CPT 94002 pays $85.84 in a non-facility setting and $85.84 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $81.04 in Arkansas to $117.24 in Alaska, a 45% spread.
National non-facility rate
$85.84
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 45% 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 | $117.24 | $117.24 | |
| New York | $92.70 | $92.70 | |
| District of Columbia | $92.49 | $92.49 | |
| Florida | $91.58 | $91.58 | |
| New Jersey | $91.44 | $91.44 | |
| Illinois | $91.10 | $91.10 | |
| Connecticut | $89.46 | $89.46 | |
| Washington | $88.54 | $88.54 | |
| Massachusetts | $88.44 | $88.44 | |
| California | $87.92 | $87.92 | |
| Maryland | $87.74 | $87.74 | |
| Michigan | $87.48 | $87.48 | |
| Rhode Island | $86.89 | $86.89 | |
| West Virginia | $86.68 | $86.68 | |
| Pennsylvania | $86.58 | $86.58 | |
| Georgia | $86.51 | $86.51 | |
| Colorado | $86.18 | $86.18 | |
| New Mexico | $85.94 | $85.94 | |
| Puerto Rico | $85.90 | $85.90 | |
| Virgin Islands | $85.90 | $85.90 | |
| Montana | $85.83 | $85.83 | |
| New Hampshire | $85.64 | $85.64 | |
| Texas | $85.57 | $85.57 | |
| Oregon | $85.42 | $85.42 | |
| Delaware | $85.41 | $85.41 | |
| Hawaii | $85.14 | $85.14 | |
| Louisiana | $84.96 | $84.96 | |
| Nevada | $84.85 | $84.85 | |
| Ohio | $84.73 | $84.73 | |
| Missouri | $84.65 | $84.65 | |
| Arizona | $84.56 | $84.56 | |
| Utah | $84.43 | $84.43 | |
| Wyoming | $84.28 | $84.28 | |
| South Carolina | $83.92 | $83.92 | |
| Kentucky | $83.85 | $83.85 | |
| Virginia | $83.85 | $83.85 | |
| Oklahoma | $83.07 | $83.07 | |
| Maine | $83.00 | $83.00 | |
| North Carolina | $82.77 | $82.77 | |
| Vermont | $82.74 | $82.74 | |
| Mississippi | $82.41 | $82.41 | |
| North Dakota | $82.27 | $82.27 | |
| Minnesota | $82.00 | $82.00 | |
| South Dakota | $81.85 | $81.85 | |
| Tennessee | $81.84 | $81.84 | |
| Indiana | $81.77 | $81.77 | |
| Idaho | $81.60 | $81.60 | |
| Kansas | $81.58 | $81.58 | |
| Alabama | $81.56 | $81.56 | |
| Wisconsin | $81.12 | $81.12 | |
| Iowa | $81.08 | $81.08 | |
| Nebraska | $81.07 | $81.07 | |
| Arkansas | $81.04 | $81.04 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates