CPT 95812 pays $383.11 in a non-facility setting and $383.11 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $333.14 in Arkansas to $446.63 in District of Columbia, a 34% spread.
National non-facility rate
$383.11
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 34% 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 | $446.63 | $446.63 | |
| California | $446.08 | $446.08 | |
| Washington | $431.77 | $431.77 | |
| Hawaii | $428.97 | $428.97 | |
| New Jersey | $428.56 | $428.56 | |
| Massachusetts | $426.15 | $426.15 | |
| New York | $425.67 | $425.67 | |
| Alaska | $422.16 | $422.16 | |
| Connecticut | $410.95 | $410.95 | |
| Colorado | $404.90 | $404.90 | |
| Oregon | $400.97 | $400.97 | |
| Maryland | $398.43 | $398.43 | |
| New Hampshire | $396.84 | $396.84 | |
| Rhode Island | $394.82 | $394.82 | |
| Minnesota | $390.97 | $390.97 | |
| Florida | $387.10 | $387.10 | |
| Puerto Rico | $386.85 | $386.85 | |
| Virgin Islands | $386.85 | $386.85 | |
| Montana | $383.10 | $383.10 | |
| Nevada | $382.95 | $382.95 | |
| Wyoming | $382.33 | $382.33 | |
| North Dakota | $381.32 | $381.32 | |
| South Dakota | $381.11 | $381.11 | |
| Delaware | $378.86 | $378.86 | |
| Vermont | $378.18 | $378.18 | |
| Texas | $377.76 | $377.76 | |
| Pennsylvania | $376.59 | $376.59 | |
| Virginia | $376.38 | $376.38 | |
| Illinois | $374.36 | $374.36 | |
| Arizona | $372.01 | $372.01 | |
| Georgia | $367.93 | $367.93 | |
| Maine | $366.68 | $366.68 | |
| Wisconsin | $366.58 | $366.58 | |
| Michigan | $363.35 | $363.35 | |
| Utah | $362.16 | $362.16 | |
| North Carolina | $358.97 | $358.97 | |
| South Carolina | $356.51 | $356.51 | |
| Indiana | $356.45 | $356.45 | |
| New Mexico | $355.16 | $355.16 | |
| Nebraska | $354.75 | $354.75 | |
| Missouri | $354.74 | $354.74 | |
| Idaho | $354.00 | $354.00 | |
| Louisiana | $353.32 | $353.32 | |
| Ohio | $353.20 | $353.20 | |
| Iowa | $352.05 | $352.05 | |
| Tennessee | $350.41 | $350.41 | |
| Kansas | $348.59 | $348.59 | |
| Oklahoma | $345.63 | $345.63 | |
| Kentucky | $344.67 | $344.67 | |
| West Virginia | $339.34 | $339.34 | |
| Alabama | $338.80 | $338.80 | |
| Mississippi | $334.50 | $334.50 | |
| Arkansas | $333.14 | $333.14 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates