CPT 95027 pays $4.68 in a non-facility setting and $4.68 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $3.95 in Arkansas to $5.45 in District of Columbia, a 38% spread.
National non-facility rate
$4.68
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 38% 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 | $5.45 | $5.45 | |
| New York | $5.28 | $5.28 | |
| California | $5.27 | $5.27 | |
| New Jersey | $5.23 | $5.23 | |
| Washington | $5.18 | $5.18 | |
| Massachusetts | $5.13 | $5.13 | |
| Hawaii | $5.08 | $5.08 | |
| Connecticut | $5.06 | $5.06 | |
| Florida | $5.01 | $5.01 | |
| Alaska | $4.95 | $4.95 | |
| Maryland | $4.88 | $4.88 | |
| Colorado | $4.86 | $4.86 | |
| Illinois | $4.85 | $4.85 | |
| New Hampshire | $4.80 | $4.80 | |
| Oregon | $4.80 | $4.80 | |
| Rhode Island | $4.78 | $4.78 | |
| Puerto Rico | $4.72 | $4.72 | |
| Virgin Islands | $4.72 | $4.72 | |
| Montana | $4.68 | $4.68 | |
| Nevada | $4.62 | $4.62 | |
| Pennsylvania | $4.62 | $4.62 | |
| Delaware | $4.60 | $4.60 | |
| Texas | $4.59 | $4.59 | |
| Wyoming | $4.59 | $4.59 | |
| Michigan | $4.57 | $4.57 | |
| Georgia | $4.56 | $4.56 | |
| Minnesota | $4.56 | $4.56 | |
| Virginia | $4.51 | $4.51 | |
| Arizona | $4.50 | $4.50 | |
| North Dakota | $4.48 | $4.48 | |
| Vermont | $4.47 | $4.47 | |
| South Dakota | $4.45 | $4.45 | |
| New Mexico | $4.41 | $4.41 | |
| Utah | $4.40 | $4.40 | |
| Maine | $4.37 | $4.37 | |
| Louisiana | $4.34 | $4.34 | |
| Missouri | $4.34 | $4.34 | |
| Ohio | $4.33 | $4.33 | |
| South Carolina | $4.32 | $4.32 | |
| West Virginia | $4.30 | $4.30 | |
| North Carolina | $4.29 | $4.29 | |
| Wisconsin | $4.28 | $4.28 | |
| Indiana | $4.21 | $4.21 | |
| Kentucky | $4.20 | $4.20 | |
| Idaho | $4.18 | $4.18 | |
| Oklahoma | $4.17 | $4.17 | |
| Nebraska | $4.16 | $4.16 | |
| Tennessee | $4.16 | $4.16 | |
| Iowa | $4.13 | $4.13 | |
| Kansas | $4.13 | $4.13 | |
| Alabama | $4.03 | $4.03 | |
| Mississippi | $4.03 | $4.03 | |
| Arkansas | $3.95 | $3.95 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates