CPT 94727 pays $49.77 in a non-facility setting and $49.77 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $43.70 in Arkansas to $57.55 in District of Columbia, a 32% spread.
National non-facility rate
$49.77
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 32% 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 | $57.55 | $57.55 | |
| California | $57.23 | $57.23 | |
| Alaska | $56.29 | $56.29 | |
| Washington | $55.59 | $55.59 | |
| New Jersey | $55.39 | $55.39 | |
| New York | $55.11 | $55.11 | |
| Hawaii | $55.07 | $55.07 | |
| Massachusetts | $54.93 | $54.93 | |
| Connecticut | $53.21 | $53.21 | |
| Colorado | $52.33 | $52.33 | |
| Oregon | $51.83 | $51.83 | |
| Maryland | $51.66 | $51.66 | |
| New Hampshire | $51.35 | $51.35 | |
| Rhode Island | $51.20 | $51.20 | |
| Florida | $50.54 | $50.54 | |
| Minnesota | $50.48 | $50.48 | |
| Puerto Rico | $50.21 | $50.21 | |
| Virgin Islands | $50.21 | $50.21 | |
| Montana | $49.77 | $49.77 | |
| Nevada | $49.70 | $49.70 | |
| Wyoming | $49.59 | $49.59 | |
| North Dakota | $49.37 | $49.37 | |
| South Dakota | $49.32 | $49.32 | |
| Delaware | $49.25 | $49.25 | |
| Texas | $49.13 | $49.13 | |
| Pennsylvania | $49.05 | $49.05 | |
| Illinois | $49.03 | $49.03 | |
| Vermont | $49.03 | $49.03 | |
| Virginia | $48.88 | $48.88 | |
| Arizona | $48.41 | $48.41 | |
| Georgia | $48.04 | $48.04 | |
| Maine | $47.70 | $47.70 | |
| Wisconsin | $47.59 | $47.59 | |
| Michigan | $47.55 | $47.55 | |
| Utah | $47.25 | $47.25 | |
| North Carolina | $46.80 | $46.80 | |
| South Carolina | $46.57 | $46.57 | |
| New Mexico | $46.52 | $46.52 | |
| Indiana | $46.45 | $46.45 | |
| Missouri | $46.40 | $46.40 | |
| Louisiana | $46.25 | $46.25 | |
| Ohio | $46.23 | $46.23 | |
| Nebraska | $46.21 | $46.21 | |
| Idaho | $46.16 | $46.16 | |
| Iowa | $45.90 | $45.90 | |
| Tennessee | $45.75 | $45.75 | |
| Kansas | $45.52 | $45.52 | |
| Oklahoma | $45.26 | $45.26 | |
| Kentucky | $45.19 | $45.19 | |
| West Virginia | $44.72 | $44.72 | |
| Alabama | $44.38 | $44.38 | |
| Mississippi | $43.93 | $43.93 | |
| Arkansas | $43.70 | $43.70 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates