CPT 95249 pays $69.81 in a non-facility setting and $69.81 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $59.51 in Arkansas to $82.15 in District of Columbia, a 38% spread.
National non-facility rate
$69.81
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 | $82.15 | $82.15 | |
| California | $81.75 | $81.75 | |
| Washington | $79.11 | $79.11 | |
| Hawaii | $78.63 | $78.63 | |
| New Jersey | $78.55 | $78.55 | |
| New York | $78.20 | $78.20 | |
| Massachusetts | $78.06 | $78.06 | |
| Connecticut | $75.36 | $75.36 | |
| Colorado | $73.90 | $73.90 | |
| Alaska | $73.66 | $73.66 | |
| Oregon | $73.10 | $73.10 | |
| Maryland | $72.82 | $72.82 | |
| New Hampshire | $72.45 | $72.45 | |
| Rhode Island | $71.92 | $71.92 | |
| Florida | $71.30 | $71.30 | |
| Minnesota | $70.85 | $70.85 | |
| Puerto Rico | $70.54 | $70.54 | |
| Virgin Islands | $70.54 | $70.54 | |
| Montana | $69.81 | $69.81 | |
| Nevada | $69.65 | $69.65 | |
| Wyoming | $69.46 | $69.46 | |
| North Dakota | $69.01 | $69.01 | |
| South Dakota | $68.92 | $68.92 | |
| Delaware | $68.85 | $68.85 | |
| Illinois | $68.71 | $68.71 | |
| Texas | $68.65 | $68.65 | |
| Pennsylvania | $68.50 | $68.50 | |
| Vermont | $68.46 | $68.46 | |
| Virginia | $68.25 | $68.25 | |
| Arizona | $67.49 | $67.49 | |
| Georgia | $66.92 | $66.92 | |
| Maine | $66.26 | $66.26 | |
| Michigan | $66.18 | $66.18 | |
| Wisconsin | $66.01 | $66.01 | |
| Utah | $65.56 | $65.56 | |
| North Carolina | $64.74 | $64.74 | |
| South Carolina | $64.40 | $64.40 | |
| New Mexico | $64.39 | $64.39 | |
| Missouri | $64.15 | $64.15 | |
| Indiana | $64.12 | $64.12 | |
| Louisiana | $63.91 | $63.91 | |
| Ohio | $63.86 | $63.86 | |
| Nebraska | $63.70 | $63.70 | |
| Idaho | $63.63 | $63.63 | |
| Iowa | $63.18 | $63.18 | |
| Tennessee | $62.96 | $62.96 | |
| Kansas | $62.57 | $62.57 | |
| Oklahoma | $62.18 | $62.18 | |
| Kentucky | $62.09 | $62.09 | |
| West Virginia | $61.41 | $61.41 | |
| Alabama | $60.67 | $60.67 | |
| Mississippi | $59.94 | $59.94 | |
| Arkansas | $59.51 | $59.51 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates