CPT 93461 pays $1,329.02 in a non-facility setting and $1,329.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,159.73 in Arkansas to $1,530.52 in District of Columbia, a 32% spread.
National non-facility rate
$1,329.02
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 32% 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 | $1,530.52 | $1,530.52 | |
| California | $1,501.53 | $1,501.53 | |
| Alaska | $1,499.78 | $1,499.78 | |
| New York | $1,477.94 | $1,477.94 | |
| New Jersey | $1,475.18 | $1,475.18 | |
| Washington | $1,469.07 | $1,469.07 | |
| Massachusetts | $1,454.29 | $1,454.29 | |
| Hawaii | $1,447.02 | $1,447.02 | |
| Connecticut | $1,423.72 | $1,423.72 | |
| Colorado | $1,386.05 | $1,386.05 | |
| Florida | $1,381.75 | $1,381.75 | |
| Maryland | $1,379.79 | $1,379.79 | |
| Oregon | $1,371.30 | $1,371.30 | |
| New Hampshire | $1,364.39 | $1,364.39 | |
| Rhode Island | $1,361.96 | $1,361.96 | |
| Illinois | $1,342.91 | $1,342.91 | |
| Puerto Rico | $1,339.48 | $1,339.48 | |
| Virgin Islands | $1,339.48 | $1,339.48 | |
| Montana | $1,328.92 | $1,328.92 | |
| Minnesota | $1,321.96 | $1,321.96 | |
| Nevada | $1,321.34 | $1,321.34 | |
| Wyoming | $1,315.47 | $1,315.47 | |
| Pennsylvania | $1,313.98 | $1,313.98 | |
| Delaware | $1,312.78 | $1,312.78 | |
| Texas | $1,310.89 | $1,310.89 | |
| North Dakota | $1,298.07 | $1,298.07 | |
| Virginia | $1,296.34 | $1,296.34 | |
| South Dakota | $1,294.42 | $1,294.42 | |
| Vermont | $1,293.07 | $1,293.07 | |
| Georgia | $1,292.66 | $1,292.66 | |
| Arizona | $1,289.86 | $1,289.86 | |
| Michigan | $1,287.95 | $1,287.95 | |
| Maine | $1,264.11 | $1,264.11 | |
| Utah | $1,262.42 | $1,262.42 | |
| New Mexico | $1,254.72 | $1,254.72 | |
| Wisconsin | $1,250.07 | $1,250.07 | |
| Missouri | $1,244.11 | $1,244.11 | |
| South Carolina | $1,243.58 | $1,243.58 | |
| Louisiana | $1,242.61 | $1,242.61 | |
| North Carolina | $1,241.78 | $1,241.78 | |
| Ohio | $1,240.58 | $1,240.58 | |
| Indiana | $1,227.68 | $1,227.68 | |
| Idaho | $1,219.85 | $1,219.85 | |
| Nebraska | $1,217.96 | $1,217.96 | |
| West Virginia | $1,217.68 | $1,217.68 | |
| Tennessee | $1,211.95 | $1,211.95 | |
| Kentucky | $1,211.22 | $1,211.22 | |
| Iowa | $1,210.78 | $1,210.78 | |
| Oklahoma | $1,208.11 | $1,208.11 | |
| Kansas | $1,205.12 | $1,205.12 | |
| Alabama | $1,178.73 | $1,178.73 | |
| Mississippi | $1,173.45 | $1,173.45 | |
| Arkansas | $1,159.73 | $1,159.73 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates