CPT 95813 pays $479.64 in a non-facility setting and $479.64 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $418.31 in Arkansas to $558.00 in District of Columbia, a 33% spread.
National non-facility rate
$479.64
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 33% 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 | $558.00 | $558.00 | |
| California | $556.95 | $556.95 | |
| Washington | $539.47 | $539.47 | |
| New Jersey | $535.84 | $535.84 | |
| Hawaii | $535.65 | $535.65 | |
| Massachusetts | $532.58 | $532.58 | |
| Alaska | $532.44 | $532.44 | |
| New York | $532.35 | $532.35 | |
| Connecticut | $514.00 | $514.00 | |
| Colorado | $506.37 | $506.37 | |
| Oregon | $501.50 | $501.50 | |
| Maryland | $498.56 | $498.56 | |
| New Hampshire | $496.40 | $496.40 | |
| Rhode Island | $494.14 | $494.14 | |
| Minnesota | $489.03 | $489.03 | |
| Florida | $484.84 | $484.84 | |
| Puerto Rico | $484.21 | $484.21 | |
| Virgin Islands | $484.21 | $484.21 | |
| Montana | $479.63 | $479.63 | |
| Nevada | $479.39 | $479.39 | |
| Wyoming | $478.59 | $478.59 | |
| North Dakota | $477.26 | $477.26 | |
| South Dakota | $476.98 | $476.98 | |
| Delaware | $474.45 | $474.45 | |
| Vermont | $473.45 | $473.45 | |
| Texas | $473.12 | $473.12 | |
| Pennsylvania | $471.77 | $471.77 | |
| Virginia | $471.30 | $471.30 | |
| Illinois | $469.26 | $469.26 | |
| Arizona | $466.00 | $466.00 | |
| Georgia | $461.13 | $461.13 | |
| Maine | $459.40 | $459.40 | |
| Wisconsin | $459.17 | $459.17 | |
| Michigan | $455.58 | $455.58 | |
| Utah | $453.96 | $453.96 | |
| North Carolina | $449.97 | $449.97 | |
| South Carolina | $447.03 | $447.03 | |
| Indiana | $446.83 | $446.83 | |
| New Mexico | $445.48 | $445.48 | |
| Missouri | $444.90 | $444.90 | |
| Nebraska | $444.71 | $444.71 | |
| Idaho | $443.83 | $443.83 | |
| Louisiana | $443.18 | $443.18 | |
| Ohio | $443.03 | $443.03 | |
| Iowa | $441.42 | $441.42 | |
| Tennessee | $439.45 | $439.45 | |
| Kansas | $437.22 | $437.22 | |
| Oklahoma | $433.68 | $433.68 | |
| Kentucky | $432.54 | $432.54 | |
| West Virginia | $426.19 | $426.19 | |
| Alabama | $425.25 | $425.25 | |
| Mississippi | $420.05 | $420.05 | |
| Arkansas | $418.31 | $418.31 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates