CPT 93226 pays $34.74 in a non-facility setting and $34.74 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $29.72 in Arkansas to $40.90 in District of Columbia, a 38% spread.
National non-facility rate
$34.74
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 | $40.90 | $40.90 | |
| California | $40.89 | $40.89 | |
| Washington | $39.48 | $39.48 | |
| Hawaii | $39.31 | $39.31 | |
| New Jersey | $39.10 | $39.10 | |
| Massachusetts | $38.93 | $38.93 | |
| New York | $38.83 | $38.83 | |
| Connecticut | $37.46 | $37.46 | |
| Colorado | $36.87 | $36.87 | |
| Alaska | $36.82 | $36.82 | |
| Oregon | $36.49 | $36.49 | |
| Maryland | $36.22 | $36.22 | |
| New Hampshire | $36.11 | $36.11 | |
| Rhode Island | $35.84 | $35.84 | |
| Minnesota | $35.50 | $35.50 | |
| Florida | $35.17 | $35.17 | |
| Puerto Rico | $35.11 | $35.11 | |
| Virgin Islands | $35.11 | $35.11 | |
| Montana | $34.74 | $34.74 | |
| Nevada | $34.72 | $34.72 | |
| Wyoming | $34.65 | $34.65 | |
| North Dakota | $34.54 | $34.54 | |
| South Dakota | $34.52 | $34.52 | |
| Delaware | $34.29 | $34.29 | |
| Vermont | $34.23 | $34.23 | |
| Texas | $34.18 | $34.18 | |
| Pennsylvania | $34.05 | $34.05 | |
| Virginia | $34.05 | $34.05 | |
| Illinois | $33.88 | $33.88 | |
| Arizona | $33.62 | $33.62 | |
| Georgia | $33.22 | $33.22 | |
| Maine | $33.08 | $33.08 | |
| Wisconsin | $33.06 | $33.06 | |
| Michigan | $32.77 | $32.77 | |
| Utah | $32.64 | $32.64 | |
| North Carolina | $32.31 | $32.31 | |
| South Carolina | $32.07 | $32.07 | |
| Indiana | $32.05 | $32.05 | |
| New Mexico | $31.95 | $31.95 | |
| Missouri | $31.90 | $31.90 | |
| Nebraska | $31.88 | $31.88 | |
| Idaho | $31.81 | $31.81 | |
| Louisiana | $31.76 | $31.76 | |
| Ohio | $31.75 | $31.75 | |
| Iowa | $31.61 | $31.61 | |
| Tennessee | $31.45 | $31.45 | |
| Kansas | $31.27 | $31.27 | |
| Oklahoma | $30.98 | $30.98 | |
| Kentucky | $30.89 | $30.89 | |
| West Virginia | $30.37 | $30.37 | |
| Alabama | $30.29 | $30.29 | |
| Mississippi | $29.87 | $29.87 | |
| Arkansas | $29.72 | $29.72 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates