CPT 95250 pays $152.64 in a non-facility setting and $152.64 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $130.55 in Arkansas to $179.70 in District of Columbia, a 38% spread.
National non-facility rate
$152.64
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 | $179.70 | $179.70 | |
| California | $179.55 | $179.55 | |
| Washington | $173.43 | $173.43 | |
| Hawaii | $172.62 | $172.62 | |
| New Jersey | $171.80 | $171.80 | |
| Massachusetts | $171.03 | $171.03 | |
| New York | $170.70 | $170.70 | |
| Connecticut | $164.62 | $164.62 | |
| Colorado | $161.94 | $161.94 | |
| Alaska | $161.71 | $161.71 | |
| Oregon | $160.26 | $160.26 | |
| Maryland | $159.19 | $159.19 | |
| New Hampshire | $158.62 | $158.62 | |
| Rhode Island | $157.44 | $157.44 | |
| Minnesota | $155.84 | $155.84 | |
| Florida | $154.73 | $154.73 | |
| Puerto Rico | $154.28 | $154.28 | |
| Virgin Islands | $154.28 | $154.28 | |
| Montana | $152.64 | $152.64 | |
| Nevada | $152.51 | $152.51 | |
| Wyoming | $152.21 | $152.21 | |
| North Dakota | $151.65 | $151.65 | |
| South Dakota | $151.53 | $151.53 | |
| Delaware | $150.66 | $150.66 | |
| Vermont | $150.31 | $150.31 | |
| Texas | $150.18 | $150.18 | |
| Pennsylvania | $149.66 | $149.66 | |
| Virginia | $149.58 | $149.58 | |
| Illinois | $149.07 | $149.07 | |
| Arizona | $147.72 | $147.72 | |
| Georgia | $146.03 | $146.03 | |
| Maine | $145.30 | $145.30 | |
| Wisconsin | $145.15 | $145.15 | |
| Michigan | $144.11 | $144.11 | |
| Utah | $143.41 | $143.41 | |
| North Carolina | $141.92 | $141.92 | |
| South Carolina | $140.92 | $140.92 | |
| Indiana | $140.76 | $140.76 | |
| New Mexico | $140.45 | $140.45 | |
| Missouri | $140.19 | $140.19 | |
| Nebraska | $139.98 | $139.98 | |
| Idaho | $139.68 | $139.68 | |
| Louisiana | $139.59 | $139.59 | |
| Ohio | $139.52 | $139.52 | |
| Iowa | $138.80 | $138.80 | |
| Tennessee | $138.13 | $138.13 | |
| Kansas | $137.32 | $137.32 | |
| Oklahoma | $136.12 | $136.12 | |
| Kentucky | $135.74 | $135.74 | |
| West Virginia | $133.58 | $133.58 | |
| Alabama | $133.05 | $133.05 | |
| Mississippi | $131.22 | $131.22 | |
| Arkansas | $130.55 | $130.55 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates