CPT 95830 pays $717.45 in a non-facility setting and $76.15 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $622.50 in Arkansas to $837.98 in District of Columbia, a 35% spread.
National non-facility rate
$717.45
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 | $837.98 | $82.53 | |
| California | $837.77 | $78.94 | |
| Washington | $810.24 | $79.16 | |
| Hawaii | $805.54 | $76.38 | |
| New Jersey | $803.52 | $81.42 | |
| Massachusetts | $799.48 | $78.98 | |
| New York | $797.75 | $82.32 | |
| Alaska | $785.80 | $102.82 | |
| Connecticut | $770.16 | $79.48 | |
| Colorado | $759.16 | $76.82 | |
| Oregon | $751.77 | $76.16 | |
| Maryland | $746.47 | $77.92 | |
| New Hampshire | $743.82 | $76.23 | |
| Rhode Island | $739.69 | $77.23 | |
| Minnesota | $733.22 | $73.33 | |
| Puerto Rico | $724.61 | $76.26 | |
| Virgin Islands | $724.61 | $76.26 | |
| Florida | $724.07 | $80.63 | |
| Montana | $717.44 | $76.14 | |
| Nevada | $717.33 | $75.39 | |
| Wyoming | $716.24 | $74.94 | |
| North Dakota | $714.67 | $73.38 | |
| South Dakota | $714.35 | $73.05 | |
| Delaware | $709.37 | $75.77 | |
| Vermont | $708.57 | $73.68 | |
| Texas | $707.24 | $75.88 | |
| Virginia | $704.90 | $74.51 | |
| Pennsylvania | $704.80 | $76.65 | |
| Illinois | $699.72 | $80.07 | |
| Arizona | $696.40 | $74.98 | |
| Georgia | $688.22 | $76.42 | |
| Wisconsin | $686.61 | $72.24 | |
| Maine | $686.45 | $73.69 | |
| Michigan | $679.26 | $77.08 | |
| Utah | $677.53 | $74.72 | |
| North Carolina | $671.72 | $73.39 | |
| Indiana | $667.06 | $72.58 | |
| South Carolina | $666.79 | $74.23 | |
| Nebraska | $663.93 | $72.01 | |
| New Mexico | $663.83 | $75.76 | |
| Missouri | $663.26 | $74.76 | |
| Idaho | $662.40 | $72.41 | |
| Louisiana | $660.48 | $74.98 | |
| Ohio | $660.30 | $74.80 | |
| Iowa | $658.76 | $71.97 | |
| Tennessee | $655.47 | $72.53 | |
| Kansas | $652.03 | $72.30 | |
| Oklahoma | $646.07 | $73.40 | |
| Kentucky | $644.09 | $73.98 | |
| West Virginia | $633.36 | $76.07 | |
| Alabama | $633.26 | $72.12 | |
| Mississippi | $624.86 | $72.71 | |
| Arkansas | $622.50 | $71.63 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates