CPT 95070 pays $39.75 in a non-facility setting and $39.75 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $33.80 in Arkansas to $46.76 in District of Columbia, a 38% spread.
National non-facility rate
$39.75
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 | $46.76 | $46.76 | |
| California | $46.39 | $46.39 | |
| Washington | $44.96 | $44.96 | |
| New Jersey | $44.71 | $44.71 | |
| Hawaii | $44.63 | $44.63 | |
| New York | $44.59 | $44.59 | |
| Massachusetts | $44.38 | $44.38 | |
| Connecticut | $42.94 | $42.94 | |
| Colorado | $42.01 | $42.01 | |
| Alaska | $41.82 | $41.82 | |
| Oregon | $41.54 | $41.54 | |
| Maryland | $41.47 | $41.47 | |
| New Hampshire | $41.21 | $41.21 | |
| Rhode Island | $40.92 | $40.92 | |
| Florida | $40.82 | $40.82 | |
| Minnesota | $40.17 | $40.17 | |
| Puerto Rico | $40.16 | $40.16 | |
| Virgin Islands | $40.16 | $40.16 | |
| Montana | $39.75 | $39.75 | |
| Nevada | $39.62 | $39.62 | |
| Wyoming | $39.49 | $39.49 | |
| Illinois | $39.35 | $39.35 | |
| Delaware | $39.18 | $39.18 | |
| North Dakota | $39.15 | $39.15 | |
| South Dakota | $39.08 | $39.08 | |
| Texas | $39.08 | $39.08 | |
| Pennsylvania | $39.02 | $39.02 | |
| Vermont | $38.86 | $38.86 | |
| Virginia | $38.79 | $38.79 | |
| Arizona | $38.40 | $38.40 | |
| Georgia | $38.16 | $38.16 | |
| Michigan | $37.79 | $37.79 | |
| Maine | $37.65 | $37.65 | |
| Wisconsin | $37.43 | $37.43 | |
| Utah | $37.32 | $37.32 | |
| North Carolina | $36.79 | $36.79 | |
| New Mexico | $36.73 | $36.73 | |
| South Carolina | $36.65 | $36.65 | |
| Missouri | $36.54 | $36.54 | |
| Louisiana | $36.42 | $36.42 | |
| Indiana | $36.40 | $36.40 | |
| Ohio | $36.38 | $36.38 | |
| Nebraska | $36.14 | $36.14 | |
| Idaho | $36.12 | $36.12 | |
| Iowa | $35.85 | $35.85 | |
| Tennessee | $35.76 | $35.76 | |
| Kansas | $35.53 | $35.53 | |
| Oklahoma | $35.38 | $35.38 | |
| Kentucky | $35.36 | $35.36 | |
| West Virginia | $35.10 | $35.10 | |
| Alabama | $34.47 | $34.47 | |
| Mississippi | $34.10 | $34.10 | |
| Arkansas | $33.80 | $33.80 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates