CPT 95851 pays $26.05 in a non-facility setting and $6.68 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $23.02 in Arkansas to $30.01 in District of Columbia, a 30% spread.
National non-facility rate
$26.05
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 30% 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 | $30.01 | $7.18 | |
| Alaska | $29.90 | $9.27 | |
| California | $29.83 | $6.90 | |
| Washington | $29.00 | $6.92 | |
| New Jersey | $28.92 | $7.11 | |
| New York | $28.78 | $7.17 | |
| Hawaii | $28.70 | $6.68 | |
| Massachusetts | $28.67 | $6.90 | |
| Connecticut | $27.80 | $6.93 | |
| Colorado | $27.35 | $6.74 | |
| Oregon | $27.09 | $6.68 | |
| Maryland | $27.01 | $6.82 | |
| New Hampshire | $26.85 | $6.68 | |
| Rhode Island | $26.79 | $6.78 | |
| Florida | $26.44 | $7.00 | |
| Minnesota | $26.41 | $6.47 | |
| Puerto Rico | $26.27 | $6.69 | |
| Virgin Islands | $26.27 | $6.69 | |
| Montana | $26.05 | $6.68 | |
| Nevada | $26.02 | $6.63 | |
| Wyoming | $25.97 | $6.59 | |
| North Dakota | $25.85 | $6.48 | |
| South Dakota | $25.83 | $6.46 | |
| Delaware | $25.80 | $6.66 | |
| Texas | $25.74 | $6.67 | |
| Pennsylvania | $25.71 | $6.73 | |
| Illinois | $25.69 | $6.97 | |
| Vermont | $25.68 | $6.51 | |
| Virginia | $25.61 | $6.56 | |
| Arizona | $25.37 | $6.60 | |
| Georgia | $25.19 | $6.71 | |
| Maine | $25.02 | $6.51 | |
| Wisconsin | $24.97 | $6.41 | |
| Michigan | $24.95 | $6.76 | |
| Utah | $24.80 | $6.59 | |
| North Carolina | $24.57 | $6.49 | |
| South Carolina | $24.45 | $6.55 | |
| New Mexico | $24.43 | $6.66 | |
| Indiana | $24.39 | $6.44 | |
| Missouri | $24.37 | $6.59 | |
| Louisiana | $24.30 | $6.61 | |
| Nebraska | $24.28 | $6.40 | |
| Ohio | $24.28 | $6.60 | |
| Idaho | $24.25 | $6.42 | |
| Iowa | $24.12 | $6.39 | |
| Tennessee | $24.04 | $6.43 | |
| Kansas | $23.93 | $6.42 | |
| Oklahoma | $23.80 | $6.50 | |
| Kentucky | $23.76 | $6.54 | |
| West Virginia | $23.53 | $6.69 | |
| Alabama | $23.36 | $6.41 | |
| Mississippi | $23.13 | $6.45 | |
| Arkansas | $23.02 | $6.38 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates