CPT 95145 pays $34.07 in a non-facility setting and $2.67 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $29.43 in Arkansas to $39.86 in District of Columbia, a 35% spread.
National non-facility rate
$34.07
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 35% 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 | $39.86 | $2.88 | |
| California | $39.80 | $2.65 | |
| Washington | $38.50 | $2.71 | |
| Hawaii | $38.28 | $2.58 | |
| New Jersey | $38.20 | $2.84 | |
| Massachusetts | $37.99 | $2.72 | |
| New York | $37.95 | $2.93 | |
| Alaska | $36.98 | $3.55 | |
| Connecticut | $36.62 | $2.81 | |
| Colorado | $36.05 | $2.64 | |
| Oregon | $35.69 | $2.61 | |
| Maryland | $35.47 | $2.74 | |
| New Hampshire | $35.33 | $2.64 | |
| Rhode Island | $35.12 | $2.69 | |
| Minnesota | $34.75 | $2.45 | |
| Florida | $34.49 | $2.99 | |
| Puerto Rico | $34.41 | $2.67 | |
| Virgin Islands | $34.41 | $2.67 | |
| Montana | $34.07 | $2.67 | |
| Nevada | $34.04 | $2.62 | |
| Wyoming | $33.98 | $2.59 | |
| North Dakota | $33.87 | $2.47 | |
| South Dakota | $33.85 | $2.45 | |
| Delaware | $33.66 | $2.64 | |
| Vermont | $33.59 | $2.50 | |
| Texas | $33.56 | $2.65 | |
| Pennsylvania | $33.46 | $2.71 | |
| Virginia | $33.43 | $2.57 | |
| Illinois | $33.31 | $2.97 | |
| Arizona | $33.04 | $2.61 | |
| Georgia | $32.68 | $2.73 | |
| Maine | $32.53 | $2.53 | |
| Wisconsin | $32.51 | $2.43 | |
| Michigan | $32.27 | $2.79 | |
| Utah | $32.13 | $2.62 | |
| North Carolina | $31.82 | $2.53 | |
| South Carolina | $31.61 | $2.60 | |
| Indiana | $31.58 | $2.48 | |
| New Mexico | $31.50 | $2.71 | |
| Missouri | $31.45 | $2.64 | |
| Nebraska | $31.42 | $2.44 | |
| Idaho | $31.35 | $2.47 | |
| Louisiana | $31.32 | $2.66 | |
| Ohio | $31.31 | $2.65 | |
| Iowa | $31.17 | $2.44 | |
| Tennessee | $31.03 | $2.49 | |
| Kansas | $30.86 | $2.47 | |
| Oklahoma | $30.60 | $2.56 | |
| Kentucky | $30.52 | $2.61 | |
| West Virginia | $30.06 | $2.77 | |
| Alabama | $29.96 | $2.49 | |
| Mississippi | $29.57 | $2.54 | |
| Arkansas | $29.43 | $2.46 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates