CPT 95251 pays $35.07 in a non-facility setting and $35.07 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $32.75 in Arkansas to $46.37 in Alaska, a 42% spread.
National non-facility rate
$35.07
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 42% 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 | $46.37 | $46.37 | |
| District of Columbia | $38.39 | $38.39 | |
| New York | $37.98 | $37.98 | |
| New Jersey | $37.73 | $37.73 | |
| California | $37.08 | $37.08 | |
| Washington | $36.93 | $36.93 | |
| Massachusetts | $36.78 | $36.78 | |
| Connecticut | $36.70 | $36.70 | |
| Florida | $36.69 | $36.69 | |
| Illinois | $36.31 | $36.31 | |
| Maryland | $35.95 | $35.95 | |
| Hawaii | $35.83 | $35.83 | |
| Rhode Island | $35.67 | $35.67 | |
| Colorado | $35.66 | $35.66 | |
| Oregon | $35.36 | $35.36 | |
| New Hampshire | $35.30 | $35.30 | |
| Pennsylvania | $35.17 | $35.17 | |
| Puerto Rico | $35.16 | $35.16 | |
| Virgin Islands | $35.16 | $35.16 | |
| Michigan | $35.10 | $35.10 | |
| Montana | $35.07 | $35.07 | |
| Georgia | $34.94 | $34.94 | |
| Texas | $34.91 | $34.91 | |
| Delaware | $34.89 | $34.89 | |
| Nevada | $34.80 | $34.80 | |
| Wyoming | $34.64 | $34.64 | |
| New Mexico | $34.52 | $34.52 | |
| Arizona | $34.50 | $34.50 | |
| Virginia | $34.40 | $34.40 | |
| West Virginia | $34.39 | $34.39 | |
| Utah | $34.26 | $34.26 | |
| Louisiana | $34.22 | $34.22 | |
| Minnesota | $34.21 | $34.21 | |
| Missouri | $34.16 | $34.16 | |
| Ohio | $34.15 | $34.15 | |
| Vermont | $34.14 | $34.14 | |
| North Dakota | $34.08 | $34.08 | |
| South Carolina | $34.01 | $34.01 | |
| Maine | $33.97 | $33.97 | |
| South Dakota | $33.96 | $33.96 | |
| North Carolina | $33.75 | $33.75 | |
| Kentucky | $33.74 | $33.74 | |
| Oklahoma | $33.55 | $33.55 | |
| Wisconsin | $33.47 | $33.47 | |
| Indiana | $33.43 | $33.43 | |
| Idaho | $33.34 | $33.34 | |
| Tennessee | $33.33 | $33.33 | |
| Kansas | $33.22 | $33.22 | |
| Nebraska | $33.21 | $33.21 | |
| Iowa | $33.16 | $33.16 | |
| Mississippi | $33.15 | $33.15 | |
| Alabama | $33.01 | $33.01 | |
| Arkansas | $32.75 | $32.75 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates