CPT 94669 pays $25.72 in a non-facility setting and $25.72 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $21.86 in Arkansas to $30.25 in District of Columbia, a 38% spread.
National non-facility rate
$25.72
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 38% 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 | $30.25 | $30.25 | |
| California | $30.00 | $30.00 | |
| Washington | $29.08 | $29.08 | |
| New Jersey | $28.93 | $28.93 | |
| Hawaii | $28.87 | $28.87 | |
| New York | $28.85 | $28.85 | |
| Massachusetts | $28.71 | $28.71 | |
| Connecticut | $27.79 | $27.79 | |
| Colorado | $27.18 | $27.18 | |
| Alaska | $27.05 | $27.05 | |
| Oregon | $26.87 | $26.87 | |
| Maryland | $26.84 | $26.84 | |
| New Hampshire | $26.66 | $26.66 | |
| Rhode Island | $26.47 | $26.47 | |
| Florida | $26.43 | $26.43 | |
| Puerto Rico | $25.98 | $25.98 | |
| Virgin Islands | $25.98 | $25.98 | |
| Minnesota | $25.97 | $25.97 | |
| Montana | $25.72 | $25.72 | |
| Nevada | $25.63 | $25.63 | |
| Wyoming | $25.55 | $25.55 | |
| Illinois | $25.48 | $25.48 | |
| Delaware | $25.35 | $25.35 | |
| North Dakota | $25.32 | $25.32 | |
| South Dakota | $25.28 | $25.28 | |
| Texas | $25.28 | $25.28 | |
| Pennsylvania | $25.25 | $25.25 | |
| Vermont | $25.14 | $25.14 | |
| Virginia | $25.10 | $25.10 | |
| Arizona | $24.85 | $24.85 | |
| Georgia | $24.70 | $24.70 | |
| Michigan | $24.46 | $24.46 | |
| Maine | $24.35 | $24.35 | |
| Wisconsin | $24.20 | $24.20 | |
| Utah | $24.15 | $24.15 | |
| North Carolina | $23.80 | $23.80 | |
| New Mexico | $23.77 | $23.77 | |
| South Carolina | $23.71 | $23.71 | |
| Missouri | $23.65 | $23.65 | |
| Louisiana | $23.57 | $23.57 | |
| Indiana | $23.55 | $23.55 | |
| Ohio | $23.54 | $23.54 | |
| Nebraska | $23.37 | $23.37 | |
| Idaho | $23.36 | $23.36 | |
| Iowa | $23.19 | $23.19 | |
| Tennessee | $23.13 | $23.13 | |
| Kansas | $22.98 | $22.98 | |
| Oklahoma | $22.89 | $22.89 | |
| Kentucky | $22.88 | $22.88 | |
| West Virginia | $22.72 | $22.72 | |
| Alabama | $22.30 | $22.30 | |
| Mississippi | $22.06 | $22.06 | |
| Arkansas | $21.86 | $21.86 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates