CPT 93225 pays $18.04 in a non-facility setting and $18.04 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $15.38 in Arkansas to $21.23 in District of Columbia, a 38% spread.
National non-facility rate
$18.04
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 38% 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 | $21.23 | $21.23 | |
| California | $21.13 | $21.13 | |
| Washington | $20.44 | $20.44 | |
| Hawaii | $20.32 | $20.32 | |
| New Jersey | $20.29 | $20.29 | |
| New York | $20.20 | $20.20 | |
| Massachusetts | $20.17 | $20.17 | |
| Connecticut | $19.47 | $19.47 | |
| Colorado | $19.10 | $19.10 | |
| Alaska | $19.04 | $19.04 | |
| Oregon | $18.89 | $18.89 | |
| Maryland | $18.81 | $18.81 | |
| New Hampshire | $18.72 | $18.72 | |
| Rhode Island | $18.58 | $18.58 | |
| Florida | $18.41 | $18.41 | |
| Minnesota | $18.31 | $18.31 | |
| Puerto Rico | $18.23 | $18.23 | |
| Virgin Islands | $18.23 | $18.23 | |
| Montana | $18.04 | $18.04 | |
| Nevada | $18.00 | $18.00 | |
| Wyoming | $17.95 | $17.95 | |
| North Dakota | $17.84 | $17.84 | |
| South Dakota | $17.81 | $17.81 | |
| Delaware | $17.79 | $17.79 | |
| Illinois | $17.74 | $17.74 | |
| Texas | $17.74 | $17.74 | |
| Pennsylvania | $17.70 | $17.70 | |
| Vermont | $17.69 | $17.69 | |
| Virginia | $17.64 | $17.64 | |
| Arizona | $17.44 | $17.44 | |
| Georgia | $17.29 | $17.29 | |
| Maine | $17.12 | $17.12 | |
| Michigan | $17.09 | $17.09 | |
| Wisconsin | $17.06 | $17.06 | |
| Utah | $16.94 | $16.94 | |
| North Carolina | $16.73 | $16.73 | |
| South Carolina | $16.64 | $16.64 | |
| New Mexico | $16.63 | $16.63 | |
| Indiana | $16.57 | $16.57 | |
| Missouri | $16.57 | $16.57 | |
| Louisiana | $16.51 | $16.51 | |
| Ohio | $16.50 | $16.50 | |
| Nebraska | $16.47 | $16.47 | |
| Idaho | $16.44 | $16.44 | |
| Iowa | $16.33 | $16.33 | |
| Tennessee | $16.27 | $16.27 | |
| Kansas | $16.17 | $16.17 | |
| Oklahoma | $16.07 | $16.07 | |
| Kentucky | $16.04 | $16.04 | |
| West Virginia | $15.86 | $15.86 | |
| Alabama | $15.68 | $15.68 | |
| Mississippi | $15.49 | $15.49 | |
| Arkansas | $15.38 | $15.38 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates