CPT 95863 pays $220.45 in a non-facility setting and $220.45 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $196.90 in Arkansas to $259.67 in Alaska, a 32% spread.
National non-facility rate
$220.45
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 | $259.67 | $259.67 | |
| District of Columbia | $251.95 | $251.95 | |
| California | $249.96 | $249.96 | |
| Washington | $243.66 | $243.66 | |
| New Jersey | $243.56 | $243.56 | |
| New York | $242.52 | $242.52 | |
| Massachusetts | $241.05 | $241.05 | |
| Hawaii | $240.64 | $240.64 | |
| Connecticut | $234.36 | $234.36 | |
| Colorado | $230.54 | $230.54 | |
| Oregon | $228.48 | $228.48 | |
| Maryland | $228.13 | $228.13 | |
| New Hampshire | $226.49 | $226.49 | |
| Rhode Island | $226.45 | $226.45 | |
| Florida | $223.81 | $223.81 | |
| Minnesota | $222.87 | $222.87 | |
| Puerto Rico | $222.12 | $222.12 | |
| Virgin Islands | $222.12 | $222.12 | |
| Montana | $220.44 | $220.44 | |
| Nevada | $220.10 | $220.10 | |
| Wyoming | $219.66 | $219.66 | |
| North Dakota | $218.66 | $218.66 | |
| Delaware | $218.57 | $218.57 | |
| South Dakota | $218.45 | $218.45 | |
| Texas | $218.14 | $218.14 | |
| Illinois | $218.11 | $218.11 | |
| Pennsylvania | $217.99 | $217.99 | |
| Vermont | $217.39 | $217.39 | |
| Virginia | $216.90 | $216.90 | |
| Arizona | $215.16 | $215.16 | |
| Georgia | $213.92 | $213.92 | |
| Maine | $212.35 | $212.35 | |
| Michigan | $212.12 | $212.12 | |
| Wisconsin | $211.79 | $211.79 | |
| Utah | $210.74 | $210.74 | |
| North Carolina | $208.87 | $208.87 | |
| South Carolina | $208.09 | $208.09 | |
| New Mexico | $208.05 | $208.05 | |
| Missouri | $207.50 | $207.50 | |
| Indiana | $207.47 | $207.47 | |
| Louisiana | $206.96 | $206.96 | |
| Ohio | $206.84 | $206.84 | |
| Nebraska | $206.51 | $206.51 | |
| Idaho | $206.33 | $206.33 | |
| Iowa | $205.32 | $205.32 | |
| Tennessee | $204.80 | $204.80 | |
| Kansas | $203.92 | $203.92 | |
| Oklahoma | $203.01 | $203.01 | |
| Kentucky | $202.80 | $202.80 | |
| West Virginia | $201.22 | $201.22 | |
| Alabama | $199.56 | $199.56 | |
| Mississippi | $197.89 | $197.89 | |
| Arkansas | $196.90 | $196.90 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates