CPT 94640 pays $8.68 in a non-facility setting and $8.68 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $7.34 in Arkansas to $10.21 in District of Columbia, a 39% spread.
National non-facility rate
$8.68
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 39% 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 | $10.21 | $10.21 | |
| California | $10.06 | $10.06 | |
| Washington | $9.78 | $9.78 | |
| New York | $9.77 | $9.77 | |
| New Jersey | $9.76 | $9.76 | |
| Hawaii | $9.69 | $9.69 | |
| Massachusetts | $9.66 | $9.66 | |
| Connecticut | $9.40 | $9.40 | |
| Colorado | $9.15 | $9.15 | |
| Alaska | $9.08 | $9.08 | |
| Maryland | $9.07 | $9.07 | |
| Oregon | $9.04 | $9.04 | |
| Florida | $9.03 | $9.03 | |
| New Hampshire | $8.98 | $8.98 | |
| Rhode Island | $8.92 | $8.92 | |
| Puerto Rico | $8.77 | $8.77 | |
| Virgin Islands | $8.77 | $8.77 | |
| Illinois | $8.71 | $8.71 | |
| Minnesota | $8.69 | $8.69 | |
| Montana | $8.68 | $8.68 | |
| Nevada | $8.64 | $8.64 | |
| Wyoming | $8.60 | $8.60 | |
| Delaware | $8.55 | $8.55 | |
| Pennsylvania | $8.54 | $8.54 | |
| Texas | $8.53 | $8.53 | |
| North Dakota | $8.49 | $8.49 | |
| South Dakota | $8.46 | $8.46 | |
| Vermont | $8.44 | $8.44 | |
| Virginia | $8.44 | $8.44 | |
| Arizona | $8.38 | $8.38 | |
| Georgia | $8.37 | $8.37 | |
| Michigan | $8.31 | $8.31 | |
| Maine | $8.19 | $8.19 | |
| Utah | $8.15 | $8.15 | |
| Wisconsin | $8.10 | $8.10 | |
| New Mexico | $8.06 | $8.06 | |
| North Carolina | $8.00 | $8.00 | |
| South Carolina | $8.00 | $8.00 | |
| Missouri | $7.99 | $7.99 | |
| Louisiana | $7.97 | $7.97 | |
| Ohio | $7.96 | $7.96 | |
| Indiana | $7.90 | $7.90 | |
| Idaho | $7.84 | $7.84 | |
| Nebraska | $7.83 | $7.83 | |
| Iowa | $7.77 | $7.77 | |
| Tennessee | $7.77 | $7.77 | |
| Kentucky | $7.73 | $7.73 | |
| West Virginia | $7.73 | $7.73 | |
| Kansas | $7.72 | $7.72 | |
| Oklahoma | $7.72 | $7.72 | |
| Alabama | $7.50 | $7.50 | |
| Mississippi | $7.44 | $7.44 | |
| Arkansas | $7.34 | $7.34 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates