CPT 95861 pays $161.99 in a non-facility setting and $161.99 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $145.30 in Arkansas to $192.94 in Alaska, a 33% spread.
National non-facility rate
$161.99
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 33% 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 | $192.94 | $192.94 | |
| District of Columbia | $184.44 | $184.44 | |
| California | $182.58 | $182.58 | |
| New Jersey | $178.56 | $178.56 | |
| Washington | $178.30 | $178.30 | |
| New York | $177.96 | $177.96 | |
| Massachusetts | $176.49 | $176.49 | |
| Hawaii | $175.83 | $175.83 | |
| Connecticut | $171.97 | $171.97 | |
| Colorado | $169.00 | $169.00 | |
| Oregon | $167.50 | $167.50 | |
| Maryland | $167.49 | $167.49 | |
| Rhode Island | $166.26 | $166.26 | |
| New Hampshire | $166.14 | $166.14 | |
| Florida | $164.89 | $164.89 | |
| Minnesota | $163.28 | $163.28 | |
| Puerto Rico | $163.16 | $163.16 | |
| Virgin Islands | $163.16 | $163.16 | |
| Montana | $161.99 | $161.99 | |
| Nevada | $161.66 | $161.66 | |
| Wyoming | $161.30 | $161.30 | |
| Illinois | $160.92 | $160.92 | |
| Delaware | $160.66 | $160.66 | |
| North Dakota | $160.41 | $160.41 | |
| Pennsylvania | $160.39 | $160.39 | |
| Texas | $160.39 | $160.39 | |
| South Dakota | $160.22 | $160.22 | |
| Vermont | $159.58 | $159.58 | |
| Virginia | $159.35 | $159.35 | |
| Arizona | $158.22 | $158.22 | |
| Georgia | $157.57 | $157.57 | |
| Michigan | $156.42 | $156.42 | |
| Maine | $156.14 | $156.14 | |
| Wisconsin | $155.56 | $155.56 | |
| Utah | $155.17 | $155.17 | |
| North Carolina | $153.71 | $153.71 | |
| New Mexico | $153.47 | $153.47 | |
| South Carolina | $153.29 | $153.29 | |
| Missouri | $152.96 | $152.96 | |
| Indiana | $152.65 | $152.65 | |
| Louisiana | $152.62 | $152.62 | |
| Ohio | $152.51 | $152.51 | |
| Nebraska | $151.92 | $151.92 | |
| Idaho | $151.85 | $151.85 | |
| Iowa | $151.10 | $151.10 | |
| Tennessee | $150.82 | $150.82 | |
| Kansas | $150.18 | $150.18 | |
| Oklahoma | $149.71 | $149.71 | |
| Kentucky | $149.64 | $149.64 | |
| West Virginia | $148.84 | $148.84 | |
| Alabama | $147.18 | $147.18 | |
| Mississippi | $146.12 | $146.12 | |
| Arkansas | $145.30 | $145.30 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates