CPT 95052 pays $6.01 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 $5.05 in Arkansas to $7.06 in District of Columbia, a 40% spread.
National non-facility rate
$6.01
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 40% 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 | $7.06 | $7.06 | |
| California | $6.90 | $6.90 | |
| New York | $6.79 | $6.79 | |
| New Jersey | $6.76 | $6.76 | |
| Washington | $6.74 | $6.74 | |
| Massachusetts | $6.66 | $6.66 | |
| Hawaii | $6.65 | $6.65 | |
| Connecticut | $6.52 | $6.52 | |
| Florida | $6.35 | $6.35 | |
| Colorado | $6.30 | $6.30 | |
| Maryland | $6.28 | $6.28 | |
| Alaska | $6.23 | $6.23 | |
| Oregon | $6.22 | $6.22 | |
| New Hampshire | $6.20 | $6.20 | |
| Rhode Island | $6.16 | $6.16 | |
| Illinois | $6.12 | $6.12 | |
| Puerto Rico | $6.07 | $6.07 | |
| Virgin Islands | $6.07 | $6.07 | |
| Montana | $6.01 | $6.01 | |
| Nevada | $5.96 | $5.96 | |
| Minnesota | $5.94 | $5.94 | |
| Wyoming | $5.93 | $5.93 | |
| Pennsylvania | $5.92 | $5.92 | |
| Delaware | $5.91 | $5.91 | |
| Texas | $5.90 | $5.90 | |
| Georgia | $5.82 | $5.82 | |
| Virginia | $5.82 | $5.82 | |
| North Dakota | $5.81 | $5.81 | |
| Michigan | $5.80 | $5.80 | |
| Arizona | $5.79 | $5.79 | |
| South Dakota | $5.79 | $5.79 | |
| Vermont | $5.79 | $5.79 | |
| Utah | $5.64 | $5.64 | |
| Maine | $5.63 | $5.63 | |
| New Mexico | $5.61 | $5.61 | |
| Missouri | $5.54 | $5.54 | |
| Wisconsin | $5.54 | $5.54 | |
| Louisiana | $5.53 | $5.53 | |
| South Carolina | $5.53 | $5.53 | |
| Ohio | $5.52 | $5.52 | |
| North Carolina | $5.51 | $5.51 | |
| Indiana | $5.43 | $5.43 | |
| West Virginia | $5.41 | $5.41 | |
| Idaho | $5.38 | $5.38 | |
| Nebraska | $5.37 | $5.37 | |
| Kentucky | $5.35 | $5.35 | |
| Tennessee | $5.34 | $5.34 | |
| Iowa | $5.33 | $5.33 | |
| Oklahoma | $5.33 | $5.33 | |
| Kansas | $5.30 | $5.30 | |
| Alabama | $5.16 | $5.16 | |
| Mississippi | $5.14 | $5.14 | |
| Arkansas | $5.05 | $5.05 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates