CPT 93005 pays $7.01 in a non-facility setting and $7.01 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $5.91 in Arkansas to $8.24 in District of Columbia, a 39% spread.
National non-facility rate
$7.01
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 39% 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 | $8.24 | $8.24 | |
| California | $8.09 | $8.09 | |
| New York | $7.91 | $7.91 | |
| New Jersey | $7.88 | $7.88 | |
| Washington | $7.88 | $7.88 | |
| Hawaii | $7.79 | $7.79 | |
| Massachusetts | $7.79 | $7.79 | |
| Connecticut | $7.60 | $7.60 | |
| Colorado | $7.37 | $7.37 | |
| Florida | $7.35 | $7.35 | |
| Maryland | $7.32 | $7.32 | |
| Alaska | $7.30 | $7.30 | |
| Oregon | $7.28 | $7.28 | |
| New Hampshire | $7.25 | $7.25 | |
| Rhode Island | $7.20 | $7.20 | |
| Illinois | $7.09 | $7.09 | |
| Puerto Rico | $7.08 | $7.08 | |
| Virgin Islands | $7.08 | $7.08 | |
| Montana | $7.01 | $7.01 | |
| Minnesota | $6.97 | $6.97 | |
| Nevada | $6.97 | $6.97 | |
| Wyoming | $6.93 | $6.93 | |
| Delaware | $6.90 | $6.90 | |
| Pennsylvania | $6.90 | $6.90 | |
| Texas | $6.89 | $6.89 | |
| North Dakota | $6.82 | $6.82 | |
| Virginia | $6.80 | $6.80 | |
| South Dakota | $6.79 | $6.79 | |
| Vermont | $6.78 | $6.78 | |
| Georgia | $6.77 | $6.77 | |
| Arizona | $6.76 | $6.76 | |
| Michigan | $6.74 | $6.74 | |
| Maine | $6.59 | $6.59 | |
| Utah | $6.58 | $6.58 | |
| New Mexico | $6.53 | $6.53 | |
| Wisconsin | $6.50 | $6.50 | |
| Missouri | $6.46 | $6.46 | |
| South Carolina | $6.46 | $6.46 | |
| Louisiana | $6.45 | $6.45 | |
| North Carolina | $6.45 | $6.45 | |
| Ohio | $6.44 | $6.44 | |
| Indiana | $6.35 | $6.35 | |
| Idaho | $6.30 | $6.30 | |
| Nebraska | $6.29 | $6.29 | |
| West Virginia | $6.28 | $6.28 | |
| Tennessee | $6.25 | $6.25 | |
| Iowa | $6.24 | $6.24 | |
| Kentucky | $6.24 | $6.24 | |
| Oklahoma | $6.22 | $6.22 | |
| Kansas | $6.21 | $6.21 | |
| Alabama | $6.03 | $6.03 | |
| Mississippi | $6.00 | $6.00 | |
| Arkansas | $5.91 | $5.91 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates