas | $459.31 | $459.31 | |
| Ohio | $459.21 | $459.21 | |
| Missouri | $457.67 | $457.67 | |
| Delaware | $457.07 | $457.07 | |
| New Hampshire | $456.86 | $456.86 | |
| Colorado | $454.96 | $454.96 | |
| Utah | $452.42 | $452.42 | |
| California | $451.71 | $451.71 | |
| Nevada | $451.17 | $451.17 | |
| Arizona | $450.97 | $450.97 | |
| Kentucky | $450.59 | $450.59 | |
| Oregon | $448.59 | $448.59 | |
| South Carolina | $447.74 | $447.74 | |
| Wyoming | $443.96 | $443.96 | |
| Virginia | $440.31 | $440.31 | |
| Oklahoma | $440.23 | $440.23 | |
| Hawaii | $440.02 | $440.02 | |
| Mississippi | $435.35 | $435.35 | |
| Maine | $432.51 | $432.51 | |
| North Carolina | $432.09 | $432.09 | |
| Vermont | $425.37 | $425.37 | |
| Alabama | $422.92 | $422.92 | |
| Tennessee | $422.78 | $422.78 | |
| Indiana | $419.97 | $419.97 | |
| Kansas | $419.93 | $419.93 | |
| Idaho | $418.54 | $418.54 | |
| North Dakota | $418.31 | $418.31 | |
| Arkansas | $418.01 | $418.01 | |
| South Dakota | $412.93 | $412.93 | |
| Iowa | $412.39 | $412.39 | |
| Minnesota | $411.64 | $411.64 | |
| Nebraska | $411.42 | $411.42 | |
| Wisconsin | $408.20 | $408.20 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates