CPT 95018 pays $19.04 in a non-facility setting and $6.01 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $16.90 in Arkansas to $22.14 in Alaska, a 31% spread.
National non-facility rate
$19.04
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 31% 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 |
|---|---|---|---|
| Alaska | $22.14 | $8.27 | |
| District of Columbia | $21.83 | $6.48 | |
| California | $21.62 | $6.21 | |
| Washington | $21.08 | $6.23 | |
| New Jersey | $21.07 | $6.41 | |
| New York | $21.00 | $6.47 | |
| Massachusetts | $20.85 | $6.22 | |
| Hawaii | $20.82 | $6.01 | |
| Connecticut | $20.28 | $6.25 | |
| Colorado | $19.92 | $6.06 | |
| Oregon | $19.73 | $6.01 | |
| Maryland | $19.72 | $6.14 | |
| New Hampshire | $19.57 | $6.01 | |
| Rhode Island | $19.55 | $6.10 | |
| Florida | $19.40 | $6.33 | |
| Minnesota | $19.21 | $5.81 | |
| Puerto Rico | $19.19 | $6.02 | |
| Virgin Islands | $19.19 | $6.02 | |
| Montana | $19.04 | $6.01 | |
| Nevada | $19.00 | $5.96 | |
| Wyoming | $18.95 | $5.93 | |
| Illinois | $18.89 | $6.30 | |
| Delaware | $18.86 | $5.99 | |
| North Dakota | $18.84 | $5.81 | |
| Pennsylvania | $18.82 | $6.06 | |
| South Dakota | $18.82 | $5.79 | |
| Texas | $18.82 | $6.00 | |
| Vermont | $18.73 | $5.84 | |
| Virginia | $18.70 | $5.90 | |
| Arizona | $18.56 | $5.93 | |
| Georgia | $18.47 | $6.04 | |
| Michigan | $18.32 | $6.09 | |
| Maine | $18.29 | $5.84 | |
| Wisconsin | $18.22 | $5.74 | |
| Utah | $18.16 | $5.92 | |
| North Carolina | $17.98 | $5.82 | |
| New Mexico | $17.94 | $6.00 | |
| South Carolina | $17.92 | $5.89 | |
| Missouri | $17.88 | $5.92 | |
| Indiana | $17.84 | $5.77 | |
| Louisiana | $17.83 | $5.94 | |
| Ohio | $17.82 | $5.93 | |
| Nebraska | $17.75 | $5.73 | |
| Idaho | $17.74 | $5.76 | |
| Iowa | $17.64 | $5.73 | |
| Tennessee | $17.61 | $5.77 | |
| Kansas | $17.53 | $5.75 | |
| Oklahoma | $17.46 | $5.83 | |
| Kentucky | $17.45 | $5.87 | |
| West Virginia | $17.34 | $6.02 | |
| Alabama | $17.14 | $5.74 | |
| Mississippi | $17.00 | $5.79 | |
| Arkansas | $16.90 | $5.71 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates