CPT 94690 pays $52.44 in a non-facility setting and $52.44 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $45.15 in Arkansas to $61.44 in District of Columbia, a 36% spread.
National non-facility rate
$52.44
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 36% 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 | $61.44 | $61.44 | |
| California | $61.28 | $61.28 | |
| Washington | $59.29 | $59.29 | |
| Hawaii | $58.93 | $58.93 | |
| New Jersey | $58.84 | $58.84 | |
| Massachusetts | $58.51 | $58.51 | |
| New York | $58.50 | $58.50 | |
| Alaska | $56.52 | $56.52 | |
| Connecticut | $56.43 | $56.43 | |
| Colorado | $55.48 | $55.48 | |
| Oregon | $54.92 | $54.92 | |
| Maryland | $54.62 | $54.62 | |
| New Hampshire | $54.38 | $54.38 | |
| Rhode Island | $54.04 | $54.04 | |
| Minnesota | $53.40 | $53.40 | |
| Florida | $53.24 | $53.24 | |
| Puerto Rico | $52.97 | $52.97 | |
| Virgin Islands | $52.97 | $52.97 | |
| Montana | $52.44 | $52.44 | |
| Nevada | $52.38 | $52.38 | |
| Wyoming | $52.27 | $52.27 | |
| North Dakota | $52.04 | $52.04 | |
| South Dakota | $52.00 | $52.00 | |
| Delaware | $51.79 | $51.79 | |
| Texas | $51.64 | $51.64 | |
| Vermont | $51.62 | $51.62 | |
| Pennsylvania | $51.49 | $51.49 | |
| Virginia | $51.40 | $51.40 | |
| Illinois | $51.39 | $51.39 | |
| Arizona | $50.81 | $50.81 | |
| Georgia | $50.30 | $50.30 | |
| Maine | $49.99 | $49.99 | |
| Wisconsin | $49.90 | $49.90 | |
| Michigan | $49.70 | $49.70 | |
| Utah | $49.41 | $49.41 | |
| North Carolina | $48.89 | $48.89 | |
| South Carolina | $48.58 | $48.58 | |
| Indiana | $48.49 | $48.49 | |
| New Mexico | $48.47 | $48.47 | |
| Missouri | $48.36 | $48.36 | |
| Nebraska | $48.22 | $48.22 | |
| Louisiana | $48.17 | $48.17 | |
| Ohio | $48.14 | $48.14 | |
| Idaho | $48.13 | $48.13 | |
| Iowa | $47.83 | $47.83 | |
| Tennessee | $47.63 | $47.63 | |
| Kansas | $47.36 | $47.36 | |
| Oklahoma | $47.00 | $47.00 | |
| Kentucky | $46.90 | $46.90 | |
| West Virginia | $46.25 | $46.25 | |
| Alabama | $45.97 | $45.97 | |
| Mississippi | $45.39 | $45.39 | |
| Arkansas | $45.15 | $45.15 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates