CPT 95852 pays $21.38 in a non-facility setting and $5.01 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $18.77 in Arkansas to $24.70 in District of Columbia, a 32% spread.
National non-facility rate
$21.38
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 32% 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 | $24.70 | $5.42 | |
| California | $24.54 | $5.17 | |
| Alaska | $24.19 | $6.76 | |
| Washington | $23.85 | $5.20 | |
| New Jersey | $23.78 | $5.35 | |
| New York | $23.68 | $5.42 | |
| Hawaii | $23.62 | $5.01 | |
| Massachusetts | $23.57 | $5.19 | |
| Connecticut | $22.86 | $5.23 | |
| Colorado | $22.46 | $5.05 | |
| Oregon | $22.24 | $5.00 | |
| Maryland | $22.19 | $5.13 | |
| New Hampshire | $22.05 | $5.01 | |
| Rhode Island | $21.98 | $5.08 | |
| Florida | $21.75 | $5.33 | |
| Minnesota | $21.65 | $4.80 | |
| Puerto Rico | $21.56 | $5.02 | |
| Virgin Islands | $21.56 | $5.02 | |
| Montana | $21.38 | $5.01 | |
| Nevada | $21.34 | $4.96 | |
| Wyoming | $21.29 | $4.92 | |
| North Dakota | $21.18 | $4.81 | |
| Delaware | $21.15 | $4.98 | |
| South Dakota | $21.15 | $4.79 | |
| Illinois | $21.11 | $5.29 | |
| Texas | $21.10 | $4.99 | |
| Pennsylvania | $21.08 | $5.05 | |
| Vermont | $21.04 | $4.84 | |
| Virginia | $20.98 | $4.89 | |
| Arizona | $20.79 | $4.93 | |
| Georgia | $20.65 | $5.04 | |
| Maine | $20.48 | $4.84 | |
| Michigan | $20.45 | $5.09 | |
| Wisconsin | $20.42 | $4.74 | |
| Utah | $20.30 | $4.92 | |
| North Carolina | $20.09 | $4.82 | |
| South Carolina | $20.01 | $4.88 | |
| New Mexico | $20.00 | $4.99 | |
| Indiana | $19.94 | $4.77 | |
| Missouri | $19.94 | $4.92 | |
| Louisiana | $19.88 | $4.94 | |
| Ohio | $19.87 | $4.93 | |
| Nebraska | $19.83 | $4.73 | |
| Idaho | $19.81 | $4.75 | |
| Iowa | $19.70 | $4.72 | |
| Tennessee | $19.64 | $4.76 | |
| Kansas | $19.54 | $4.75 | |
| Oklahoma | $19.44 | $4.83 | |
| Kentucky | $19.42 | $4.87 | |
| West Virginia | $19.25 | $5.02 | |
| Alabama | $19.06 | $4.74 | |
| Mississippi | $18.88 | $4.78 | |
| Arkansas | $18.77 | $4.71 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates