CPT 95056 pays $51.77 in a non-facility setting and $51.77 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $44.24 in Arkansas to $60.94 in District of Columbia, a 38% spread.
National non-facility rate
$51.77
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 | $60.94 | $60.94 | |
| California | $60.83 | $60.83 | |
| Washington | $58.78 | $58.78 | |
| Hawaii | $58.49 | $58.49 | |
| New Jersey | $58.27 | $58.27 | |
| Massachusetts | $57.98 | $57.98 | |
| New York | $57.92 | $57.92 | |
| Connecticut | $55.85 | $55.85 | |
| Colorado | $54.90 | $54.90 | |
| Alaska | $54.79 | $54.79 | |
| Oregon | $54.32 | $54.32 | |
| Maryland | $54.00 | $54.00 | |
| New Hampshire | $53.78 | $53.78 | |
| Rhode Island | $53.39 | $53.39 | |
| Minnesota | $52.78 | $52.78 | |
| Florida | $52.57 | $52.57 | |
| Puerto Rico | $52.32 | $52.32 | |
| Virgin Islands | $52.32 | $52.32 | |
| Montana | $51.77 | $51.77 | |
| Nevada | $51.71 | $51.71 | |
| Wyoming | $51.60 | $51.60 | |
| North Dakota | $51.37 | $51.37 | |
| South Dakota | $51.33 | $51.33 | |
| Delaware | $51.09 | $51.09 | |
| Texas | $50.93 | $50.93 | |
| Vermont | $50.93 | $50.93 | |
| Pennsylvania | $50.77 | $50.77 | |
| Virginia | $50.71 | $50.71 | |
| Illinois | $50.66 | $50.66 | |
| Arizona | $50.09 | $50.09 | |
| Georgia | $49.55 | $49.55 | |
| Maine | $49.25 | $49.25 | |
| Wisconsin | $49.16 | $49.16 | |
| Michigan | $48.93 | $48.93 | |
| Utah | $48.64 | $48.64 | |
| North Carolina | $48.11 | $48.11 | |
| South Carolina | $47.79 | $47.79 | |
| Indiana | $47.70 | $47.70 | |
| New Mexico | $47.66 | $47.66 | |
| Missouri | $47.55 | $47.55 | |
| Nebraska | $47.42 | $47.42 | |
| Louisiana | $47.36 | $47.36 | |
| Idaho | $47.33 | $47.33 | |
| Ohio | $47.33 | $47.33 | |
| Iowa | $47.02 | $47.02 | |
| Tennessee | $46.81 | $46.81 | |
| Kansas | $46.53 | $46.53 | |
| Oklahoma | $46.15 | $46.15 | |
| Kentucky | $46.04 | $46.04 | |
| West Virginia | $45.36 | $45.36 | |
| Alabama | $45.09 | $45.09 | |
| Mississippi | $44.49 | $44.49 | |
| Arkansas | $44.24 | $44.24 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates