CPT 93016 pays $20.71 in a non-facility setting and $20.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $19.75 in Arkansas to $28.28 in Alaska, a 43% spread.
National non-facility rate
$20.71
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 43% 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 | $28.28 | $28.28 | |
| District of Columbia | $22.55 | $22.55 | |
| New Jersey | $22.21 | $22.21 | |
| New York | $22.18 | $22.18 | |
| California | $22.12 | $22.12 | |
| Washington | $21.90 | $21.90 | |
| Massachusetts | $21.78 | $21.78 | |
| Connecticut | $21.51 | $21.51 | |
| Hawaii | $21.35 | $21.35 | |
| Colorado | $21.18 | $21.18 | |
| Maryland | $21.17 | $21.17 | |
| Rhode Island | $21.14 | $21.14 | |
| Florida | $21.04 | $21.04 | |
| Oregon | $21.04 | $21.04 | |
| New Hampshire | $20.90 | $20.90 | |
| Illinois | $20.87 | $20.87 | |
| Puerto Rico | $20.77 | $20.77 | |
| Virgin Islands | $20.77 | $20.77 | |
| Pennsylvania | $20.75 | $20.75 | |
| Montana | $20.71 | $20.71 | |
| Delaware | $20.68 | $20.68 | |
| Texas | $20.68 | $20.68 | |
| Nevada | $20.66 | $20.66 | |
| Minnesota | $20.64 | $20.64 | |
| Wyoming | $20.62 | $20.62 | |
| Georgia | $20.54 | $20.54 | |
| North Dakota | $20.51 | $20.51 | |
| Virginia | $20.51 | $20.51 | |
| Michigan | $20.50 | $20.50 | |
| South Dakota | $20.49 | $20.49 | |
| Vermont | $20.49 | $20.49 | |
| Arizona | $20.48 | $20.48 | |
| Maine | $20.33 | $20.33 | |
| Utah | $20.33 | $20.33 | |
| New Mexico | $20.30 | $20.30 | |
| Missouri | $20.24 | $20.24 | |
| Wisconsin | $20.24 | $20.24 | |
| Louisiana | $20.23 | $20.23 | |
| South Carolina | $20.23 | $20.23 | |
| Ohio | $20.22 | $20.22 | |
| North Carolina | $20.21 | $20.21 | |
| Indiana | $20.12 | $20.12 | |
| West Virginia | $20.11 | $20.11 | |
| Idaho | $20.08 | $20.08 | |
| Nebraska | $20.06 | $20.06 | |
| Kentucky | $20.05 | $20.05 | |
| Tennessee | $20.04 | $20.04 | |
| Oklahoma | $20.03 | $20.03 | |
| Iowa | $20.02 | $20.02 | |
| Kansas | $20.00 | $20.00 | |
| Alabama | $19.85 | $19.85 | |
| Mississippi | $19.83 | $19.83 | |
| Arkansas | $19.75 | $19.75 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates