CPT 95822 pays $446.90 in a non-facility setting and $446.90 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $387.69 in Arkansas to $521.89 in District of Columbia, a 35% spread.
National non-facility rate
$446.90
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 | $521.89 | $521.89 | |
| California | $521.50 | $521.50 | |
| Washington | $504.49 | $504.49 | |
| Hawaii | $501.46 | $501.46 | |
| New Jersey | $500.46 | $500.46 | |
| Massachusetts | $497.83 | $497.83 | |
| New York | $496.99 | $496.99 | |
| Alaska | $489.49 | $489.49 | |
| Connecticut | $479.76 | $479.76 | |
| Colorado | $472.74 | $472.74 | |
| Oregon | $468.12 | $468.12 | |
| Maryland | $464.98 | $464.98 | |
| New Hampshire | $463.23 | $463.23 | |
| Rhode Island | $460.69 | $460.69 | |
| Minnesota | $456.40 | $456.40 | |
| Florida | $451.43 | $451.43 | |
| Puerto Rico | $451.35 | $451.35 | |
| Virgin Islands | $451.35 | $451.35 | |
| Montana | $446.90 | $446.90 | |
| Nevada | $446.75 | $446.75 | |
| Wyoming | $446.04 | $446.04 | |
| North Dakota | $444.92 | $444.92 | |
| South Dakota | $444.69 | $444.69 | |
| Delaware | $441.84 | $441.84 | |
| Vermont | $441.17 | $441.17 | |
| Texas | $440.53 | $440.53 | |
| Pennsylvania | $439.08 | $439.08 | |
| Virginia | $438.98 | $438.98 | |
| Illinois | $436.28 | $436.28 | |
| Arizona | $433.76 | $433.76 | |
| Georgia | $428.82 | $428.82 | |
| Maine | $427.48 | $427.48 | |
| Wisconsin | $427.44 | $427.44 | |
| Michigan | $423.35 | $423.35 | |
| Utah | $422.05 | $422.05 | |
| North Carolina | $418.33 | $418.33 | |
| Indiana | $415.37 | $415.37 | |
| South Carolina | $415.36 | $415.36 | |
| New Mexico | $413.67 | $413.67 | |
| Nebraska | $413.37 | $413.37 | |
| Missouri | $413.22 | $413.22 | |
| Idaho | $412.46 | $412.46 | |
| Louisiana | $411.52 | $411.52 | |
| Ohio | $411.39 | $411.39 | |
| Iowa | $410.17 | $410.17 | |
| Tennessee | $408.18 | $408.18 | |
| Kansas | $406.03 | $406.03 | |
| Oklahoma | $402.45 | $402.45 | |
| Kentucky | $401.28 | $401.28 | |
| West Virginia | $394.83 | $394.83 | |
| Alabama | $394.39 | $394.39 | |
| Mississippi | $389.25 | $389.25 | |
| Arkansas | $387.69 | $387.69 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates