CPT 94070

Brncspsm Provocation Eval Mlt Spmtry W/Admn Agt

CPT 94070 pays $69.81 in a non-facility setting and $69.81 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $62.17 in Arkansas to $82.06 in Alaska, a 32% spread.

National non-facility rate

$69.81

Office and other outpatient settings

Facility rate
$69.81

Hospital and ASC settings

Highest state
$82.06

Alaska

Lowest state
$62.17

Arkansas · 32% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $69.81
CPT 94070 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $69.81, national facility $69.81.
StateRate compared visuallyNon-facilityFacility
Alaska
$82.06$82.06
District of Columbia
$79.68$79.68
California
$78.63$78.63
New Jersey
$77.06$77.06
New York
$76.94$76.94
Washington
$76.86$76.86
Massachusetts
$76.09$76.09
Hawaii
$75.74$75.74
Connecticut
$74.28$74.28
Colorado
$72.78$72.78
Maryland
$72.25$72.25
Oregon
$72.09$72.09
Rhode Island
$71.60$71.60
New Hampshire
$71.58$71.58
Florida
$71.55$71.55
Puerto Rico
$70.32$70.32
Virgin Islands
$70.32$70.32
Minnesota
$70.04$70.04
Montana
$69.80$69.80
Illinois
$69.76$69.76
Nevada
$69.58$69.58
Wyoming
$69.37$69.37
Delaware
$69.16$69.16
Pennsylvania
$69.11$69.11
Texas
$69.05$69.05
North Dakota
$68.82$68.82
South Dakota
$68.70$68.70
Vermont
$68.50$68.50
Virginia
$68.49$68.49
Arizona
$68.07$68.07
Georgia
$67.94$67.94
Michigan
$67.53$67.53
Maine
$67.03$67.03
Utah
$66.73$66.73
Wisconsin
$66.62$66.62
New Mexico
$66.12$66.12
North Carolina
$65.96$65.96
South Carolina
$65.88$65.88
Missouri
$65.79$65.79
Louisiana
$65.67$65.67
Ohio
$65.61$65.61
Indiana
$65.41$65.41
Idaho
$65.05$65.05
Nebraska
$65.04$65.04
Iowa
$64.68$64.68
Tennessee
$64.63$64.63
Kansas
$64.33$64.33
Kentucky
$64.29$64.29
Oklahoma
$64.25$64.25
West Virginia
$64.18$64.18
Alabama
$63.03$63.03
Mississippi
$62.64$62.64
Arkansas
$62.17$62.17

Commercial rates for 94070

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates