CPT 94681 pays $50.10 in a non-facility setting and $50.10 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $43.63 in Arkansas to $58.13 in District of Columbia, a 33% spread.
National non-facility rate
$50.10
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 33% 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 | $58.13 | $58.13 | |
| California | $57.66 | $57.66 | |
| Washington | $56.04 | $56.04 | |
| New Jersey | $55.87 | $55.87 | |
| Alaska | $55.75 | $55.75 | |
| New York | $55.68 | $55.68 | |
| Hawaii | $55.49 | $55.49 | |
| Massachusetts | $55.37 | $55.37 | |
| Connecticut | $53.71 | $53.71 | |
| Colorado | $52.68 | $52.68 | |
| Oregon | $52.15 | $52.15 | |
| Maryland | $52.07 | $52.07 | |
| New Hampshire | $51.72 | $51.72 | |
| Rhode Island | $51.52 | $51.52 | |
| Florida | $51.19 | $51.19 | |
| Minnesota | $50.63 | $50.63 | |
| Puerto Rico | $50.55 | $50.55 | |
| Virgin Islands | $50.55 | $50.55 | |
| Montana | $50.10 | $50.10 | |
| Nevada | $49.98 | $49.98 | |
| Wyoming | $49.84 | $49.84 | |
| Illinois | $49.61 | $49.61 | |
| Delaware | $49.52 | $49.52 | |
| North Dakota | $49.51 | $49.51 | |
| South Dakota | $49.44 | $49.44 | |
| Texas | $49.41 | $49.41 | |
| Pennsylvania | $49.36 | $49.36 | |
| Vermont | $49.18 | $49.18 | |
| Virginia | $49.09 | $49.09 | |
| Arizona | $48.64 | $48.64 | |
| Georgia | $48.36 | $48.36 | |
| Michigan | $47.92 | $47.92 | |
| Maine | $47.84 | $47.84 | |
| Wisconsin | $47.63 | $47.63 | |
| Utah | $47.45 | $47.45 | |
| North Carolina | $46.90 | $46.90 | |
| New Mexico | $46.78 | $46.78 | |
| South Carolina | $46.73 | $46.73 | |
| Missouri | $46.59 | $46.59 | |
| Indiana | $46.49 | $46.49 | |
| Louisiana | $46.46 | $46.46 | |
| Ohio | $46.42 | $46.42 | |
| Nebraska | $46.21 | $46.21 | |
| Idaho | $46.18 | $46.18 | |
| Iowa | $45.89 | $45.89 | |
| Tennessee | $45.78 | $45.78 | |
| Kansas | $45.53 | $45.53 | |
| Oklahoma | $45.34 | $45.34 | |
| Kentucky | $45.31 | $45.31 | |
| West Virginia | $44.98 | $44.98 | |
| Alabama | $44.36 | $44.36 | |
| Mississippi | $43.94 | $43.94 | |
| Arkansas | $43.63 | $43.63 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates