CPT 94200 pays $16.37 in a non-facility setting and $16.37 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $14.06 in Arkansas to $19.03 in District of Columbia, a 35% spread.
National non-facility rate
$16.37
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 35% 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 | $19.03 | $19.03 | |
| California | $18.69 | $18.69 | |
| New York | $18.31 | $18.31 | |
| New Jersey | $18.28 | $18.28 | |
| Washington | $18.24 | $18.24 | |
| Massachusetts | $18.04 | $18.04 | |
| Hawaii | $18.01 | $18.01 | |
| Alaska | $17.81 | $17.81 | |
| Connecticut | $17.62 | $17.62 | |
| Colorado | $17.14 | $17.14 | |
| Florida | $17.05 | $17.05 | |
| Maryland | $17.04 | $17.04 | |
| Oregon | $16.95 | $16.95 | |
| New Hampshire | $16.86 | $16.86 | |
| Rhode Island | $16.79 | $16.79 | |
| Illinois | $16.51 | $16.51 | |
| Puerto Rico | $16.51 | $16.51 | |
| Virgin Islands | $16.51 | $16.51 | |
| Montana | $16.37 | $16.37 | |
| Minnesota | $16.30 | $16.30 | |
| Nevada | $16.27 | $16.27 | |
| Wyoming | $16.19 | $16.19 | |
| Delaware | $16.14 | $16.14 | |
| Pennsylvania | $16.14 | $16.14 | |
| Texas | $16.11 | $16.11 | |
| North Dakota | $15.97 | $15.97 | |
| Virginia | $15.93 | $15.93 | |
| South Dakota | $15.92 | $15.92 | |
| Vermont | $15.90 | $15.90 | |
| Georgia | $15.85 | $15.85 | |
| Arizona | $15.84 | $15.84 | |
| Michigan | $15.78 | $15.78 | |
| Maine | $15.49 | $15.49 | |
| Utah | $15.46 | $15.46 | |
| New Mexico | $15.34 | $15.34 | |
| Wisconsin | $15.31 | $15.31 | |
| Missouri | $15.20 | $15.20 | |
| South Carolina | $15.20 | $15.20 | |
| North Carolina | $15.19 | $15.19 | |
| Louisiana | $15.18 | $15.18 | |
| Ohio | $15.15 | $15.15 | |
| Indiana | $15.00 | $15.00 | |
| Idaho | $14.89 | $14.89 | |
| Nebraska | $14.87 | $14.87 | |
| West Virginia | $14.82 | $14.82 | |
| Tennessee | $14.78 | $14.78 | |
| Iowa | $14.77 | $14.77 | |
| Kentucky | $14.75 | $14.75 | |
| Oklahoma | $14.72 | $14.72 | |
| Kansas | $14.69 | $14.69 | |
| Alabama | $14.32 | $14.32 | |
| Mississippi | $14.24 | $14.24 | |
| Arkansas | $14.06 | $14.06 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates