CPT 95860 pays $119.58 in a non-facility setting and $119.58 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $106.57 in Arkansas to $140.15 in Alaska, a 32% spread.
National non-facility rate
$119.58
Office and other outpatient settings
Hospital and ASC settings
Alaska
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 |
|---|---|---|---|
| Alaska | $140.15 | $140.15 | |
| District of Columbia | $136.86 | $136.86 | |
| California | $135.79 | $135.79 | |
| Washington | $132.32 | $132.32 | |
| New Jersey | $132.23 | $132.23 | |
| New York | $131.66 | $131.66 | |
| Massachusetts | $130.89 | $130.89 | |
| Hawaii | $130.72 | $130.72 | |
| Connecticut | $127.22 | $127.22 | |
| Colorado | $125.12 | $125.12 | |
| Oregon | $123.99 | $123.99 | |
| Maryland | $123.79 | $123.79 | |
| New Hampshire | $122.91 | $122.91 | |
| Rhode Island | $122.85 | $122.85 | |
| Florida | $121.44 | $121.44 | |
| Minnesota | $120.91 | $120.91 | |
| Puerto Rico | $120.50 | $120.50 | |
| Virgin Islands | $120.50 | $120.50 | |
| Montana | $119.57 | $119.57 | |
| Nevada | $119.38 | $119.38 | |
| Wyoming | $119.14 | $119.14 | |
| North Dakota | $118.58 | $118.58 | |
| Delaware | $118.53 | $118.53 | |
| South Dakota | $118.47 | $118.47 | |
| Illinois | $118.29 | $118.29 | |
| Texas | $118.29 | $118.29 | |
| Pennsylvania | $118.20 | $118.20 | |
| Vermont | $117.89 | $117.89 | |
| Virginia | $117.61 | $117.61 | |
| Arizona | $116.65 | $116.65 | |
| Georgia | $115.97 | $115.97 | |
| Maine | $115.10 | $115.10 | |
| Michigan | $114.98 | $114.98 | |
| Wisconsin | $114.79 | $114.79 | |
| Utah | $114.21 | $114.21 | |
| North Carolina | $113.18 | $113.18 | |
| South Carolina | $112.75 | $112.75 | |
| New Mexico | $112.73 | $112.73 | |
| Missouri | $112.43 | $112.43 | |
| Indiana | $112.40 | $112.40 | |
| Louisiana | $112.13 | $112.13 | |
| Ohio | $112.06 | $112.06 | |
| Nebraska | $111.88 | $111.88 | |
| Idaho | $111.77 | $111.77 | |
| Iowa | $111.21 | $111.21 | |
| Tennessee | $110.93 | $110.93 | |
| Kansas | $110.44 | $110.44 | |
| Oklahoma | $109.95 | $109.95 | |
| Kentucky | $109.83 | $109.83 | |
| West Virginia | $108.96 | $108.96 | |
| Alabama | $108.04 | $108.04 | |
| Mississippi | $107.11 | $107.11 | |
| Arkansas | $106.57 | $106.57 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates