CPT 95079 pays $84.84 in a non-facility setting and $57.45 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $78.80 in Arkansas to $109.54 in Alaska, a 39% spread.
National non-facility rate
$84.84
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 39% 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 | $109.54 | $80.38 | |
| District of Columbia | $94.12 | $61.85 | |
| California | $92.52 | $60.11 | |
| New Jersey | $92.02 | $61.18 | |
| New York | $91.91 | $61.35 | |
| Washington | $91.13 | $59.91 | |
| Massachusetts | $90.47 | $59.70 | |
| Hawaii | $89.21 | $58.07 | |
| Connecticut | $88.97 | $59.47 | |
| Colorado | $87.40 | $58.26 | |
| Maryland | $87.14 | $58.59 | |
| Rhode Island | $86.76 | $58.46 | |
| Oregon | $86.73 | $57.87 | |
| Florida | $86.54 | $59.06 | |
| New Hampshire | $86.15 | $57.64 | |
| Illinois | $85.27 | $58.81 | |
| Puerto Rico | $85.22 | $57.53 | |
| Virgin Islands | $85.22 | $57.53 | |
| Montana | $84.83 | $57.45 | |
| Minnesota | $84.74 | $56.55 | |
| Pennsylvania | $84.61 | $57.78 | |
| Nevada | $84.60 | $57.18 | |
| Delaware | $84.46 | $57.40 | |
| Texas | $84.40 | $57.43 | |
| Wyoming | $84.40 | $57.02 | |
| North Dakota | $83.85 | $56.46 | |
| South Dakota | $83.73 | $56.34 | |
| Virginia | $83.72 | $56.79 | |
| Vermont | $83.64 | $56.53 | |
| Georgia | $83.53 | $57.40 | |
| Arizona | $83.45 | $56.91 | |
| Michigan | $83.26 | $57.54 | |
| Maine | $82.56 | $56.39 | |
| Utah | $82.44 | $56.70 | |
| Wisconsin | $82.13 | $55.89 | |
| New Mexico | $82.10 | $56.98 | |
| South Carolina | $81.77 | $56.46 | |
| Missouri | $81.76 | $56.63 | |
| North Carolina | $81.75 | $56.20 | |
| Louisiana | $81.69 | $56.69 | |
| Ohio | $81.63 | $56.62 | |
| Indiana | $81.27 | $55.88 | |
| Idaho | $80.99 | $55.79 | |
| Nebraska | $80.94 | $55.66 | |
| West Virginia | $80.70 | $56.90 | |
| Tennessee | $80.69 | $55.79 | |
| Iowa | $80.68 | $55.62 | |
| Kentucky | $80.58 | $56.23 | |
| Oklahoma | $80.50 | $56.04 | |
| Kansas | $80.45 | $55.69 | |
| Alabama | $79.48 | $55.51 | |
| Mississippi | $79.25 | $55.67 | |
| Arkansas | $78.80 | $55.27 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates