CPT 95180 pays $137.61 in a non-facility setting and $86.84 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $126.87 in Arkansas to $174.56 in Alaska, a 38% spread.
National non-facility rate
$137.61
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $174.56 | $120.49 | |
| District of Columbia | $153.63 | $93.82 | |
| California | $151.44 | $91.36 | |
| New Jersey | $149.85 | $92.68 | |
| New York | $149.51 | $92.87 | |
| Washington | $148.77 | $90.90 | |
| Massachusetts | $147.57 | $90.53 | |
| Hawaii | $145.96 | $88.24 | |
| Connecticut | $144.69 | $90.01 | |
| Colorado | $142.27 | $88.25 | |
| Maryland | $141.56 | $88.63 | |
| Oregon | $141.15 | $87.66 | |
| Rhode Island | $140.88 | $88.44 | |
| New Hampshire | $140.11 | $87.26 | |
| Florida | $140.05 | $89.11 | |
| Puerto Rico | $138.33 | $87.00 | |
| Virgin Islands | $138.33 | $87.00 | |
| Minnesota | $137.94 | $85.70 | |
| Illinois | $137.68 | $88.62 | |
| Montana | $137.61 | $86.84 | |
| Nevada | $137.29 | $86.47 | |
| Wyoming | $137.00 | $86.23 | |
| Pennsylvania | $136.98 | $87.25 | |
| Delaware | $136.89 | $86.73 | |
| Texas | $136.76 | $86.78 | |
| North Dakota | $136.22 | $85.45 | |
| South Dakota | $136.06 | $85.29 | |
| Vermont | $135.78 | $85.51 | |
| Virginia | $135.77 | $85.86 | |
| Arizona | $135.16 | $85.97 | |
| Georgia | $135.04 | $86.60 | |
| Michigan | $134.41 | $86.74 | |
| Maine | $133.71 | $85.20 | |
| Utah | $133.28 | $85.56 | |
| Wisconsin | $133.13 | $84.49 | |
| New Mexico | $132.43 | $85.87 | |
| North Carolina | $132.20 | $84.83 | |
| South Carolina | $132.08 | $85.17 | |
| Missouri | $131.97 | $85.38 | |
| Louisiana | $131.79 | $85.44 | |
| Ohio | $131.70 | $85.35 | |
| Indiana | $131.44 | $84.37 | |
| Idaho | $130.93 | $84.22 | |
| Nebraska | $130.91 | $84.05 | |
| Iowa | $130.41 | $83.96 | |
| Tennessee | $130.33 | $84.18 | |
| Kansas | $129.91 | $84.02 | |
| Kentucky | $129.85 | $84.72 | |
| Oklahoma | $129.80 | $84.46 | |
| West Virginia | $129.69 | $85.57 | |
| Alabama | $128.08 | $83.66 | |
| Mississippi | $127.53 | $83.82 | |
| Arkansas | $126.87 | $83.26 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates