CPT 94728 pays $48.10 in a non-facility setting and $48.10 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $42.26 in Arkansas to $55.58 in District of Columbia, a 32% spread.
National non-facility rate
$48.10
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 | $55.58 | $55.58 | |
| California | $55.25 | $55.25 | |
| Alaska | $54.51 | $54.51 | |
| Washington | $53.69 | $53.69 | |
| New Jersey | $53.51 | $53.51 | |
| New York | $53.25 | $53.25 | |
| Hawaii | $53.17 | $53.17 | |
| Massachusetts | $53.06 | $53.06 | |
| Connecticut | $51.41 | $51.41 | |
| Colorado | $50.55 | $50.55 | |
| Oregon | $50.07 | $50.07 | |
| Maryland | $49.92 | $49.92 | |
| New Hampshire | $49.62 | $49.62 | |
| Rhode Island | $49.47 | $49.47 | |
| Florida | $48.86 | $48.86 | |
| Minnesota | $48.76 | $48.76 | |
| Puerto Rico | $48.52 | $48.52 | |
| Virgin Islands | $48.52 | $48.52 | |
| Montana | $48.10 | $48.10 | |
| Nevada | $48.02 | $48.02 | |
| Wyoming | $47.92 | $47.92 | |
| North Dakota | $47.70 | $47.70 | |
| South Dakota | $47.65 | $47.65 | |
| Delaware | $47.60 | $47.60 | |
| Texas | $47.49 | $47.49 | |
| Illinois | $47.42 | $47.42 | |
| Pennsylvania | $47.42 | $47.42 | |
| Vermont | $47.38 | $47.38 | |
| Virginia | $47.24 | $47.24 | |
| Arizona | $46.79 | $46.79 | |
| Georgia | $46.44 | $46.44 | |
| Maine | $46.11 | $46.11 | |
| Michigan | $45.99 | $45.99 | |
| Wisconsin | $45.99 | $45.99 | |
| Utah | $45.68 | $45.68 | |
| North Carolina | $45.24 | $45.24 | |
| South Carolina | $45.03 | $45.03 | |
| New Mexico | $44.99 | $44.99 | |
| Indiana | $44.90 | $44.90 | |
| Missouri | $44.87 | $44.87 | |
| Louisiana | $44.73 | $44.73 | |
| Ohio | $44.70 | $44.70 | |
| Nebraska | $44.67 | $44.67 | |
| Idaho | $44.62 | $44.62 | |
| Iowa | $44.37 | $44.37 | |
| Tennessee | $44.23 | $44.23 | |
| Kansas | $44.01 | $44.01 | |
| Oklahoma | $43.77 | $43.77 | |
| Kentucky | $43.70 | $43.70 | |
| West Virginia | $43.27 | $43.27 | |
| Alabama | $42.92 | $42.92 | |
| Mississippi | $42.49 | $42.49 | |
| Arkansas | $42.26 | $42.26 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates