CPT 95819 pays $482.31 in a non-facility setting and $482.31 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $417.98 in Arkansas to $563.57 in District of Columbia, a 35% spread.
National non-facility rate
$482.31
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 35% 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 | $563.57 | $563.57 | |
| California | $563.18 | $563.18 | |
| Washington | $544.74 | $544.74 | |
| Hawaii | $541.53 | $541.53 | |
| New Jersey | $540.31 | $540.31 | |
| Massachusetts | $537.51 | $537.51 | |
| New York | $536.57 | $536.57 | |
| Alaska | $527.03 | $527.03 | |
| Connecticut | $517.94 | $517.94 | |
| Colorado | $510.31 | $510.31 | |
| Oregon | $505.30 | $505.30 | |
| Maryland | $501.90 | $501.90 | |
| New Hampshire | $500.04 | $500.04 | |
| Rhode Island | $497.22 | $497.22 | |
| Minnesota | $492.59 | $492.59 | |
| Florida | $487.27 | $487.27 | |
| Puerto Rico | $487.13 | $487.13 | |
| Virgin Islands | $487.13 | $487.13 | |
| Montana | $482.30 | $482.30 | |
| Nevada | $482.14 | $482.14 | |
| Wyoming | $481.35 | $481.35 | |
| North Dakota | $480.13 | $480.13 | |
| South Dakota | $479.87 | $479.87 | |
| Delaware | $476.79 | $476.79 | |
| Vermont | $476.06 | $476.06 | |
| Texas | $475.37 | $475.37 | |
| Pennsylvania | $473.79 | $473.79 | |
| Virginia | $473.69 | $473.69 | |
| Illinois | $470.81 | $470.81 | |
| Arizona | $468.03 | $468.03 | |
| Georgia | $462.68 | $462.68 | |
| Maine | $461.20 | $461.20 | |
| Wisconsin | $461.14 | $461.14 | |
| Michigan | $456.75 | $456.75 | |
| Utah | $455.32 | $455.32 | |
| North Carolina | $451.26 | $451.26 | |
| South Carolina | $448.05 | $448.05 | |
| Indiana | $448.04 | $448.04 | |
| New Mexico | $446.23 | $446.23 | |
| Nebraska | $445.87 | $445.87 | |
| Missouri | $445.73 | $445.73 | |
| Idaho | $444.89 | $444.89 | |
| Louisiana | $443.89 | $443.89 | |
| Ohio | $443.75 | $443.75 | |
| Iowa | $442.39 | $442.39 | |
| Tennessee | $440.24 | $440.24 | |
| Kansas | $437.90 | $437.90 | |
| Oklahoma | $434.03 | $434.03 | |
| Kentucky | $432.76 | $432.76 | |
| West Virginia | $425.79 | $425.79 | |
| Alabama | $425.27 | $425.27 | |
| Mississippi | $419.69 | $419.69 | |
| Arkansas | $417.98 | $417.98 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates