CPT 94003 pays $59.12 in a non-facility setting and $59.12 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $55.86 in Arkansas to $80.81 in Alaska, a 45% spread.
National non-facility rate
$59.12
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 | $80.81 | $80.81 | |
| New York | $63.81 | $63.81 | |
| District of Columbia | $63.71 | $63.71 | |
| New Jersey | $62.99 | $62.99 | |
| Florida | $62.95 | $62.95 | |
| Illinois | $62.62 | $62.62 | |
| Connecticut | $61.60 | $61.60 | |
| Washington | $61.02 | $61.02 | |
| Massachusetts | $60.95 | $60.95 | |
| California | $60.64 | $60.64 | |
| Maryland | $60.42 | $60.42 | |
| Michigan | $60.18 | $60.18 | |
| Rhode Island | $59.86 | $59.86 | |
| Pennsylvania | $59.62 | $59.62 | |
| West Virginia | $59.62 | $59.62 | |
| Georgia | $59.55 | $59.55 | |
| Colorado | $59.39 | $59.39 | |
| Puerto Rico | $59.16 | $59.16 | |
| Virgin Islands | $59.16 | $59.16 | |
| New Mexico | $59.15 | $59.15 | |
| Montana | $59.11 | $59.11 | |
| New Hampshire | $59.00 | $59.00 | |
| Texas | $58.94 | $58.94 | |
| Oregon | $58.88 | $58.88 | |
| Delaware | $58.83 | $58.83 | |
| Hawaii | $58.71 | $58.71 | |
| Louisiana | $58.49 | $58.49 | |
| Nevada | $58.46 | $58.46 | |
| Ohio | $58.34 | $58.34 | |
| Missouri | $58.29 | $58.29 | |
| Arizona | $58.25 | $58.25 | |
| Utah | $58.15 | $58.15 | |
| Wyoming | $58.08 | $58.08 | |
| South Carolina | $57.81 | $57.81 | |
| Virginia | $57.78 | $57.78 | |
| Kentucky | $57.74 | $57.74 | |
| Oklahoma | $57.23 | $57.23 | |
| Maine | $57.21 | $57.21 | |
| North Carolina | $57.05 | $57.05 | |
| Vermont | $57.05 | $57.05 | |
| Mississippi | $56.77 | $56.77 | |
| North Dakota | $56.74 | $56.74 | |
| Minnesota | $56.57 | $56.57 | |
| South Dakota | $56.46 | $56.46 | |
| Tennessee | $56.41 | $56.41 | |
| Indiana | $56.38 | $56.38 | |
| Idaho | $56.26 | $56.26 | |
| Kansas | $56.23 | $56.23 | |
| Alabama | $56.21 | $56.21 | |
| Wisconsin | $55.95 | $55.95 | |
| Iowa | $55.91 | $55.91 | |
| Nebraska | $55.91 | $55.91 | |
| Arkansas | $55.86 | $55.86 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates