CPT 94761 pays $4.34 in a non-facility setting and $4.34 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $3.61 in Arkansas to $5.09 in District of Columbia, a 41% spread.
National non-facility rate
$4.34
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 41% 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 | $5.09 | $5.09 | |
| New York | $4.93 | $4.93 | |
| California | $4.92 | $4.92 | |
| New Jersey | $4.87 | $4.87 | |
| Washington | $4.83 | $4.83 | |
| Massachusetts | $4.78 | $4.78 | |
| Hawaii | $4.75 | $4.75 | |
| Connecticut | $4.72 | $4.72 | |
| Florida | $4.67 | $4.67 | |
| Maryland | $4.54 | $4.54 | |
| Colorado | $4.53 | $4.53 | |
| Illinois | $4.51 | $4.51 | |
| New Hampshire | $4.46 | $4.46 | |
| Oregon | $4.46 | $4.46 | |
| Alaska | $4.45 | $4.45 | |
| Rhode Island | $4.44 | $4.44 | |
| Puerto Rico | $4.38 | $4.38 | |
| Virgin Islands | $4.38 | $4.38 | |
| Montana | $4.34 | $4.34 | |
| Nevada | $4.29 | $4.29 | |
| Pennsylvania | $4.28 | $4.28 | |
| Delaware | $4.26 | $4.26 | |
| Texas | $4.26 | $4.26 | |
| Wyoming | $4.26 | $4.26 | |
| Michigan | $4.23 | $4.23 | |
| Georgia | $4.22 | $4.22 | |
| Minnesota | $4.22 | $4.22 | |
| Virginia | $4.18 | $4.18 | |
| Arizona | $4.17 | $4.17 | |
| North Dakota | $4.14 | $4.14 | |
| Vermont | $4.14 | $4.14 | |
| South Dakota | $4.12 | $4.12 | |
| New Mexico | $4.08 | $4.08 | |
| Utah | $4.07 | $4.07 | |
| Maine | $4.04 | $4.04 | |
| Louisiana | $4.01 | $4.01 | |
| Missouri | $4.01 | $4.01 | |
| Ohio | $4.00 | $4.00 | |
| South Carolina | $3.99 | $3.99 | |
| West Virginia | $3.96 | $3.96 | |
| North Carolina | $3.95 | $3.95 | |
| Wisconsin | $3.94 | $3.94 | |
| Indiana | $3.88 | $3.88 | |
| Kentucky | $3.87 | $3.87 | |
| Idaho | $3.85 | $3.85 | |
| Oklahoma | $3.84 | $3.84 | |
| Nebraska | $3.83 | $3.83 | |
| Tennessee | $3.82 | $3.82 | |
| Iowa | $3.80 | $3.80 | |
| Kansas | $3.79 | $3.79 | |
| Alabama | $3.70 | $3.70 | |
| Mississippi | $3.70 | $3.70 | |
| Arkansas | $3.61 | $3.61 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates