CPT 94667

Manj Ch Wall Facilitate Lng Funcj 1 Demo&/Eval

CPT 94667 pays $27.39 in a non-facility setting and $27.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $23.30 in Arkansas to $32.22 in District of Columbia, a 38% spread.

National non-facility rate

$27.39

Office and other outpatient settings

Facility rate
$27.39

Hospital and ASC settings

Highest state
$32.22

District of Columbia

Lowest state
$23.30

Arkansas · 38% 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 $27.39
CPT 94667 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $27.39, national facility $27.39.
StateRate compared visuallyNon-facilityFacility
District of Columbia
$32.22$32.22
California
$31.98$31.98
Washington
$30.99$30.99
New Jersey
$30.81$30.81
Hawaii
$30.77$30.77
New York
$30.72$30.72
Massachusetts
$30.58$30.58
Connecticut
$29.59$29.59
Colorado
$28.95$28.95
Alaska
$28.83$28.83
Oregon
$28.63$28.63
Maryland
$28.58$28.58
New Hampshire
$28.40$28.40
Rhode Island
$28.20$28.20
Florida
$28.11$28.11
Minnesota
$27.69$27.69
Puerto Rico
$27.67$27.67
Virgin Islands
$27.67$27.67
Montana
$27.39$27.39
Nevada
$27.30$27.30
Wyoming
$27.22$27.22
Illinois
$27.10$27.10
Delaware
$27.00$27.00
North Dakota
$26.99$26.99
South Dakota
$26.95$26.95
Texas
$26.93$26.93
Pennsylvania
$26.89$26.89
Vermont
$26.79$26.79
Virginia
$26.74$26.74
Arizona
$26.46$26.46
Georgia
$26.29$26.29
Michigan
$26.03$26.03
Maine
$25.95$25.95
Wisconsin
$25.80$25.80
Utah
$25.72$25.72
North Carolina
$25.36$25.36
New Mexico
$25.31$25.31
South Carolina
$25.26$25.26
Missouri
$25.18$25.18
Louisiana
$25.10$25.10
Indiana
$25.09$25.09
Ohio
$25.07$25.07
Nebraska
$24.92$24.92
Idaho
$24.90$24.90
Iowa
$24.71$24.71
Tennessee
$24.65$24.65
Kansas
$24.49$24.49
Oklahoma
$24.38$24.38
Kentucky
$24.37$24.37
West Virginia
$24.18$24.18
Alabama
$23.76$23.76
Mississippi
$23.50$23.50
Arkansas
$23.30$23.30

Billed by 1 specialties

Commercial rates for 94667

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

See negotiated rates