CPT 95115 pays $10.35 in a non-facility setting and $10.35 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $8.78 in Arkansas to $12.18 in District of Columbia, a 39% spread.
National non-facility rate
$10.35
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
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 |
|---|---|---|---|
| District of Columbia | $12.18 | $12.18 | |
| California | $12.04 | $12.04 | |
| Washington | $11.69 | $11.69 | |
| New Jersey | $11.64 | $11.64 | |
| New York | $11.63 | $11.63 | |
| Hawaii | $11.59 | $11.59 | |
| Massachusetts | $11.54 | $11.54 | |
| Connecticut | $11.20 | $11.20 | |
| Colorado | $10.92 | $10.92 | |
| Alaska | $10.86 | $10.86 | |
| Maryland | $10.81 | $10.81 | |
| Oregon | $10.80 | $10.80 | |
| New Hampshire | $10.72 | $10.72 | |
| Florida | $10.70 | $10.70 | |
| Rhode Island | $10.65 | $10.65 | |
| Puerto Rico | $10.46 | $10.46 | |
| Virgin Islands | $10.46 | $10.46 | |
| Minnesota | $10.41 | $10.41 | |
| Montana | $10.35 | $10.35 | |
| Illinois | $10.32 | $10.32 | |
| Nevada | $10.31 | $10.31 | |
| Wyoming | $10.27 | $10.27 | |
| Delaware | $10.20 | $10.20 | |
| Texas | $10.18 | $10.18 | |
| Pennsylvania | $10.17 | $10.17 | |
| North Dakota | $10.16 | $10.16 | |
| South Dakota | $10.13 | $10.13 | |
| Vermont | $10.09 | $10.09 | |
| Virginia | $10.09 | $10.09 | |
| Arizona | $10.00 | $10.00 | |
| Georgia | $9.96 | $9.96 | |
| Michigan | $9.88 | $9.88 | |
| Maine | $9.78 | $9.78 | |
| Utah | $9.72 | $9.72 | |
| Wisconsin | $9.70 | $9.70 | |
| New Mexico | $9.59 | $9.59 | |
| North Carolina | $9.56 | $9.56 | |
| South Carolina | $9.54 | $9.54 | |
| Missouri | $9.52 | $9.52 | |
| Louisiana | $9.50 | $9.50 | |
| Ohio | $9.49 | $9.49 | |
| Indiana | $9.45 | $9.45 | |
| Idaho | $9.38 | $9.38 | |
| Nebraska | $9.37 | $9.37 | |
| Iowa | $9.30 | $9.30 | |
| Tennessee | $9.29 | $9.29 | |
| Kansas | $9.23 | $9.23 | |
| Kentucky | $9.21 | $9.21 | |
| Oklahoma | $9.21 | $9.21 | |
| West Virginia | $9.19 | $9.19 | |
| Alabama | $8.96 | $8.96 | |
| Mississippi | $8.87 | $8.87 | |
| Arkansas | $8.78 | $8.78 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates